Fibromyalgia (FM), Chronic Fatigue Syndrome (CFS), & myofascial pain

The prevalence of fibromyalgia in the general population was found

to be 2% and increased with age. Multiple traumatic factors,

including sexual and physical abuse, may be important

initiating events. The most important pathophysiologic studies

in fibromyalgia included evidence of altered blood flow to the

brain and hypothalamic-pituitary-adrenal dysfunction. The

prevalence of chronic fatigue syndrome is much less than that

of fibromyalgia. Epidemiologic studies demonstrated that

chronic fatigue and symptoms of fibromyalgia are distributed

as continuous variables in the general population. No

association between chronic fatigue and initial infections was

seen in primary care practices. [References: 95]

Goldenberg DL

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