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Management of Fibromyalgia

Lawrence J. Leventhal, MD
[+] Article, Author, and Disclosure Information

From Graduate Hospital, Philadelphia, Pennsylvania.

Grant Support: In part by an unrestricted educational grant from Ortho-McNeil Pharmaceutical.

Requests for Reprints: Lawrence Leventhal, MD, Graduate Hospital, Pepper Pavilion, Suite 801, 1800 Lombard Street, Philadelphia, PA 19146-1497.

Ann Intern Med. 1999;131(11):850-858. doi:10.7326/0003-4819-131-11-199912070-00009
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Fibromyalgia is a syndrome whose main features include chronic, widespread musculoskeletal pain and stiffness in association with fatigue, poor sleep, and the presence of discrete tender points. It affects an estimated 3.7 million people in the United States (1), and women (most often ranging in age from the mid-thirties to the late fifties) account for more than 75% of patients (2). The annual direct costs per patient associated with fibromyalgia have been estimated at approximately $1000 in 1991 dollars (3) and $2274 in 1996 dollars (4).


fibromyalgia ; pain

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Grahic Jump Location
Tender points in patients with fibromyalgia.
Grahic Jump Location




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