Fibromyalgia Wars

@article{Wolfe2009FibromyalgiaW,
  title={Fibromyalgia Wars},
  author={Frederick Wolfe},
  journal={The Journal of Rheumatology},
  year={2009},
  volume={36},
  pages={671 - 678}
}
  • F. Wolfe
  • Published 1 April 2009
  • Medicine
  • The Journal of Rheumatology
Fibromyalgia (FM) is easy to recognize. Patients diagnosed with it have medically unexplained symptoms (MUS)1 that are often severe and generally include widespread pain, fatigue, sleep disturbance, depressive symptoms, cognitive problems, irritable bowel syndrome, multiple somatic symptoms, and a single partially objective sign — tenderness on palpation2. Representing perhaps 2% to 4% of the adult population3, patients with FM incur substantial direct and indirect medical costs, including high… 
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Explaining Medically Unexplained Symptoms: Widespread Pain
  • H. Smythe
  • Medicine
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TLDR
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Should rheumatologists retain ownership of fibromyalgia? A survey of Ontario rheumatologists
TLDR
The majority of Ontario rheumatologists do not wish to retain ownership of fibromyalgia, however, most of them continue to manage these patients, even though they believe that the family physician should be the main care provider for patients with Fibromyalgia.
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References

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TLDR
Higher scores on the SI scale were associated with more severe medical illness, greater mortality, and sociodemographic disadvantage, and these factors appear to play a role in the development of FM-like symptoms and symptom intensification.
Is fibromyalgia a distinct clinical entity? Historical and epidemiological evidence.
  • S. Wessely, M. Hotopf
  • Medicine, Psychology
    Bailliere's best practice & research. Clinical rheumatology
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TLDR
Evidence is presented to suggest that fibromyalgia is not a unique clinical entity, but shares much with other medically unexplained syndromes which have more similarities than differences between them.
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TLDR
The hypothesis on the relationship between a specific social setting (called the therapeutic domain) and fibromyalgia is developed using empirical philosophical arguments based on Foucault and Hacking and shows that in this domain a certain power creates reality making the 'disease' become manifest.
Fibromyalgia: where are we a decade after the American College of Rheumatology classification criteria were developed?
TLDR
The data on pain processing in FM demonstrate that the central representation of pain correlates with patient reports of pain, and that purely behavioral or psychological factors are not primarily responsible for the pain and tenderness seen in FM.
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TLDR
It is argued that in the case of fibromyalgia both the disease and the illness experience are real and socially constructed, and that a public examination of the social construction is ultimately more likely to prove palliative than any exercise in medicalization.
The relation between tender points and fibromyalgia symptom variables: evidence that fibromyalgia is not a discrete disorder in the clinic
  • F. Wolfe
  • Medicine, Psychology
    Annals of the rheumatic diseases
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TLDR
Tender points are linearly related to Fibromyalgia variables and distress, and there is no discrete enhancement or perturbation of fibromyalgia or distress variables associated with very high levels of tender points.
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