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Fibromyalgia — SCE Rheumatology MCQ

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HardOsteoarthritis and Soft Tissue RheumatologyFibromyalgiaSCE Rheumatology

A patient with fibromyalgia asks which intervention should form the foundation of management. What is the best answer?

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Correct answer: B — Individualized graded physical activity with education and self-management support

The best answer is “Individualized graded physical activity with education and self-management support”. Fibromyalgia management is multimodal, with exercise and supported self-management central and psychological or selected pharmacological approaches added according to need. Strong opioids, glucocorticoids, bed rest and DMARDs do not treat the non-inflammatory pain-processing disorder and can cause harm.

Reference: EULAR fibromyalgia management recommendations: https://ard.bmj.com/content/76/2/318