Mentioning the positive expectations from the treatment period and the prognosis and the participation of the patient are, again, extremely important. In this step, concrete goals must be set during the treatment period. The patient must also be told to be active in his/her rehabilitation period, and it must be emphasized that she/he is not alone in this process. Acknowledging of the pain and the effects of this pain in his/her life is important. Training on the treatment must be provided to the patient and his/her family as well. The training and detailed goal setting are extremely important. When the patient is convinced that the disease is not life-threatening, the anxiety will decrease.
The nest stage is the training of patients. The diagnosis of FM has positive influences on the management of this disease and leads to decrease in primary care visit, diagnostic tests and prescriptions. In this chapter, nonpharmacological treatment options will be explained in light of the last published guidelines. Numerous studies were reported about different nonpharmacologic treatment options. Among the treatment options for FM management, there are pharmacological as well as nonpharmacologic therapies (supplementary and alternative medical treatments included). Also, an important problem in FM patients is the low compliance rate which, in the case of most patients, depends on an inadequate clinical response and on the difficulty in making a correct clinical characterization of patients. However, current data do not enable identification of distinct factors in the etiology and pathophysiology of fibromyalgia syndrome. It has been associated with significantly higher costs for the individual and society.
FM is also an expensive and controversial condition. It is affecting approximately 2% of the general population. Fibromyalgia (FM) has been defined as a chronic and common pain disorder and is associated with comorbid symptoms such as fatigue, nonrestorative sleep, poor balance, cognition and memory problems, psychological distress, and physical function impairment.
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