Beyond Pain: Juvenile Fibromyalgia Management for the Pediatric Nurse
Elizabeth Hannah Ma and Sabrina Opiola McCauley
Juvenile-onset fibromyalgia is a complex, chronic pain condition that affects 2% to 6% of the pediatric population, but it is often misdiagnosed due to lack of current gold standard diagnostic criteria and delay in provider recognition. Available treatment options have varied in effectiveness depending on the patientís pain and associated symptoms. A review of the current literature was performed using the PubMed, Embase, and CINAHL databases from 2013 to 2018. Several informative studies were included to provide background information on the evolving diagnostic criteria of juvenile-onset fibromyalgia. In the pediatric population, current treatment focuses on a multidisciplinary approach, including pharmacologic therapies, counseling, and exercise management to cope with the progression of pain that may persist into adulthood. Early diagnosis, multi-disciplinary treatment initiation, and consistent pain management are essential to combat the multi-faceted nature of juvenile-onset fibromyalgia and the long-term progression of the condition.