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Fibromyalgia (FM): a clinical challenge

  [ 57 votes ]   [ Discuss This Article ]
www.ProHealth.com • March 2, 1994


The syndrome of fibromyalgia includes an unusually large and
heterogeneous number of symptoms apart from the core features
of generalized pain and widespread tenderness. Widespread
tenderness is the only objective criterion. There is no
evidence that fibromyalgia is a disease of the muscles or a
rheumatic syndrome. The experience from an Australian epidemic
of fibromyalgia indicates that there is an important
psychosomatic component in the pathogenesis. Probably,
fibromyalgia is not a disease entity; rather, the symptoms
reflect difficulties in coping with various types of
environmental stress. Secondary to this, sleep disturbances,
fatigue, a low level of physical activity and poor physical
fitness may develop, rendering the patients susceptible to
muscle pain and tenderness elicited by sleep disturbances. A
vicious circle may be responsible for the chronicity of the
syndrome. Identification of environmental factors and early
intervention should be given a high priority.

Lorenzen I




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