Which treatment option should be included for a patient diagnosed with Fibromyalgia?

• A. Synvisc injections at tender point areas
• B. Glucosamine and Chondroitin supplementation
• C. Pharmacotherapy, education, and cognitive behavior strategies
• D. Topical non-steroidal anti-inflammatory medications

Answer: (C)

Including pharmacotherapy, education, and cognitive behavior strategies for a patient diagnosed with Fibromyalgia is essential due to the multifaceted nature of the condition. Fibromyalgia is characterized by widespread musculoskeletal pain, fatigue, and a number of other symptoms, which can significantly impact a person's quality of life.

Pharmacotherapy may include medications such as antidepressants, anticonvulsants, or muscle relaxants that can help manage pain and improve sleep. Education is crucial for patients to understand their condition and develop coping strategies, enabling them to manage symptoms effectively. Cognitive behavioral strategies can help in addressing any psychological aspects associated with chronic pain, enhancing the patient's ability to cope with their symptoms and improving their overall well-being.

This comprehensive approach—addressing both the physical and psychological components of Fibromyalgia—has been shown to provide better outcomes for patients compared to treatments that focus solely on symptom relief without addressing underlying triggers or psychosocial factors. Thus, this combination of pharmacotherapy and cognitive strategies aligns with current best practices for managing Fibromyalgia.