Geoffrey O. Littlejohn
Geoffrey O. Littlejohn is emeritus director at Monash Rheumatology and adjunct clinical professor at Monash University, Melbourne, Australia.
Fibromyalgia is a high-impact and prevalent condition. Its clinical features include widespread pain and tenderness — often associated with high levels of poor-quality sleep, fatigue and cognitive dysfunction. The mechanism leading to fibromyalgia development is associated with a change in the sensitivity of the pain-related nervous system, as well as other sensory systems. In turn, emotional distress plays a facilitatory role in this process. Non-pharmacological management focuses on educati