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Volume 6, Issue 4 January 2001

FIBROMYALGIA 1999-2000
Full text articles and references are available by subscription.

PRACTICE POINTS
Full Text Article

Neither disbelief nor blind faith are helpful in the assessment of FMS disability

Assessment questions for medical experts
1. Were pre-injury symptoms consistent with FMS?
2. Did the injury accelerate or advance pre-existing FMS?
3. Is physical deconditioning causing daily or frequent reinjury?
4. Is the claimant disabled because she believes "hurt = harm"?
5. Is permanent disability the purpose, consciously or unconsciously, of the chronic pain?
6. What would the claimant's health and functioning be, absent the injury?

There is now solid evidence that the lowered pain threshold of FMS is mediated by abnormalities of chemicals in nerve cells

Treatments with proven effectiveness:
1. Tricyclic antidepressants
2. Benzodiazepine sedatives
3. Aerobic exercise
4. Some "body-mind" therapies

Prognostic factors:
1. level of education
2. psychosocial gain
3. divorce
4. obesity
5. smoking

Related Guest Articles:

Fibromyalgia 93

FIBROMYALGIA 1994 - more pieces of the jigsaw
Fibromyalgia 1995-6
Fibromyalgia 1997

Fibromyalgia 1998

Fibromyalgia 2001

Related full text articles available to subscribing members:

Fibromyalgia News (Fibromyalgia News) Volume 1, Issue 1
Fibromyalgia 1993 (Medical Litigation News) Volume 1, Issue 2
Fibromyalgia 1994 - More Pieces of the Jigsaw
(Medical Litigation News)
Volume 1, Issue 8
Fibromyalgia 1995 - 1996 (Medical Litigation News) Volume 2, Issue 3
Fibromyalgia 1997 (Medical Litigation News) Volume 3, Issue 8
Fibromyalgia 1998 (Personal Injury News) Volume 5, Issue 1
Fibromyalgia 1999- 2000 (Personal Injury News) Volume 6, Issue 4
Fibromyalgia 2001 (Personal Injury News) Volume 7, Issue 4

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