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CCGPP on Fibromyalgia

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  • Fibromyalgia syndrome “is not a peripheral disorder of the soft tissues, but rather a disorder of aberrant pain processing and central sensitization” [1]
  • Strong evidence – low-dose antidepressants; light aerobic exercise and Cognitive Behavioral Treatment (CBT) [1]
  • Moderate evidence – massage, muscle strength training, acupuncture and spa therapy (balneotherapy) [1]
  • Limited evidence – spinal manipulation; movement/body awareness; and vitamins, herbs and dietary modifications [1]
  • “No single therapy or intervention that can be considered a cure” [1]
  • Combination of therapies is most helpful [1]
  • More research is necessary [1]


  1. 1.0 1.1 1.2 1.3 1.4 1.5 1.6 Schneider, M et al (Jan 2009). "Chiropractic management of fibromyalgia syndrome: a systematic review of the literature". J Manipulative Physiol Ther 32 (1): 25-40. Retrieved 12-8-2013.