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Asian J Pain > Volume 1;2015 > Article
Asian Journal of Pain 2015;1(1):16-23.
DOI:    Published online October 30, 2015.
Functional Approaches to Fibromyalgia Syndrome
Seihwan Choi
St. Mary’s Neurosurgical Clinic, Seoul, Korea
Correspondence:  Seihwan Choi, Tel: 82-2-3481-8275, Fax: 82-2-3481-8279, 
In the case of acute pain, its cause tends to be precise, so finding it out and taking some rest along with non-steroidal anti-inflammatory drugs (NSAIDs) are enough to sort it out. However with chronic pains, not only that its cause is obscure but also the grade of pain is sensitive to pathological, environmental and psychological changes, bringing various systemic symptoms. Reactions to drugs are more responsive to antianxiety drugs or antidepressants rather than to NSAIDs. This styles of prescription could not be fundamental. Besides, long-term usage of drugs such as NSAIDs are reported to increase the incidences of gastritis, gastrointestinal hemorrhage and even mortalities by recurrence of myocardial infarction. According to the recent studies of fibromyalgia syndrome, one of the common examples of chronic pain, systemic symptoms are known to occur under excessive psychological and oxidative stress. In evaluating the causes of chronic pain, executing the analysis of functional medicine such as comprehensive metabolic profiles, salivary free cortisol, etc. to examine the grade and status of stress response could be of great help. It is highly considerable to try treatments to normalize the abnormalities of the test results, to educate patients’ life style, and to try out mind-body therapy in order to treat the underlying causes of chronic pains, so to speak fibromyalgia syndrome.
Key Words: Fibromyalgia syndrome; Chronic pain; Functional medicine; Nutritional therapy; Oxidative stress; Salivary hormone; Mind-body therapy.
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