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In 1990, the American College of Rhematology published the first official diagnostic criteria for the disorder.  Fibromyalgia literally means: fibro (fibrous tissue) myo (muscle) algia (pain). The ACR committee determined that a diagnosis of fibromyalgia would depend on the presence of all of the following:

Widespread pain for at least 3 months defined as:

      --pain on the right and left sides of body
      --pain above and below the waistline including shoulder and buttock pain
      --pain in the distribution of the axial skeleton - cervical, thoracic and lumbar
          spine, and anterior chest wall
      --tenderness to palpation with 4kg force (a blanched thumbnail upon
          downward pressure) at 11 of 18 discrete areas known as tender points

Fibromyalgia is a central nervous system disorder. The central nervous system is comprised of the brain and spinal cord. Fibromyalgia occurs when the brain and spinal cord don’t communicate properly with the rest of the body. There is more to fibromyalgia than the experience of chronic widespread aches and pain.   Many researchers believe Chronic Fatigue Syndrome and fibromyalgia symptoms overlap.  CFS case definitions are:

      6 months of new onset fatigue that reduces function, unexplained by other
          medical illness or major psychiatric co-morbidity
      post exertional relapse/malaise
      attention/concentration and cognitive complaints
      unrefreshing sleep
      arthralgia (joint pain)
      myalgia (muscle pain)
      painful lymph nodes
      new headaches
      sore throat

Fibromyalgia is a chronic illness typically characterized by its symptoms: widespread pain and fatigue. Some people who have fibromyalgia may complain only of pain. Most people, however, experience a variety of symptoms and syndromes that fall outside the definition of fibromyalgia, yet frequently accompany it. These are additional symptoms of fibromyalgia:

      anxiety and/or panic attacks
      chronic fatigue and low energy
      depression
      intolerance to hot or cold temperatures
      irritable bowel syndrome
      neck and back pain
      poor circulation (cold hands and feet)
      cardiovascular problems (dizziness, palpitations)
      tension headaches and/or migraines
      post exertional pain
      tenderness
      weakness
      sleep disturbance
      attention, memory and concentration difficulties (called fibro fog)
      allergy-like sensitivity to drugs or medications
      sensitivity to loud noises
      muscle cramps
      stiffness (especially upon awaking)

       

Regional or organ-specific symptoms and syndromes and many other conditions are related to fibromyalgia and fall under the umbrella of chronic multi-symptom illnesses. Associated fibromyalgia conditions are:

      tension/migraine headache
      IBS (irritable bowel syndrome)
      interstitial cystitis
      chronic fatigue syndrome
      multiple chemical sensitivity
      TMJ/TJD
      Restless Leg Syndrome
      pelvic pain in women (painful menstrution and/or PMS)
      sleep disturbances
      muscle twitching
      subjective soft tissue swelling or paresthesia in hands, arms, feet, or legs
      somatoform disorders
      orthostatic instability
      Gulf War illness
      POTS (Postural Orthostatic Tachycardia Syndrome)
       

(References: 
University of Michigan Center for Chronic Pain & Fatigue Research Center http://www.med.umich.edu/1libr/aha/umfibromyalgia.htm
O.F.F.E.R. (Organization for Fibromyalgia & Fatigue Education and Research) http://www.offerutah.org

 

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