Talk:Fibromyalgia: Difference between revisions
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imported>Hayford Peirce (having had second-hand experience of this, I think that you should acknowledge that it is still quite controversial) |
imported>Howard C. Berkowitz (There are controversial aspects, but there are a core of pieces that could be better assembled.) |
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Hi, I'm far from being an expert on this, but my ex-G/F had what was apparently a relatively minor auto accident about 4 years ago and she was in various kinds of pain that could not be diagnosed for several years afterward, with serious consequences to our relationship. Eventually she came under "pain management" specialists and we discussed, for a year or so, also with our accident lawyer, who is very knowledgeable in the field, whether or not she had fibromyalgia and, if so, we wanted to pursue this vis-a-vis the insurance people. My own understanding after all of this time is that it is still a very controversial notion -- some doctors agree that it exists, others do not. (Like the earlier Chronic Fatigue.) I'm certainly not going to try to contribute anything to the article, or even to edit it, but I think that the lede paragraph ought to have at least *something* to the effect that it is still controversial and that many medical workers adamantly deny its existence. (Not me, though....) [[User:Hayford Peirce|Hayford Peirce]] 22:23, 8 October 2008 (CDT) | Hi, I'm far from being an expert on this, but my ex-G/F had what was apparently a relatively minor auto accident about 4 years ago and she was in various kinds of pain that could not be diagnosed for several years afterward, with serious consequences to our relationship. Eventually she came under "pain management" specialists and we discussed, for a year or so, also with our accident lawyer, who is very knowledgeable in the field, whether or not she had fibromyalgia and, if so, we wanted to pursue this vis-a-vis the insurance people. My own understanding after all of this time is that it is still a very controversial notion -- some doctors agree that it exists, others do not. (Like the earlier Chronic Fatigue.) I'm certainly not going to try to contribute anything to the article, or even to edit it, but I think that the lede paragraph ought to have at least *something* to the effect that it is still controversial and that many medical workers adamantly deny its existence. (Not me, though....) [[User:Hayford Peirce|Hayford Peirce]] 22:23, 8 October 2008 (CDT) | ||
:In the last couple of years, there has started to be a good deal of consensus that there is a syndrome that has certain specific characteristics; many chronic soft tissue pain disorders don't qualify, although the treatments for that class of chronic pain tend to have commonalities. The disease guideline that quickly came up was http://www.guideline.gov/summary/summary.aspx?doc_id=7298#s24, I find an American College of Rheumatology list of diagnostic criteria from 1990, but I know there is more recent work. eMedicine has a recent review: http://www.emedicine.com/med/TOPIC790.HTM | |||
:Let me put it this way: I believe there is substantial evidence for a spectrum of chronic soft tissue pain disorders, which often have a fatigue and emotional component -- and, by emotional, I mean treatable. The exact boundaries of the disorders, and the treatment plans for a specific patient, are difficult, but almost all competent chronic pain therapy has to be individualized. If at all possible, you want to have an interdisciplinary team treating the spectrum of conditions. [[User:Howard C. Berkowitz|Howard C. Berkowitz]] 00:10, 9 October 2008 (CDT) | |||
Revision as of 00:10, 9 October 2008
Hi, I'm far from being an expert on this, but my ex-G/F had what was apparently a relatively minor auto accident about 4 years ago and she was in various kinds of pain that could not be diagnosed for several years afterward, with serious consequences to our relationship. Eventually she came under "pain management" specialists and we discussed, for a year or so, also with our accident lawyer, who is very knowledgeable in the field, whether or not she had fibromyalgia and, if so, we wanted to pursue this vis-a-vis the insurance people. My own understanding after all of this time is that it is still a very controversial notion -- some doctors agree that it exists, others do not. (Like the earlier Chronic Fatigue.) I'm certainly not going to try to contribute anything to the article, or even to edit it, but I think that the lede paragraph ought to have at least *something* to the effect that it is still controversial and that many medical workers adamantly deny its existence. (Not me, though....) Hayford Peirce 22:23, 8 October 2008 (CDT)
- In the last couple of years, there has started to be a good deal of consensus that there is a syndrome that has certain specific characteristics; many chronic soft tissue pain disorders don't qualify, although the treatments for that class of chronic pain tend to have commonalities. The disease guideline that quickly came up was http://www.guideline.gov/summary/summary.aspx?doc_id=7298#s24, I find an American College of Rheumatology list of diagnostic criteria from 1990, but I know there is more recent work. eMedicine has a recent review: http://www.emedicine.com/med/TOPIC790.HTM
- Let me put it this way: I believe there is substantial evidence for a spectrum of chronic soft tissue pain disorders, which often have a fatigue and emotional component -- and, by emotional, I mean treatable. The exact boundaries of the disorders, and the treatment plans for a specific patient, are difficult, but almost all competent chronic pain therapy has to be individualized. If at all possible, you want to have an interdisciplinary team treating the spectrum of conditions. Howard C. Berkowitz 00:10, 9 October 2008 (CDT)