Fibromyalgia is a challenge to the modern day physician.
Today’s practice of medicine is evidence-based, but
fibromyalgia shifts this paradigm. There is even still debate
as to whether this diffuse musculoskeletal pain syndrome, with
a reduced pain threshold, and tender points on examination
constitutes a definitive entity or disease process. We do not
have the luxury of measurable abnormal findings on clinical
examination or laboratory testing. The diagnosis of this
condition is not aided by the use of any modern-day
technology, and is simply a clinical syndrome. No treatment
which we prescribe for fibromyalgia is universally successful
in managing symptoms. Our skills as physicians are constantly
challenged by treatment options offered to patients by
non-conventional medicine. Even so, as physicians, our role
should be to support our patients and continue to pursue
scientific study in order to better understand this enigma.