Syndrome of chronic generalized pain - a new interdisciplinary problem or competence of a general practitioner?


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Abstract

The article discusses the actual problem of differential diagnosis and treatment of diseases manifested by the syndrome of chronic generalized pain (CGP). International diagnostic criteria for fibromyalgia (FM), the main disease characterized by CGP, are listed. Information on the epidemiology and pathogenesis of CGP and FM is given. It is emphasized that a competent clinical assessment for clarifying the causes of CGP is more important than additional diagnostics. The diagnosis of FM can be established in facilities providing primary health care, based on an assessment of conformity with The American College of Rheumatology criteria (ACR, 2010), on the assumption of normal results of objective examination and routine laboratory tests excluding other diseases. The main groups of diseases that should be borne in mind during the diagnostic search for the detection of CGP are: diseases of the musculoskeletal system and connective tissue, endocrinological, gastroenterological, infectious, oncological diseases, neurological disorders, mental health disorders, and iatrogenic pain. Particular attention is paid to ankylosing spondylitis and myofascial pain syndrome. The problems of treatment of FM are discussed.

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About the authors

O. V Kolokolov

Saratov State Medical University n.a. V.I. Razumovsky of RMH

Email: kolokolov@inbox.ru
MD

I. V Sitkali

Saratov State Medical University n.a. V.I. Razumovsky of RMH

S. Zh Shakhpazov

Saratov State Medical University n.a. V.I. Razumovsky of RMH

A. M Kolokolova

Saratov State Medical University n.a. V.I. Razumovsky of RMH

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