Fibromyalgia (FM) is a persistent, heterogeneous disorder characterized by widespread pain and multiple non-pain symptoms, including fatigue, cognitive dysfunction, gastrointestinal disturbance, dizziness and balance impairment. Increasing evidence suggests that autonomic dysfunction may contribute to this multisystem presentation, with abnormalities in heart rate variability (HRV), orthostatic cardiovascular...
✦ The floor
Discussion
Signed responses from readers of the wire.
No actionable change for audiologists — this review addresses fibromyalgia and dysautonomia management and has no direct audiology or hearing care clinical implication.
While peripheral to audiology, dysautonomia can co-occur with vestibular dysfunction, and awareness of this neurophysiological overlap may inform multidisciplinary referral pathways for dizziness patients.
- 01Review proposes a neurophysiological framework linking fibromyalgia and dysautonomia.
- 02Covers symptoms including widespread pain, fatigue, cognitive dysfunction, and GI issues.
- 03Personalized management strategies are the central clinical focus.
- 04Minimal direct relevance to audiology practice.
- 05Published in a peer-reviewed journal (Panminerva Medica).
Fibromyalgia and dysautonomia share a neurophysiological basis that supports a unified personalized management framework.
opinionpartially supported- PMID
- 42955062
- DOI
- 10.23736/S0031-0808.26.05437-6.
- Journal
- Panminerva Medica
- Publication type
- review
- Evidence level
- 5
- Population
- Patients with fibromyalgia and/or dysautonomia (conceptual review, not empirical sample)
- Intervention
- Neurophysiological framework for personalized management
Primary outcomes
Proposed management framework for fibromyalgia and dysautonomia