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Fibromyalgia pp 139–164Cite as

Treatment of Special Groups: Children, Pregnant, Elderly, and Mentally Disabled

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Abstract

Clinicians treating pregnant women, children, seniors, and those with cognitive impairment who suffer from fibromyalgia face significant obstacles in delivering appropriate care. One may struggle to make the clinical diagnosis. Furthermore, there are few evidence-based practice recommendations to guide decisions. Clinicians may implement some treatment recommendations previously found to be helpful for treating fibromyalgia in other groups. Treatment with non-pharmacologic strategies can optimize function while minimizing risk of harm. Treatment of children with fibromyalgia includes well-studied cognitive behavioral therapy along with a growing array of pharmaceutical treatment options. Pregnant and lactating patients with fibromyalgia should look toward physical and non-pharmaceutical modalities for symptom management first. Safety studies on medications in this patient population make cautious recommendations given the relatively low rate of malformation occurrence and overall risk. Geriatric management of fibromyalgia cautiously uses medications while remaining vigilant to other diagnoses that may be responsible for vague systemic complaints frequently seen in fibromyalgia. While very few studies specifically address their needs, patients with cognitive impairment should be treated with all of the tools and modalities employed to treat other patients as clinically appropriate.

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Authors and Affiliations

  1. Department of Anesthesiology, Back & Pain Center, University of Michigan Health System, 325 East Eisenhower Parkway, Suite 310, 48108, Ann Arbor, MI, USA

    Sunjay Nath Mathur MD

  2. Department of Anesthesiology, University of North Carolina, 101 Manning Dr., 27514, Chapel Hill, NC, USA

    Dominika Lipowska James MD

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  1. Sunjay Nath Mathur MD
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  2. Dominika Lipowska James MD
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Correspondence to Sunjay Nath Mathur MD .

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Editors and Affiliations

  1. Voluntary Faculty, Department of Anesthesiology, Center for Pain Medicine, University of California San Diego,, Lexington, South Carolina, USA

    Erin Lawson, MD

  2. Professor of Clinical Anesthesiology,Chief, Division of Pain Medicine, Department of Anesthesiology, University of California San Diego, La Jolla, California, USA

    Mark S. Wallace, MD

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Mathur, S., James, D. (2015). Treatment of Special Groups: Children, Pregnant, Elderly, and Mentally Disabled. In: Lawson, MD, E., Wallace, MD, M. (eds) Fibromyalgia. Springer, Cham. https://doi.org/10.1007/978-3-319-15820-4_10

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