The Horrible History of Fibromyalgia . You Should Need To Know

You sometimes hear fibromyalgia referred to as a “fad diagnosis” or “new disease,” but the truth is that fibromyalgia is far from new. It has centuries of history, with multiple name changes and discarded theories along the way.
While it hasn’t always been accepted by the medical community, and today its acceptance isn’t universal, fibromyalgia has come a long way and current research continues to offer proof that it’s a very real physiological illness.
The most-often cited historical account of fibromyalgia comes from a 2004 paper by researchers Fatma Inanici and Muhammad B. Yunus. This history was compiled from their work as well as new information from the past decade. (All sources are cited at the end of the article.)

Related image
Back to the Beginning – 1592-1900
Early on, doctors didn’t have separate definitions for all the pain conditions we recognize today. Descriptions and terminology started out broad and gradually were narrowed down.
In 1592, French physician Guillaume de Baillou introduced the term “rheumatism ” to describe musculoskeletal pain that didn’t originate from injury. This was a broad term that would have included fibromyalgia as well as arthritis and many other illnesses. Eventually, doctors began to use “muscular rheumatism” for painful conditions that, like fibromyalgia, didn’t cause deformity.
Two-hundred years later, definitions still were rather vague.

Love Your Heart This February

The heart is one of the body’s most important organs, powering everything we do. In partnership with Cleveland Clinic, here’s what to know for heart-healthy living.
However, in 1815, Scottish surgeon William Balfour noted nodules on connective tissues and theorized that inflammation could be behind both the nodules and pain. He was also the first to describe tender points (which would later be used to diagnose fibromyalgia.)
A few decades later, French doctor Francios Valleix used the term “neuralgia” to describe what he believed was referred pain from tender points traveling along the nerves.

Other theories of the day included hyperactive nerve endings or problems with the muscles themselves.
In 1880, American neurologist George William Beard coined the terms neurasthenia and myelasthenia to describe widespread pain along with fatigue and psychological disturbance. He believed the condition was caused by stress.The creation of more specific terminology really exploded in the early 20th century. Different names for fibromyalgia-like illness included:

Myogeloses

Muscle hardening

Fibrositis

Fibrositis, coined in 1904 by British neurologist Sir William Gowers, is the one that stuck. The symptoms Gowers mentioned will look familiar to those with fibromyalgia:

Spontaneous pain,

Sensitivity to pressure,

Fatigue,

Sleep disturbances,

Sensitivity to cold,

Aggravation of symptoms by muscle over-use.

As a treatment, he suggested cocaine injections, as cocaine was then used medicinally as a topical anesthetic.
Medically, “fibro” means connective tissue and “itis” means inflammation. Soon after Gowers put forth the name, another researcher published a study seeming to confirm many of Gowers’ theories about the mechanisms of inflammation in the condition. This helped cement the term fibrositis in the vernacular. Ironically, this other research was later found to be faulty.
In the 1930s, interest heightened in muscle pain referred from tender/trigger points and charts of these patterns began to appear. Local injections of anesthetic continued to be a suggested treatment.
Fibrositis wasn’t a rare diagnosis back then. A 1936 paper stated the fibrositis was the most common form of severe chronic rheumatism. It also said that, in Britain, it accounted for 60 percent of insurance cases for rheumatic disease.
Also in that era, the concept of referred muscle pain was proven via research. A study on pain pathways mentioned deep pain and hyperalgesia (a heightened pain response) and may have been the first to suggest that the central nervous systemwas involved in the condition.
Additionally, a paper on trigger points and referred pain put forth the term “myofascial pain syndromes” for localized pain.
Researchers suggested that the widespread pain of fibrositis may come from one person having multiple cases of myofascial pain syndrome.
World War II brought a renewed focus when doctors realized that soldiers were especially likely to have fibrositis. Because they didn’t show signs of inflammation or physical degeneration, and symptoms appeared linked to stress and depression, researchers labeled it “psychogenic rheumatism.” A 1937 study suggested that fibrositis was a “chronic psychoneurotic state.” Thus, the on-going debate between physical and psychological was born.
Fibrositis continued to gain acceptance, even though doctors couldn’t agree on exactly what it was. In 1949, a chapter on the condition appeared in a well-regarded rheumatology text book called Arthritis and Allied Conditions. It read, “[T]here can no longer be any doubt concerning the existence of such a condition.” It mentioned several possible causes, including:

Infection,

Traumatic or occupational,

Weather factors,

Psychological disturbance.

