Fibromyalgia: Time To Be a Secondary Diagnosis?

Really good blog post on what may be the next diagnostic chapter in Fibromyalgia treatment.
“Recent efforts by these organizations clearly call for recognition that the most common cause of fibromyalgia is probably positional cervical cord compression. Hints of this became known in 1997 when fibromyalgia was noted to occur in high prevalence after neck trauma.”

EDS and Chronic Pain News & Info

Editor’s Memo: Fibromyalgia: Time To Be a Secondary Diagnosis?

This article presents a novel theory: “The most common cause of fibromyalgia is probably positional cervical cord compression.”

Fibromyalgia has undergone a most interesting metamorphosis over the past 30 years. Initially, most of us believed it to be a psychological phenomenon with no organic basis.

The first transition was when it became recognized as a myofacial disease with trigger points (fibrositis). In 1990, the American College of Rheumatology Research Classification Criteria (ACR RCC) for fibromyalgia was published. The criteria required two components for fibromyalgia: a patient’s history of chronic widespread pain for at least 3 months, and ≥11 of 18 painfully tender soft tissue sites on physical examination

Late in the 1990s, the concept of a central, autonomic hyperfunctional state with neurotransmitter deficiencies and lack of restorative sleep were proposed as the causative factors.

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