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Tender points are often detected in patients with fibromyalgia and were formerly required for diagnosis. Newly proposed criteria, however, rely on patients' reports of widespread pain and other somatic symptoms to establish the diagnosis of fibromyalgia. The management of fibromyalgia requires a multidimensional approach including patient education, cognitive behavioral therapy, exercise, and pharmacologic therapy. The present review provides an update on these various aspects of treating a patient with fibromyalgia.<\/jats:p>","DOI":"10.7556\/jaoa.2013.034","type":"journal-article","created":{"date-parts":[[2013,8,26]],"date-time":"2013-08-26T14:53:29Z","timestamp":1377528809000},"page":"680-689","source":"Crossref","is-referenced-by-count":39,"title":["Fibromyalgia: A Clinical Update"],"prefix":"10.1515","volume":"113","author":[{"given":"Robert A.","family":"Hawkins","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2013,9,1]]},"reference":[{"issue":"5","key":"2021040108243149459_j_jaoa.2013.034_ref_001_w2aab3b7c19b1b6b1ab2b1b1Aa","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1002\/acr.20140","article-title":"The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom 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