Still, descriptions were vague mish-mashes that we now recognize as including several very different types of pain conditions. They generally involved fatigue, headaches, and psychological distress, but poor sleep wasn’t mentioned.
The first description of fibrositis that resembles what we recognize today as fibromyalgia came in 1968. Researcher Eugene F. Traut’s paper mentioned:

Female predominance,

Generalized aching and stiffness,

Fatigue,

Headaches,

Colitis,

Poor sleep,

Being “worry worts,”

Tender points discovered by physical exam,

An important mind-body connection.

Along with generalized pain, he recognized certain regional ones that appeared to be common, including what we now know as carpal tunnel syndrome. He mentioned “various levels of the spinal axis,” which you may recognize from modern diagnostic criteria: pain in the axial skeleton (bones of the head, throat, chest and spine) and in all four quadrants of the body.
Four years later, though, researcher Hugh A. Smythe penned a textbook chapter on fibrositis that had a far-reaching influence on future studies and lead to his being called the “grandfather of modern fibromyalgia.” He’s believed to be the first to describe it exclusively as a widespread condition, thus distinguishing it from myfascial pain syndrome.
Smythe not only included poor sleep in the description but described what sleep was like for patients and also provided unpublished electroencephalogram (sleep study)findings that showed dysfunction in stage-3 and stage-4 sleep. Furt her, he stated that non-restorative sleep, trauma and emotional distress all could lead to heightened symptoms.
Subsequent research confirmed sleep abnormalities as well as showing that sleep deprivation can lead to fibromyalgia-like symptoms in healthy people.
Smythe then was involved in a study that better defined tender points and suggested their use in diagnosis. It also listed chronic pain, disturbed sleep, morning stiffness and fatigue as symptoms that could help diagnose the condition.
While researchers had made some good progress, they still hadn’t uncovered evidence of inflammation – the “itis” in fibrositis. The name was then changed to fibromyalgia: “fibro” meaning connective tissues, “my” meaning muscle, and “algia” meaning pain.
Still, a lot of questions remained. The primary symptoms were vague and common in the population. Doctors still didn’t have a handle on what fibromyalgia was.
Then, a seminal study lead by Muhammed Yunus came out in 1981. It confirmed that pain, fatigue and poor sleep were significantly more common in people with fibromyalgia than in healthy control subjects; that the number of tender points was significantly greater; and that multiple other symptoms were significantly more common as well. These additional symptoms included:

Subjective swelling,
Paresthesia (abnormal nerve sensations),
Overlapping conditions such as irritable bowel syndrome (IBS), tension headaches and migraines.

This paper established enough of a consistent symptom cluster to officially denote fibromyalgia a syndrome as well as the first criteria proven to differentiate those with fibromyalgia from others.
A wealth of research has since confirmed that these symptoms and overlapping conditions are in fact associated with fibromyalgia.
Yunus then led research cementing the idea of several overlapping conditions, including primary dysmenorrhea (painful period) along with IBS, tension headache and migraine.
He then believed the unifying feature was muscle spasms, but that suggesting would later give way to the theory of central sensitization.
Since this point, we’ve had a tremendous amount of research published and progress made. We still don’t have all the answers, but we’ve gained a much better understanding of what may be going on in our bodies.
Important advances include:

1984 – First study published linking higher fibromyalgia prevalence in those with rheumatoid arthritis;
1985 – First controlled study of juvenile fibromyalgia was published;

1986 – Drugs influencing serotonin and norepinephrine were first shown to be effective;

