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Table 2 Treatments tried and recommended for juvenile primary fibromyalgia syndrome patients

From: Demographic, clinical, and treatment characteristics of the juvenile primary fibromyalgia syndrome cohort enrolled in the Childhood Arthritis and Rheumatology Research Alliance Legacy Registry

Treatments

% of sample

Pharmacological treatments previously tried

 Daily non-steroidal anti-inflammatory drugs

27%

 Selective serotonin reuptake inhibitors

17%

 Tri-cyclic antidepressants

17%

 Gamma-aminobutyric acid analogues

11%

 Selective norepinephrine reuptake inhibitors

5%

 Opioids

4%

Non-pharmacological treatments previously tried

 Physical therapy

21%

 Herbals and supplements

9%

 Therapeutic massage

16%

 Mindfulness/meditation

12%

 Chiropractic

6%

 Acupuncture/acupressure

5%

 Yoga

4%

 Hypnosis

2%

 Craniosacral therapy

1%

Treatments recommended or provided at baseline visit

 Psychoeducation on chronic pain

92%

 Graduated aerobic exercise program

76%

 Sleep hygiene education

70%

 Physical therapy referral

57%

 General counseling referral

53%

 Medications

51%

 Referral to pain clinic

46%

 Cognitive-behavioral therapy referral

42%

 Biofeedback referral

8%

 Referral for psychiatric evaluation

4%

 Referral for integrative medicine evaluation

3%

 Referral to rehabilitation clinic

1%