Posted by BETHIE on 8/12/2007, 11:24 am, in reply to "Re: Part 4 - The Fibromyalgia Spectrum – Part of the Big Picture in Understanding Fibromyalgia " [This chapter of Fibromyalgia: Up Close and Personal also offers a "Fibromyalgia Spectrum Test" that outlines several cases, posing questions about them, and provides the answers.] _
In Conclusion
There is much disagreement and controversy among medical professionals and patients about categories and subsets of Fibromyalgia or similar conditions. I'm not attempting to stir the waters with my version of the Fibromyalgia spectrum - rather I'm trying to help you understand the fairly complicated nature of the condition and the different types I see. I find this model useful and practical in my everyday clinical practice.
Remember one of my mottos: Keep things as simple as possible and make sure they make sense!
* Fibromyalgia: Up Close & Personal by Mark Pellegrino, MD, was published in 2005 by Anadem Publishing. © Anadem Publishing, Inc. (www.anadem.com) and Mark Pellegrino, MD, 2005, all rights reserved. Readers wishing to order this book should directly contact Dr. Pellegrino’s practice at the Ohio Rehab Center (phone 330/498-9865 or fax 330/498-9869).
1. Mohammad B. Yunus, a professor at the University of Illinois College of Medicine, was the first to publish a study describing FM’s clinical characteristics 25 years ago. In 2000 he published the article, “Central Sensitivity Syndromes: A unified concept for Fibromyalgia and other similar maladies,” JIRA 2000;8:27-33. And recently in June 2007, Yunus, et al. published a report in the journal Seminars in Arthritis and Rheumatism suggesting that Fibromyalgia and overlapping disorders be categorized as “Central Sensitivity Syndromes” (CSS), based on “mutual associations” and evidence for central sensitization (hypersensitization of the central nervous system) among several of the disorders. See “Fibromyalgia and Overlapping Disorders: The Unifying Concept of Central Sensitivity Syndromes.”
2. Drs. Travell and Simons are authors of the two-volume set, Travell & Simons’ Myofascial Pain and Dysfunction: The Trigger Point Manual.
Note: This information has not been evaluated by the FDA. It is generic information only and is not meant to diagnose, treat, cure, or prevent any illness, disease, or condition. It is very important that you never make any change in your health support plan or regimen without first reviewing and discussing it collaboratively with your professional healthcare team.
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