1990 – American College of Rheumatology establishes official diagnostic criteriaof widespread pain and tenderness in at least 11 of 18 specific tender points, thus standardizing research inclusion criteria around the world;
1991 – Fibromyalgia Impact Questionnaire developed for doctors to evaluate function;

1992 – Discovery of low growth-hormone levels;

1993 – Studies demonstrate central sensitization and HPA axis (stress regulation) abnormalities;

1994 – Confirmation of elevated substance P (pain messenger) in cerebrospinal fluid;

1995 – First U.S. prevalence study shows fibromyalgia in 2% of the population;

1995 – First SPECT (brain imaging) showing abnormal blood-flow patterns in the brain;

1999 – First study demonstrating genetic component to explain why it runs in families;

2000 – Review of evidence coins the term central sensitization syndromes;

 

2005 – American Pain Society releases first guidelines for treating fibromyalgia pain;

2007 – Lyrica (pregabalin) becomes first FDA-approved treatment in the U.S. (Cymbalta (duloxetine) and Savella (milnacipran) followed, in 2008 and 2009, respectively;)

2010 – American College of Rheumatology releases alternate diagnostic criteriausing questionnaires instead of tender points.

Research has continued to shore up these findings as well as suggest new possible causal factors and mechanisms. As of early 2014, some lines of inquiry include:

 

Inflammation of the fascia: Some research has suggested that the widespread pain of fibromyalgia may indeed be inflammatory, but in the extremely thin body-wide web of connective tissue called fascia.
Extra nerves on blood vessels: A much-publicized study shows extra temperature and pain-sensing nerves in the circulatory system.

 

Small-fiber neuropathy: Emerging research is showing that certain specialized nerves may be damaged.
Immune System Abnormalities: Some lines of research are showing abnormal activity in the immune system that may suggest chronic immune-system activation or autoimmunity. One study suggests an autoimmune reaction to serotonin. Another proposes a possible diagnostic test based on an immune profile.

Several researchers also are working to establish subgroups of fibromyalgia, believing that it’s the key to nailing down the underlying mechanisms and best treatments. More treatments are always under investigation, and a major goal has long been identifying and establishing objective diagnostic tools such as a blood test or scan.Fibromyalgia still has not found universal acceptance in the medical community, but it’s closer than ever. As research continues to demonstrate that it’s both real and physiological, this condition gains credibility and those of us with it gain understanding, respect, and, most importantly, better treatment options so that we can reclaim our futures.

Sources:
Ceko M, Bushnell MC, Gracely RH. Pain research and treatment. 2012;2012:585419. Neurobiology underlying fibromyalgia symptoms.
Chalaye P, et al. The Clinical journal of pain. 2012 Jul;28(6):519-26. Comparing pain modulation and autonomic responses in fibromyalgia and irritable bowel syndrome patients.
Culpepper L. The Journal of clinical psychiatry. 2012 Mar;73(3):e10. Management of fibromyalgia in primary care.
Miro E, et. al. Psicothema. 2012 Feb;24(1):10-15. Abstract accessed, article in Spanish. Fibromyalgia in men and women: Comparison of the main clinical symptoms.
Staud R. Clinical and experimental rheumatology. 2011 Nov-Dec;29(6 Suppl 69):S109-17. Brain imaging in fibromyalgia syndrome.

241 thoughts on “The Horrible History of Fibromyalgia . You Should Need To Know

  1. Have you ever thought about including a little
    bit more than just your articles? I mean, what you say is valuable and
    everything. Nevertheless imagine if you added some great visuals or video clips to give your posts more, “pop”!

    Your content is excellent but with images and video clips, this
    site could definitely be one of the very best in its
    field. Excellent blog!

  2. Thanks for every other great article. The place else may
    anyone get that type of information in such an ideal approach of writing?
    I have a presentation subsequent week, and I’m on the look for such info.

  3. Everyone loves what you guys are up too. This sort
    of clever work and reporting! Keep up the terrific works guys
    I’ve included you guys to blogroll.

