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31 January 2010
Posted in
Symptoms
Chronic Fatigue Syndrome and Fibromyalgia
From Arthritis Today John Klippel, MD, Rheumatologist
Q. What is the difference between chronic fatigue syndrome and fibromyalgia?
A: .There are wide differences of opinions on the two conditions, even among medical experts. Most would agree that fibromyalgia and chronic fatigue syndrome (CFS) are similar, and probably related, disorders. One faction in the fibromyalgia/CFS debate believes these are simply two names for the same thing, while others say they are completely different and still others (though their numbers are small and diminishing) contend that neither condition exists at all.
My opinion is that the conditions are similar and probably related. Pain, fatigue and a host of other problems are seen in fibromyalgia. CFS displays similar symptoms. However, a practical way to differentiate the disorders is that pain is the predominant problem in people with fibromyalgia, whereas fatigue is the major complaint in people with CFS.
The pain of fibromyalgia is typically chronic and widespread, and is often associated with stiffness. On examination, many patients have specific sites (called tender points) that are extremely tender to touch. The detection of these tender points is helpful in making a diagnosis of fibromyalgia.
The fatigue seen in people with CFS is generally profound, and can be completely incapacitating. Criteria for CFS established by the Centers for Disease Control and Prevention (CDC) are fatigue that has been present for more than six months and is accompanied by the following:
- a sore throat;
- enlarged or tender lymph nodes;
- muscle or joint pain;
- other signs of systemic illness.
Signs and symptoms that are commonly present in botfh fibromyalgia and CFS include the following:
- sleep disturbances;
- headaches;
- impaired memory or concentration;
- dizziness;
- bowel complaints (such as bloating, diarrhea and/or constipation);
- anxiety or depression.
Despite the differences between fibromyalgia and CFS, the approaches to treatment of the two disorders are, in fact, quite similar. Most patients benefit from education about the conditions, participation in local and national support groups such as the Arthritis Foundation Self-Help Course, the use of low-dose antidepressant drugs at bedtime to improve sleep, as well as low-impact aerobic exercises.
For more information on fibromyalgia, contact your local Arthritis Foundation office and ask about fibromyalgia resources.
John Klippel, MD, Rheumatologist
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written by Fibromyalgia Symptoms , December 10, 2010
Treating fibromyalgia symptoms naturally is actually fairly common. Since doctors and researchers have found that sleep, diet, and other natural aids can be very effective, they are not as quick to prescribe. Do research so that you understand your options and be sure to talk to your doctor before trying any treatment. With the right natural treatment you can fight the pain and fatigue of fibromyalgia without having the risk of drug side effects with a prescription. That means you can feel healthy in all ways and treat your body with respect at the same time. Look for treatments that help your sleep and alleviate pain as these are the two most crippling fibromyalgia symptoms on the links.
written by Stephen in Florida , March 11, 2012
This is such a painful disorder. Unfortunately, doctors are still unclear as to the specific causes of fibromyalgia in patients. For this reason there are a number of fibromyalgia clinical studies taking place around the country. These studies also provide people who participate with an alternative form of treatment which can help them alleviate their painful symptoms.
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