Chronic widespread pain in the spectrum of rheumatological diseases.

Bliddal H, Danneskiold-Samsøe B.

The Parker Institute, Frederiksberg Hospital, Ndr Fasanvej 57, 2000 Frederiksberg, Denmark.

Chronic pain is very common in all European countries, with musculoskeletal problems predominating. About 1% of the adult population develops a syndrome of chronic muscle pain, fibromyalgia (FMS), characterized by multiple tender points, back or neck pain, and a number of associated problems from other organs, including a high frequency of fatigue. Evidence points to central sensitization as an important neurophysiological aberration in the development of FMS. Importantly, these neurological changes may result from inadequately treated chronic focal pain problems such as osteoarthritis or myofascial pain. It is important for health professionals to be aware of this syndrome and to diagnose the patients to avoid a steady increase in diagnostic tests. On the other hand, patients with chronic widespread pain have an increased risk of developing malignancies, and new or changed symptoms should be diagnosed even in FMS. In rheumatology practice it is especially important to be aware of the existence of FMS in association with immune inflammatory diseases, most commonly lupus and rheumatoid arthritis. Differential diagnoses are other causes of chronic pain, e.g. thyroid disease. The costs of this syndrome are substantial due to loss of working capability and direct expenses of medication and health-system usage. Fibromyalgia patients need recognition of their pain syndrome if they are to comply with treatment. Lack of empathy and understanding by healthcare professionals often leads to patient frustration and inappropriate illness behavior, often associated with some exaggeration of symptoms in an effort to gain some legitimacy for their problem. FMS is multifaceted, and treatment consists of both medical interventions, with emphasis on agents acting on the central nervous system, and physical exercises.

PMID: 17602990 [PubMed – in process]

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Folllowing Rick Usher's death in December 2008, at his request in September of that year, I had agreed, as his principal contributor and an experienced journalist, to run the FMS Global News service due to his heavy commitments to music and raising research funds through this avenue. Following his sad and sudden death I hope to continue his work as he would have wished.
This entry was posted in Arthritis, Article, Autoimmune Diseases, Back Pain, Boston, Britain, British, Central Nervous System, CFS, Chronic Fatigue, Chronic Multisymptom Illness, Chronic Myofacial Pain, Chronic Pain, Chronic Pain Disorders, Chronic Widespread Pain, Clinical, Clinical Pain, Clinical Trials, Denmark, Dysfunctional Pain Processing, Dysfunctional Pain Syndrome, Europe, Fatigue, Feeds, Fibrohugs, Fibrohugs News, Fibromyalgia, Fibromyalgia Blogs, Fibromyalgia News, Fibromyalgia News Belgium, Fibromyalgia News Denmark, Fibromyalgia News Deutschland, Fibromyalgia News France, Fibromyalgia News Israel, Fibromyalgia News Italy, Fibromyalgia News Japan, Fibromyalgia News Jerusalem, Fibromyalgia News Korea, Fibromyalgia News Southeast Asia, Fibromyalgia News Turkey, Fibromyalgia News Wisconsin, Fibromyalgia Press Releases, Fibromyalia News Germany, Finland, FMS, FMS Global News, FSS, Functional Somatic Syndrome, Global News, Health, Invisible Illness, Invisible Illnesses, Japan, Medical Research, Mexico, Mexico City, News, News Australia, News Belgium, News Canada, News Denmark, News France, News India, News Ireland, News Israel, News Italy, News Japan, News Jerusalem, News Korea, News Montreal, News Nigeria, News Norway, News Quebec, News Saskatchewan, News Scotland, News Southeast Asia, News Spain, News Sweden, News Toronto, News Turkey, News UK, News Wisconsin, Nigeria, Non Malignant Chronic Pain, North Carolina, Ontario, Osteoarthritis, Ottawa, Oxford, Pain, Philadelphia, Research, Rheumatoid Arthritis, RLS, RSS, Seattle, Sleep Disorders, Sleep Disturbance, Sleep Quality, Somatic Pain, Southeast Asia, Spain, Statistics, Stockholm, Surrey and Sussex, Swedish, Switzerland, Syndromes, Tenderpoints, The Netherlands., Toronto, US, USA, Virginia, Washington DC, World, World News. Bookmark the permalink.

One Response to Chronic widespread pain in the spectrum of rheumatological diseases.

  1. Is non-familial fibromyalgia associated with having had a father who was older than 32 at the time of conception? Some people with fibromyalgia have told me that this is true.

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