EULAR Favors Exercise as First Step in Managing Fibromyalgia

EULAR Favors Exercise as First Step in Managing Fibromyalgia
The European League Against Rheumatism (EULAR), in newly revised recommendations, highlights exercise as the strongest evidence-based therapy to manage fibromyalgia. These guidelines favor nonpharmacologic approaches as an initial treatment,  with more personalized therapies in cases of non-response that may include medications. The recommendations, based on 107 reviews scientific, are in the document, “EULAR revised recommendations for the management of fibromyalgia” published in the Annals of the Rheumatic Diseases. A multidisciplinary group from 12 countries assessed evidence with a focus on systematic reviews and meta-analyses concerned with pharmacological and nonpharmacological management of fibromyalgia. A review identified eligible publications in May 2015, and key outcomes assessed were pain, fatigue, sleep and daily functioning. The system known as Grading of Recommendations Assessment, Development and Evaluation was used for making the recommendations. "These guidelines and our EULAR recommendations are in agreement on the principles of approach to management, the need for tailored therapy to the individual, and the first-line role of nonpharmacological therapies," the authors wrote. The original European League Against Rheumatism recommendations for managing fibromyalgia assessed
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