Pain complaints in patients with fibromyalgia versus chronic fatigue syndrome
ABSTRACT Individuals with fibromyalgia (FM) and/or chronic fatigue syndrome (CFS) report arthralgias and myalgias. However, only persons
with FM alone exhibit abnormal pain responses to mild levels of stimulation, or allodynia. We identify the abnormalities in
the neuroendocrine axes that are common to FM and CFS as well as the abnormalities in central neuropeptide levels and functional
brain activity that differentiate these disorders. These two sets of factors, respectively, may account for the similiarities
and differences in the pain experiences of persons with FM and CFS.
- SourceAvailable from: Jessica Van Oosterwijck[Show abstract] [Hide abstract]
ABSTRACT: Severe exacerbation of symptoms following physical activity is characteristic for chronic-fatigue syndrome (CFS) and fibromyalgia (FM). These exacerbations make it understandable for people with CFS and FM to develop fear of performing body movement or physical activity and consequently avoidance behaviour toward physical activity. The aims of this article were to review what measures are available for measuring fear of movement and avoidance behaviour, the prevalence fear of movement and avoidance behaviour toward physical activity and the therapeutic options with fear of movement and avoidance behaviour toward physical activity in patients with CFS and FM. The review revealed that fear of movement and avoidance behaviour toward physical activity is highly prevalent in both the CFS and FM population, and it is related to various clinical characteristics of CFS and FM, including symptom severity and self-reported quality of life and disability. It appears to be crucial for treatment (success) to identify CFS and FM patients displaying fear of movement and avoidance behaviour toward physical activity. Individually tailored cognitive behavioural therapy plus exercise training, depending on the patient's classification as avoiding or persisting, appears to be the most promising strategy for treating fear of movement and avoidance behaviour toward physical activity in patients with CFS and FM.Clinical Rheumatology 05/2013; · 1.77 Impact Factor