From Pain to Gain: Diagnosis to Updated Treatment Options

Learn how to recognize fibromyalgia as a disorder of central pain processing, distinguish it from common mimics, and apply evidence-based strategies for diagnosis and management. In this episode, Dr. Daniel Clauw (University of Michigan) shares practical clinical pearls on nociplastic pain, sensory hypersensitivity, non-pharmacologic therapies, medication selection, and why opioids often fail in fibromyalgia.

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Intro
Rapid Fire questions
Case 1 on fibromyalgia presentation
Diagnosis and exam for fibromyalgia
Non-pharmacologic treatment recommendations
Pharmacologic treatment recommendations
Case 2 on opioids for pain management
Outro

Credits

Written and Produced by: Zoya Surani
Show Notes, Infographic, and Cover Art: Zoya Surani
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Emi Okamoto MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Dan J Clauw MD

Disclosures

Dr. Clauw reports financial disclosures with the following companies: Tonix, Axsome, Ono, Swing (Consulting Fee). The Curbsiders report no relevant financial disclosures.

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#532: Updates in Fibromyalgia Management featuring Dr. Dan Clauw

The Curbsiders Internal Medicine Podcast

#532: Updates in Fibromyalgia Management featuring Dr. Dan Clauw