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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” 
- Strong evidence – low-dose antidepressants; light aerobic exercise and Cognitive Behavioral Treatment (CBT) 
- Moderate evidence – massage, muscle strength training, acupuncture and spa therapy (balneotherapy) 
- Limited evidence – spinal manipulation; movement/body awareness; and vitamins, herbs and dietary modifications 
- “No single therapy or intervention that can be considered a cure” 
- Combination of therapies is most helpful 
- More research is necessary 
- 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. http://www.ncbi.nlm.nih.gov/pubmed/19121462. Retrieved 12-8-2013.