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Experiences of patients with fibromyalgia at a Finnish Health Centre: A qualitative study
CONCLUSION: In our interviews, a good doctor-patient relationship and continuity of care were necessary, as were the physician's attitude and knowledge of fibromyalgia. Our findings also suggest avoiding repeated or unnecessary rule-out tests and the overdiagnosis of psychiatric disorders is necessary.PMID:35726620 | DOI:10.1080/13814788.2022.2085683
Source: European Journal of General Practice - June 21, 2022 Category: Primary Care Authors: Aleksi Varinen Tiina Vuorio Elise Kosunen Tuomas H Koskela Source Type: research

The effect of cryotherapy on fibromyalgia: a randomised clinical trial carried out in a cryosauna cabin
In conclusion, WBC with a Cryosense TCT cabin may be a useful adjuvant therapy for FM; further studies on long-term effect and compared to other physical therapies are warranted.Trial registration NCT03425903.
Source: Rheumatology International - November 7, 2018 Category: Rheumatology Source Type: research

Finance, fibromyalgia, caring, & communication.
Finance, fibromyalgia, caring, & communication. Br J Gen Pract. 2014 May;64(622):244 Authors: Rashid A PMID: 24771823 [PubMed - in process]
Source: The British Journal of General Practice - May 1, 2014 Category: Primary Care Authors: Rashid A Tags: Br J Gen Pract Source Type: research

Cost-utility of cognitive behavioural therapy versus U.S. food and drug administration recommended drugs and usual care in the treatment of patients with fibromyalgia: an economic evaluation alongside a 6-month randomised controlled trial
Conclusions: Due to lower costs, CBT is the most cost-effective treatment for adult FM patients. Implementation in routine medical care would require policymakers to develop more widespread public access to trained and experienced therapists in group-based forms of CBT.Trial registrationCurrent Controlled Trials ISRCTN10804772. Registered 29 September 2008.
Source: Arthritis Research and Therapy - October 1, 2014 Category: Rheumatology Authors: Juan LucianoFrancesco D¿AmicoMarta Cerdà-LafontMaría Peñarrubia-MaríaMartin KnappAntonio Cuesta-VargasAntoni Serrano-BlancoJavier García-Campayo Source Type: research

Yonder: Fibromyalgia, dentists, cancer survivorship, and chocolate.
PMID: 28450331 [PubMed - in process]
Source: The British Journal of General Practice - May 1, 2017 Category: Primary Care Authors: Rashid A Tags: Br J Gen Pract Source Type: research

A Trial of a Brief Group-Based Form of Acceptance and Commitment Therapy (ACT) for Chronic Pain in General Practice: Pilot Outcome and Process Results
This article presents a pilot randomized controlled trial of ACT for chronic pain in a primary care setting in the United Kingdom. Both positive clinical outcomes and ways to improve future trials are reported.
Source: The Journal of Pain - September 16, 2013 Category: Materials Science Authors: Lance M. McCracken, Ayana Sato, Gordon J. Taylor Tags: Original Reports Source Type: research

Medically unexplained conditions considered by patients in general practice
Conclusion. Patients frequently considered that they may suffer from UCs. The likelihood of such concerns strongly increased with an increasing symptom load and with the number of life stressors with negative impact on present health. Hence, the number of symptoms may be a strong indicator of whether patients consider their symptoms part of such often controversial multisymptom conditions.
Source: Family Practice - March 21, 2014 Category: Primary Care Authors: Tschudi-Madsen, H., Kjeldsberg, M., Natvig, B., Ihlebaek, C., Straand, J., Bruusgaard, D. Tags: Epidemiology Source Type: research

Does mindfulness improve outcomes in patients with chronic pain? Systematic review and meta-analysis.
CONCLUSION: There is limited evidence for effectiveness of mindfulness-based interventions for patients with chronic pain. Better-quality studies are required. PMID: 26009534 [PubMed - in process]
Source: The British Journal of General Practice - May 29, 2015 Category: Primary Care Authors: Bawa FL, Mercer SW, Atherton RJ, Clague F, Keen A, Scott NW, Bond CM Tags: Br J Gen Pract Source Type: research

Identifying patients with chronic widespread pain in primary care
Abstract: Chronic widespread pain (CWP) is common in the general population. It is unclear how people reporting this problem present in primary care; they may regularly consult for regional pains without being recognized as having a generalized condition. Our objectives were to determine the prevalence of people consulting in primary care for musculoskeletal conditions in different body regions on different occasions (recurrent regional pain consultation), the proportion with diagnosed generalized pain and survey-reported widespread pain, and if they have features characteristic of CWP. Phase 1 used electronic records from...
Source: Pain - December 30, 2016 Category: Anesthesiology Tags: Research Paper Source Type: research

Medically unexplained symptoms' care in internal medicine: A paradigm of doctor-patient relationship in situation of uncertainty.
Authors: Ranque B, Nardon O Abstract Medically unexplained symptoms (MUS) are extremely common in general practice as in all medical specialties, but their designation is not unambiguous and the approaches to take care of the patients differ from conventional therapeutic approaches. The difficulty is not to confirm the diagnosis, which is rapidly obvious with some experience, but to establish a genuinely human therapeutic relationship, without any technical help, which pushes the doctor to the edge of his empathy and communication skills. The discomfort or even distress regularly encountered by physicians in front ...
Source: Revue de Medecine Interne - January 30, 2017 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

Trazodone for Insomnia: A Systematic Review
Conclusion. A review of the literature suggests that there are adequate data supporting the efficacy and general safety of the low-dose use of trazodone for the treatment of insomnia. keywords: insomnia, hypnotics, treatment, trazodone, sedative Keywords: insomnia, hypnotics, treatment, trazodone, sedative Innov Clin Neurosci. 2017;14(9–10):24–34 Introduction Insomnia is characterized by difficulty falling asleep, difficulty staying asleep, or waking too early1 and is associated with significant impairments in daytime activities, which might occur despite adequate opportunities for sleep.2–6 Primary insomnia is an or...
Source: Innovations in Clinical Neuroscience - July 1, 2017 Category: Neuroscience Authors: ICNS Online Editor Tags: Current Issue Review hypnotics insomnia sedative trazodone treatment Source Type: research

Fibromyalgia and chronic pain: are we asking about (and auditing) psychological trauma or traumatic events?
Br J Gen Pract. 2022 Jun 30;72(720):332-333. doi: 10.3399/bjgp22X719933. Print 2022 Jul.NO ABSTRACTPMID:35772993 | DOI:10.3399/bjgp22X719933
Source: The British Journal of General Practice - June 30, 2022 Category: Primary Care Authors: Karen Nicolson Source Type: research

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