Tampa, FL—Researchers have detected 2 different subclusters of patients with fibromyalgia, according to results presented at the American Pain Society's 2014 Annual Meeting.

Results of the study indicated that, among patients with fibromyalgia who were receiving opioid therapy, caffeine consumption had a significant effect on pain, catastrophizing, and physical function.

By Rosemary Frei, MSc Milan, Italy—The combination of childhood emotional abuse and current depression gives rise to higher pain sensitivity, a new study has shown. In a poster presented at the 2012 World Congress on Pain, a group of Belgian researchers showed that among patients with fibromyalgia who suffered childhood emotional abuse, a strong positive correlation exists between depression levels and pain sensitivity. The same correlation does not exist in patients who did not have emotional abuse when they were young.
By Sy Schlager, MD, PhD Although completely misunderstood and often maligned, fibromyalgia (FM) is a functional somatic syndrome estimated to affect 2% to 4% of the population, with a female to male incidence ratio of approximately 4:1.
Although fibromyalgia (FM) is better understood and recognized today than it was 25 years ago when FM classification criteria (ie, history of widespread pain, and pain on palpation of ≥11 of 18 specific sites) were first published, researchers still have an incomplete understanding of FM's mechanisms and predictors.
By Rosemary Frei, MSc Winnipeg, Manitoba—A study on the influence of pain and catastrophizing on quality of life in patients with fibromyalgia has answered some questions and raised others.
By Phoebe Starr The way patients with fibromyalgia experience pain may be a result of abnormal pain signal processing associated with reduced opioid receptor binding, according to a study presented during the 2012 meeting of the American College of Rheumatology.
By Rosemary Frei, MSc An intense program of telephone support does not have a significant effect on the motivation of patients with fibromyalgia to exercise or on their disease symptoms, according to the first randomized study to expressly address exercise in this patient population (Ang DC, et al. Clin J Pain. 2012 Oct 5 [Epub ahead of print]).
A Dutch study has shown there are high costs associated with multidisciplinary (MD) intervention and aerobic exercise (AE) for fibromyalgia (FM)
Fibromyalgia flares are associated with intense pain, flulike aches and exhaustion, and other phenomena such as “brain fog,” as confirmed by the first-ever qualitative analysis of these periods of symptom exacerbation. Furthermore, according to the 44 people who responded to the investigators’ survey, the patients tried many coping techniques, from medications to massage and from meditation to humor.
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