The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog is intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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    If you found the information here helpful, please consider supporting this site.If you found the information here helpful, please consider supporting this site.

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  • Recent Comments

    A stepwise approach to fibromyalgia therapy

    Dr. Don Goldenberg from Tufts University School of Medicine in Boston, Massachusetts has a video and print slide program on Medscape that reviews evidence-based treatments for fibromyalgia.

    The emphasis is on drugs, but more interesting is his support for a combined drug/CAM approach to treatment.

    Treatment options are divided into primary and tertiary care.

    Primary care

    • Medications: simple analgesics, antidepressants, anticonvulsants
    • Education
    • Exercise (low impact, such as walking, water exercises)
    • Treatment of mood disturbances

    Tertiary care

    • Medication: combined antidepressants, anticonvulsants, potent pain drugs
    • Cognitive-behavioral therapy, stress management therapy
    • Multidisciplinary pain management

    The bottom line?

    Dr. Goldenberg says all patients should…

    • Receive some education in regard to fibromyalgia.
    • Be encouraged to exercise, including low-impact cardiovascular exercises such as walking or water exercises.
    • Be screened for both mood disturbances and sleep disturbances, and treated appropriately.

    “Most of the time,” he says, “multidisciplinary approaches are encouraged, including formal cognitive-behavioral therapy programs, stress management therapies, and multidisciplinary pain management approaches.”

    10/3/08 18:45 JR

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