Nonpharmacologic care of patients with fibromyalgia.

A key long-term goal for patients with fibromyalgia is for them to become experts in understanding their own symptoms and treatment responses to further successful self-management of their condition. Patient education about fibromyalgia is key, as are several nonpharmacologic strategies such as encouraging the patient to have a realistic, positive attitude and outlook; engage in a regular, paced program of physical activity and exercise; and adopt positive sleep hygiene practices. To meet their goals, patients with fibromyalgia will need support and understanding from the clinician and other treatment team members.