  4. Hello, i think that i saw you visited my site thus i came to
    “return the favor”.I am attempting to find
    things to improve my web site!I suppose its ok to use some
    of your ideas!!

  5. My brother suggested I might like this website. He was totally right.
    This post truly made my day. You cann’t imagine simply how much time I had
    spent for this information! Thanks!

  6. You really make it seem really easy along with your presentation however
    I to find this matter to be really something that I feel I would by no means understand.
    It sort of feels too complex and extremely large for me.
    I’m taking a look forward for your subsequent submit, I’ll attempt to get
    the hang of it!

  7. I am really loving the theme/design of your website.
    Do you ever run into any web browser compatibility problems?
    A number of my blog readers have complained about my blog not operating correctly in Explorer but looks great in Opera.
    Do you have any advice to help fix this issue?

  8. Great post. I was checking continuously this weblog and I’m impressed!
    Very useful info particularly the remaining section :
    ) I deal with such information much. I was looking for this
    certain info for a very long time. Thanks and
    good luck.

  9. When I originally left a comment I seem to have clicked the -Notify me when new comments are added- checkbox and now whenever a comment
    is added I receive 4 emails with the same comment. There has to be
    a way you can remove me from that service?

    Kudos!

  10. Having read this I thought it was extremely informative.
    I appreciate you finding the time and effort to put this
    short article together. I once again find myself personally spending a lot of
    time both reading and commenting. But so what, it was still worth it!

  11. Heya! I just wanted to ask if you ever have any problems with hackers?
    My last blog (wordpress) was hacked and I ended up losing months of hard work due to no data backup.
    Do you have any methods to protect against hackers?

  12. What’s Taking place i’m new to this, I stumbled upon this I’ve discovered It absolutely helpful and it has
    aided me out loads. I hope to give a contribution & assist other users like its aided me.

    Good job.

  13. You actually make it seem really easy together with your presentation however I to
    find this matter to be really one thing that I think I’d by
    no means understand. It kind of feels too complicated and extremely wide for me.
    I’m having a look forward on your subsequent put up, I’ll
    attempt to get the hold of it!

  14. Woah! I’m really digging the template/theme of this website.
    It’s simple, yet effective. A lot of times it’s very hard to get that
    “perfect balance” between superb usability and appearance.
    I must say you have done a superb job with this.

    Also, the blog loads extremely quick for me on Chrome.
    Superb Blog!

  15. I was recommended this web site by my cousin. I’m not sure whether this post is written by him as no
    one else know such detailed about my problem. You are wonderful!
    Thanks!

  16. Pingback: Google
  17. It is appropriate time to make some plans for the future and it’s time to
    be happy. I’ve read this post and if I could I desire to suggest you few
    interesting things or advice. Maybe you can write next articles referring
    to this article. I wish to read more things about it!

  18. Hey there! This is my 1st comment here so I just wanted to give a quick shout out and say I truly enjoy reading your blog posts.
    Can you suggest any other blogs/websites/forums that go over the same
    topics? Thanks for your time!

  19. Ahaa, its fastidious discussion regarding this post at this place at this
    website, I have read all that, so now me also commenting at this
    place.

  20. Very good website you have here but I was wondering if you knew of
    any user discussion forums that cover the same topics talked about here?
    I’d really love to be a part of online community where I can get feed-back from other experienced people that share the same interest.
    If you have any suggestions, please let me know. Bless you!

  21. Just want to say your article is as surprising.
    The clearness in your post is just excellent and i can assume you’re an expert on this subject.
    Fine with your permission let me to grab your RSS feed to
    keep up to date with forthcoming post. Thanks a million and please
    keep up the rewarding work.

  22. Pingback: double bullet vibe
  23. Do you mind if I quote a few of your posts as long as I provide credit and sources
    back to your weblog? My blog site is in the very same niche as yours
    and my users would really benefit from some of the information you provide here.
    Please let me know if this ok with you. Many thanks!

