2. Fibromyalgia is a chronic pain condition
diagnosed when the patient has 11 out of 18
tender points that are tender to less than four
pounds per square inch of pressure, and a
chronic non-restorative sleep disturbance
lasting more than four months. It is
accompanied by a number of changes in the
central nervous system and endocrine system
that contribute to the symptoms
3. Are there other conditions that can be
misdiagnosed as fibromyalgia?
4. There are a number of conditions that can be
mistaken for fibromyalgia (FMS). The most
common is myofascial pain syndrome. Every
fibromyalgia patient has myofascial pain (MPS)
but myofascial pain patients do not have
fibromyalgia. The MPS patients sleep for about
four hours before their pain awakens them. FMS
patients wake-up every 90 to 120 minutes. The
MPS patients typically have six to eight tender
points. Some doctors are not careful about
diagnosis and just put sleep disturbances and
pain together and call it fibromyalgia.
5. Other conditions that can masquerade as
fibromyalgia are:
Vestibular injuries to the inner ear and
balance system.
Hypothyroidism-low thyroid can make one
achy and fatigued.
Arthritis can create muscle pain and
stiffness.
Parkinson’s can make you stiff.
Lyme’s disease creates full body aching and
pain.
6. Fibromyalgia seems so confusing. Why are
there so many symptoms, and why doesn’t
anything work in all FMS patients?
7. Five different types of fibromyalgia:
In our clinic we have found that FMS seems
to start five different ways:
Neck Trauma
Stress and Allergies
Toxicity
Genetic
Viral
9. FMS patients have full body pain from two
different nerve sources depending on how
they acquired fibromyalgia.
Class C pain fibers:this form of pain comes
from class C pain fibers that carry diffuse non-
localized pain. Different kinds of the nerves
carry different kinds of pain information. Class
C pain fibers respond to chemical stimulation
from histamine, inflammatory chemicals and
tissue damage. The stress, toxicity, genetic,
and viral types of fibromyalgia get their pain
from these fibers.
10. The Spinal Cord and the Brain: in our clinic we
think that patients who get FMS after an auto
accident have a disc injury that irritates the
spinal Cord and changes the way the brain
receives pain messages.