Wednesday, August 24, 2011

Where we are headed understanding the differences in FM and ME/CFS

What we know is that the first complaint of fibromyalgia is muscle pain and the primary reason ME/CFS patient seek treatment, is fatigue. Though in neither case is this where it stops.

Fibromyalgia and ME/CFS do share some common comorbid conditions, and both are thought to have central nervous system disruption, however, disruptions are different between the two, and newer research is showing a stronger connection to viral, infectious and immune overload in ME/CFS, and research on FM repeats the findings of previous studies on the disruption of the hypothalamus-pituitary-adrenal axis, oxidative stress, which is also seen in ME/CFS, and the peripheral pain generation by myofascial trigger points that keeps the central nervous system sensitized to pain impulses.

There are specific biological differences between FM and CFS/ME. Both are considered neuroendocrineimmune disorders, as is Lyme’s disease, Gulf War Syndrome, Lupus, and others. Though they fall under the same umbrella, they are different.

We explain the differences and the similarities, why they are confused and the importance in having the right diagnosis in Chapter One, “All about Fibromyalgia, Chronic Fatigue Immunodysfunction—The Muster to Master, and Chronic Myofascial Pain—Nerve to Muscle, and Double Cross. There are also checklists for each disorder that you can use to inventory your symptoms and provide to your physician or other healthcare provider. There is also a glossary of terms that describe pain.

All blogs, posts and answers are based on the work in Integrative Therapies for Fibromyalgia, Chronic Fatigue Syndrome, and Myofascial Pain: The Mind-Body Connection by Celeste Cooper, RN, and Jeff Miller, PhD. 2010, Vermont: Healing Arts press are for educational purposes and not meant to replace medical advice.
This blog is based on my original answer at ShareCare to, “How are fibromyalgia and chronic fatigue syndrome different?”

View my other answered questions as fibromyalgia expert


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Judloved said...

It's is good to read others comments and not to feel so all alone. I had mono over 10 years ago and have fought CFS since then. My doctor first sent me to see a psychiatrist but I knew I wasn't depressed, I just felt terrible. I still fight this. My doctor tells me not to get stressed. My mother died a few months ago, I fell off a horse and fractured my neck badly, my brother is going to federal prison, I lost my job, I am losing my health insurance, lost two dogs and a horse in the last few weeks, and now I sleep 16 hours a day. I can't get anything done, and hope no one thinks I'm being lazy. My sister swears on Standard Process Dramamine, but it only helps me a little. I'm on Lipitor and my legs kill me at night. Sleeping pills don't seem to work for me. Now I just pray for help. Thanks for listening (reading) because I feel a little better right now. Best wishes to everyone who fights this condition.

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