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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 drugs27%
 Selective serotonin reuptake inhibitors17%
 Tri-cyclic antidepressants17%
 Gamma-aminobutyric acid analogues11%
 Selective norepinephrine reuptake inhibitors5%
 Opioids4%
Non-pharmacological treatments previously tried
 Physical therapy21%
 Herbals and supplements9%
 Therapeutic massage16%
 Mindfulness/meditation12%
 Chiropractic6%
 Acupuncture/acupressure5%
 Yoga4%
 Hypnosis2%
 Craniosacral therapy1%
Treatments recommended or provided at baseline visit
 Psychoeducation on chronic pain92%
 Graduated aerobic exercise program76%
 Sleep hygiene education70%
 Physical therapy referral57%
 General counseling referral53%
 Medications51%
 Referral to pain clinic46%
 Cognitive-behavioral therapy referral42%
 Biofeedback referral8%
 Referral for psychiatric evaluation4%
 Referral for integrative medicine evaluation3%
 Referral to rehabilitation clinic1%