Rheumatology Branch, Specialist Outpatients Department, Belluno, Italy.
Clin Exp Rheumatol. 2013 Nov-Dec;31(6 Suppl 79):S134-52. Epub 2013 Dec 16.
Fibromyalgia (FM) is currently classified as a chronic pain syndrome. Its main features are chronic widespread pain in the presence of tender points (TPs) upon physical examination, sleep disturbances and fatigue, although patients also report a variety of other complaints. Many therapies have been proposed over recent years with mixed results, including various pharmacological therapies for the treatment of symptoms; but there is still no effective drug treatment for the syndrome itself. Non-pharmacological therapies are an important part of the treatment, and there is evidence supporting a number of interventions, including aerobic exercise, strength and stretching training, cognitive-behavioural therapy, and patient education. Complementary and alternative medicine (CAM) techniques have not yet been fully acknowledged by scientific medicine because little is known about their mechanisms of action and usefulness. The aim of this wide-ranging review of the literature is to analyse the types of CAM techniques used to treat FM and their effectiveness, highlighting the disagreements among the authors of more specialised reviews.
纤维肌痛（FM）目前被归类为一种慢性疼痛综合征。其主要特征是在体格检查时存在慢性广泛疼痛和触痛点（TPs）、睡眠障碍和疲劳，尽管患者还报告了各种其他症状。近年来提出了许多治疗方法，但结果喜忧参半，包括针对症状的各种药物治疗；但对于该综合征本身，仍没有有效的药物治疗方法。非药物治疗是治疗的重要组成部分，有证据支持多种干预措施，包括有氧运动、力量和伸展训练、认知行为疗法和患者教育。补充和替代医学（CAM）技术尚未被科学医学完全认可，因为人们对其作用机制和有效性知之甚少。本次广泛的文献回顾旨在分析用于治疗 FM 的 CAM 技术的类型及其有效性，突出了更专业的综述作者之间的分歧。
