Shoulder pain at the workplace
Shoulder pain is among the most common of regional musculoskeletal complaints in the work environment. It is also a very common problem in the broader community. A challenge to health…
RHEUMATOLOGY
Lateral and medial epicondylitis: Role of occupational factors
Epicondylitis is a common upper-extremity musculoskeletal disorder. It is most common at the age of 40–60 years. Epicondylitis seems to affect women more frequently than men. Diagnosis of epicondylitis is…
Hand pain other than carpal tunnel syndrome (CTS): The role of occupational factors
Some occupational factors have been implicated in the development of disorders manifested as hand pain. The associations seem to be well documented in processes such as hand–arm vibration syndrome (HAVS)…
Future perspectives in generalised musculoskeletal pain syndromes
This article describes contemporary controversies regarding two categories of soft-tissue pain (STP) – chronic widespread pain and fibromyalgia syndrome. The tone is more editorial than review didactic. It draws upon…
Multidisciplinary approach to fibromyalgia: What is the teaching?
Fibromyalgia (FM) is a rheumatic disease that is characterised by chronic musculoskeletal pain, stiffness, fatigue, sleep and mood disorder. FM patients demonstrate dysregulation of pain neurotransmitter function and experience a…
Pharmacotherapy of fibromyalgia
There have been substantial advances in the pharmacotherapy of fibromyalgia (FM), which have occurred in parallel with advances in our understanding of the pathophysiology of FM in the past several…
Non-pharmacological treatment of chronic widespread musculoskeletal pain
Individuals with chronic widespread pain, including those with fibromyalgia, pose a particular challenge to treatment, given the modest effectiveness of pharmacological agents for this condition. The growing consensus indicates that…
Neuroimaging of fibromyalgia
The primary symptom of fibromyalgia is widespread pain. This symptom is accompanied by secondary symptoms, such as cognitive difficulties and sensitivity to painful stimulation, and by numerous co-morbidities. The first…
Clinimetric evaluations of patients with chronic widespread pain
Assessing chronic widespread pain (CWP) and its impact on physical, emotional and social function requires multidimensional qualitative and health-related quality of life (HRQL) instruments. The recommendations of the Initiative on…
Fatigue and fibromyalgia syndrome: Clinical and neurophysiologic pattern
The concept of ‘fatigue’ is strictly related to parameters of the setting in which fatigue is measured. Therefore, it is mandatory to provide a definition of fatigue and the modalities…
