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Injury Definitions


Fibromyalgia is a syndrome composed of a specific set of signs and symptoms. In 1987, the American Medical Association acknowledged Fibromyalgia as a true illness and potential cause of disability. The National Institutes of Health and the World Health Organization have also recognized Fibromyalgia as a legitimate clinical entity. Patients with Fibromyalgia often see many physicians before receiving a correct diagnosis. Pain from Fibromyalgia is usually widespread and occurs on both sides of the body, above and below the waist and along the axial skeleton. The pain is usually constant and lasts for more than three months. The diagnostic criteria requires that the pain be present in all four quadrants as well as in the axial skeleton on more or less a continuous basis for at least three months. It is also required that there be at least eleven of eighteen anatomically specific tender points. Most patients with Fibromyalgia are female and do not appear chronically ill. The chief complaint is constant pain. Patients often have fatigue. Unfortunately, the prognosis for patients with Fibromyalgia is not favorable. Traditional therapy or rehabilitation may often worsen the patient's condition. Trigger point injections are useful and lead to a reduction of pain and an increase in range of motion. Medications useful for treating Fibromyalgia include anti-depressants, muscle relaxants, analgesics, non-steroidal anti-inflammatory drugs. Narcotics should be used sparingly. Poor sleep and poor diet worsen the symptoms of Fibromyalgia.

For related information go to: Chronic Pain Syndrome, Insurance Bad Faith, Medical Malpractice, Myofascial Pain, Negligence Law, Pain and Reflex Sympathetic Dystrophy.

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