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Fibromyalgia syndrome [FM] has core clinical features of widespread pain and widespread abnormal tenderness. The specific cause of the altered neurophysiology that underpins these clinical manifestations remains unclear. However, increased sensitisation of neural networks that relates to pain, as well as interacting mechanoreceptors, appear important(More)
  • P B Fitzgerald, Klein Mm, Treister R Raij, Pascual-Leone A, Park L, Nurmikko T Lenz +33 others
  • 2016
parameters and that subjects should have clearly defined pain conditions suitable for motor cortex rTMS. Although we agree for the need to standardise all assessment tools, condition-specific instruments, and consensus-recommended metrics, we believe that it is too early to standardise rTMS parameters or to limit treatment option to groups amenable to motor(More)
Dysfunction of the hypothalamic-pituitary-adrenal axis, particularly the glucocorticoid receptor, is a commonly implicated link between stress and psychopathology. GR abnormalities are frequently reported in depression, and these anomalies must be resolved before depressive symptoms remit. This biological finding is rendered clinically relevant by the(More)
The use of opioids for chronic pain has increased significantly due to a combination of the high patient burden of pain and the more widespread availability of a range of long-acting opioid preparations. This increased opioid use has translated into the care of many patients with fibromyalgia. The pain mechanism in fibromyalgia is complex but does not seem(More)
Fibromyalgia is a common disorder occurring in approximately 2-5% of most populations, with female patients outnumbering males by up to nine to one. The two essential components of fibromyalgia, experienced in conjunction, are widespread pain and widespread abnormal bodily tenderness, although other common features of the syndrome include fatigue, muscle(More)
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