7 doctors weighed in:

What conditions are present as fibromyalgia?

7 doctors weighed in
Dr. Pierre Moeser
Internal Medicine - Rheumatology
4 doctors agree

In brief: Three

The basic symptoms are non-restorative sleep, severe daytime fatigue, and heightened sensitivity to pain.
The sensitivity means that light touch such as fingertip pressure, wearing a bra, wearing a belt are perceived as painful. The tender point exam was meant to be used as a research tool and does not definitively diagnose the condition.

In brief: Three

The basic symptoms are non-restorative sleep, severe daytime fatigue, and heightened sensitivity to pain.
The sensitivity means that light touch such as fingertip pressure, wearing a bra, wearing a belt are perceived as painful. The tender point exam was meant to be used as a research tool and does not definitively diagnose the condition.
Dr. Pierre Moeser
Dr. Pierre Moeser
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Dr. Laurence Badgley
General Practice
1 doctor agrees

In brief: Specific Pains

Fm is chronic pain low & upper back regions, chronic fatigue, interrupted sleep, & depression; found mostly in females.
Joint hypermobility syndrome highly associated. My clinical findings are pelvic joint (sij) instability, functional spinal scoliosis, asymmetric shoulders, & tilted head. Other symptoms explained by chronic muscle spasm keeping body tower vertical. (chronic pain at quora.Com).

In brief: Specific Pains

Fm is chronic pain low & upper back regions, chronic fatigue, interrupted sleep, & depression; found mostly in females.
Joint hypermobility syndrome highly associated. My clinical findings are pelvic joint (sij) instability, functional spinal scoliosis, asymmetric shoulders, & tilted head. Other symptoms explained by chronic muscle spasm keeping body tower vertical. (chronic pain at quora.Com).
Dr. Laurence Badgley
Dr. Laurence Badgley
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1 comment
Dr. Laurence Badgley
The unifying genetic relationship in fibromyalgia is probably Joint Hypermobility Syndrome (JHS), a known genetic condition.  I have noted that a good portion of female fibromyalgia sufferers satisfy the Bristol Criteria for JHS, and are able to oppose thumb to lateral radial skin, hyperextended elbows and knees, and can place their palms on the floor with knees locked.  Most could put their feet behind their head and back bridge as youngsters and many can do so as adults.  JHS is a disorder with a spectrum of penetrance; with Marfans and Ehlers-Danlos at the clinical severity end of the spectrum.  My speculation is that the trait is conserved in females because it increases pelvic joint (SIJ and symphysis pubis) flexibility during childbirth.  Many of my patients with fibromyalgia and subclinical JHS delivered their fourth or fifth child in minutes rather than hours.  I speculate that repetitive childbirth, in conjunction with the hormone Relaxin, progressively loosens pelvic ligaments.  This functionality would seem to favor infant survivability.  To my mind fibromyalgia results from the effects of a loose ligament-skeletal system attempting to maintain a medial center of gravity via chronic muscle spasm leading to widespread ischemic trigger points (after the work of Shah at NIH).
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