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Premenstrual tenderness and swelling of the breasts; Breast tenderness - premenstrual; Breast swelling - premenstrual
Valea F, Katz V. Breast diseases. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM. Comprehensive Gynecology . 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 15.
Braverman PK. Premenstrual syndrome and premenstrual dysphoric disorder. J Pediatr Adolesc Gynecol . 2007; 20(1):3-12.
Yonkers KA, O'Brien PM. Premenstrual syndrome. Lancet . 2008;371(9619):1200-1210.
Fibromyalgia (FM) must be diagnosed by a qualified physician who is familiar with the illness and has experience diagnosing it. The specialists who most often diagnose and treat fibromyalgia are rheumatologists. In 1990, the American College of Rheumatology established the diagnostic criteria for fibromyalgia . Both of the following must be present: A history of widespread pain in all four quadrants of the body for a minimum duration of three months, and Pain in at least 11 of 18 designated tender points when four kilograms (about 10 pounds) of pressure are applied. (See a diagram of the fibromyalgia tender points here .) Although the American College of Rheumatology does not classify fibromyalgia as a diagnosis of exclusion, there are several other illnesses that have similar symptoms and sometimes occur along with FM. Therefore, it is important that the doctor test for certain comorbid conditions as well. Which tests may be necessary wi...
The first randomized clinical trial of nabilone for the treatment of fibromyalgia pain was recently conducted at the University of Manitoba in Canada. Nabilone (pronounced NAB ill own) is a synthetic cannabinoid that mimics the main ingredient of marijuana (THC). It is marketed in the U.S., Canada, the United Kingdom and Mexico under the brand name Cesamet. Nabilone is approved by the FDA for use as an antiemetic for chemotherapy-induced nausea and vomiting that cannot be controlled by other medications. Study Methods A randomized, double-blind, placebo-controlled trial was conducted to determine whether nabilone would improve pain management and quality of life for fibromyalgia patients. Forty FM patients were divided into two groups. Over a four-week period, one group received nabilone, titrated up from 0.5 mg at bedtime to 1 mg twice a day, and the other group received a corresponding placebo. Subjects in both groups were allowed to continue taking their regular medication...
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