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Management of dysautonomia in fibromyalgia
MARTINEZLAVIN M
RHEUM DIS CLIN NORTH AM , 2002, vol. 28, n° 2, p. 379-387 Doc n°: 107315 Localisation : Documentation IRR Descripteurs : DA52 - MALADIES RHUMATISMALES Recent evidence coming from different groups of investigators suggests that sympathetic nervous system dysfunction is frequent in patients with fibromyalgia (FM). This new knowledge has led to the proposal that FM is a sympathetically maintained pain syndrome. Dysautonomia may cause its remaining multisystem manifestations. This article discusses evidence of autonomic dysfunction in FM as well as theoretical nonpharmacologic approaches (avoidance of sympathomimetic products, aerobic exercises, biofeedback, fitted stockings, mineral water) and pharmacologic therapies (benzodiazepines, adrenergic blocking agents, serotonin receptor antagonists, and antineuropathic compounds) that could improve FM symptoms through autonomic nervous system manipulation. Langue : ANGLAIS Tiré à part : OUI Identifiant basis : 2003225396 |
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