Posted by Bethie on 8/12/2007, 11:24 am, in reply to "Re: Part 3 - The Fibromyalgia Spectrum – Part of the Big Picture in Understanding Fibromyalgia " Martha is a 30-year-old housewife. She was diagnosed with Fibromyalgia 5 years ago, and she was at a stable baseline with her home program of stretches, exercises, and using a hot tub. Patient #3 Patient #4 Jamie’s 12-year-old son has been complaining of leg pains. The pains occur at nighttime, and Jamie has to rub the legs and use warm compresses. He is at risk because his mother has Fibromyalgia and a connective tissue disease, and he has some associated conditions with intermittent pains, but has not developed the persistent widespread pain or painful tender points yet. Patient #5 He mentions this to his primary care doctor when he is there for his yearly physical. He is examined and found to have 12 of 18 positive painful tender points. Bob had undiagnosed Fibromyalgia (subset 3) until he became official, “entering the books” with generalized Fibromyalgia (subset 5) after he saw his primary care doctor.
Patient #2
In the past year, she has been having increasing pain and fatigue, and difficulty managing her Fibromyalgia. She reports that in the past year she has been getting frequent yeast infections.
She is on birth control pills and has had a couple of bladder infections requiring antibiotics in the past year. Her more recent history is otherwise unremarkable.
Martha has Fibromyalgia with a coexisting disease - chronic yeast infection (subset 7).
Her birth control pills, antibiotic treatment, and perhaps Fibromyalgia have contributed to the chronic yeast infection. In turn, the yeast infection has aggravated her Fibromyalgia. [See also Dr. Pellegrino’s explanation of “Candidiasis – Yeast Infection and Nutritional Repair.” ]
Jamie is a 38-year-old school teacher. She has lupus, diagnosed when she was 13 years old, and has been on various medications since then.
She has been in remission for a number of years, but has developed widespread pain. Her sedimentation rate is not elevated to suggest active inflammation. Her clinical exam does not reveal any joint inflammation or active lupus findings, but she does have 16 of 18 painful tender points.
Jamie has secondary Fibromyalgia from a disease (subset 8). In her case, the lupus is in remission, but her Fibromyalgia is causing her problems and needs to be treated.
The pediatrician told her his pains were growing pains. Jamie’s son gets occasional headaches, and sometimes he feels exhausted.He plays many sports, and if he works out a lot his muscles are very sore for several days.On exam, there are no areas of pain or painful tender points. Jamie’s son is probably in a prodromal state (subset 2).
Bob is 42 years old and has an awful lot of pain for his age. His pains are more severe than everyday pain, and sometimes he has had to miss work.He is an assembly line worker.
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