|
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)
|