A 45-year-old man presents with chronic widespread musculoskeletal pain, fatigue and unrefreshing sleep for 1 year. Examination and investigations are...

Question

A 45-year-old man presents with chronic widespread musculoskeletal pain, fatigue and unrefreshing sleep for 1 year. Examination and investigations are normal. You suspect fibromyalgia. What is the most appropriate initial management approach?

Accepted Answer

Multidisciplinary management with education, graded exercise and cognitive behavioural therapy

Answer

Long-term opioids for pain control

Answer

High-dose corticosteroids

Answer

Immobilisation and rest

Answer

Surgical referral for muscle biopsy

au-amc MCQ (SBA): Fibromyalgia

A 45-year-old man presents with chronic widespread musculoskeletal pain, fatigue and unrefreshing sleep for 1 year. Examination and investigations are normal. You suspect fibromyalgia. What is the most appropriate initial management approach?