  24. Pingback: pornland
  25. Pingback: Google
  26. Greetings I am so glad I found your webpage, I really found you by mistake, while I was searching
    on Digg for something else, Regardless I am here
    now and would just like to say thanks a lot for a fantastic post
    and a all round thrilling blog (I also love the theme/design), I
    don’t have time to go through it all at the minute but I have book-marked it and also added in your RSS
    feeds, so when I have time I will be back to read a lot more, Please do keep up the excellent b.

  27. Every weekend i used to go to see this website, for the
    reason that i wish for enjoyment, since this this
    web site conations truly fastidious funny information too.

  28. You really make it appear really easy with your presentation but I in finding
    this topic to be actually something that I believe I’d
    by no means understand. It sort of feels too complicated and
    very large for me. I am taking a look forward to your subsequent publish,
    I’ll attempt to get the hold of it!

  29. Pingback: skip bin compare
  30. Pingback: law
  31. Hi i am kavin, its my first occasion to commenting anywhere, when i read this post i thought i could also
    create comment due to this sensible paragraph.

  32. Link exchange is nothing else however it is just placing the other person’s blog link on your page at appropriate place
    and other person will also do similar in favor of you.

  33. Fantastic beat ! I wish to apprentice while you amend your website, how can i subscribe for a blog site?
    The account aided me a acceptable deal. I had been tiny bit acquainted
    of this your broadcast offered bright clear idea

  34. Wonderful website you have here but I was wanting to know if you knew
    of any forums that cover the same topics talked about in this article?
    I’d really like to be a part of online community where I can get feedback from other knowledgeable individuals that share the
    same interest. If you have any recommendations, please let
    me know. Appreciate it!

  35. Pingback: toys for him
  36. You could definitely see your enthusiasm in the work you write.
    The sector hopes for even more passionate writers like you who are not
    afraid to say how they believe. Always follow your heart.

  37. Pingback: bullet massager
  38. Pingback: cool vibrators
  39. Pingback: web design
  40. You are so cool! I don’t believe I have read a single thing like this before.
    So good to discover someone with a few unique thoughts on this issue.
    Really.. thank you for starting this up. This site is one thing that’s needed on the
    internet, someone with a bit of originality!

  41. Hmm is anyone else having problems with the images on this blog loading?
    I’m trying to find out if its a problem on my end or if it’s the blog.
    Any feedback would be greatly appreciated.

  42. Wow, incredible blog layout! How long have you been blogging for?

    you made blogging look easy. The overall look of your site is
    wonderful, let alone the content!

  43. Hello there I am so happy I found your webpage, I really found
    you by accident, while I was browsing on Google for something else, Nonetheless
    I am here now and would just like to say thank
    you for a tremendous post and a all round exciting blog (I also love the
    theme/design), I don’t have time to browse it all at the
    minute but I have saved it and also added your RSS feeds, so
    when I have time I will be back to read a great deal more, Please do keep up the
    awesome job.

  44. Having read this I believed it was rather informative.
    I appreciate you taking the time and effort to put this content together.
    I once again find myself personally spending way too much time both reading and
    posting comments. But so what, it was still worthwhile!

  45. Pingback: porn land
  46. We stumbled over here different website and thought I may as well check things out.
    I like what I see so now i’m following you. Look forward to looking at your
    web page for a second time.

  47. Pingback: minoxidil 15%
  48. Pingback: official website
  49. Pingback: Competitions
  50. What i don’t realize is actually how you are no longer actually a lot more neatly-favored
    than you might be right now. You are so intelligent.
    You already know thus significantly in relation to this topic, made me individually believe it from so
    many various angles. Its like men and women aren’t involved unless it’s one thing to accomplish
    with Lady gaga! Your personal stuffs great.
    All the time deal with it up!

  51. I’m really impressed with your writing skills and also with the layout on your blog.
    Is this a paid theme or did you customize it yourself? Either
    way keep up the excellent quality writing, it is rare to see a nice blog like this one today.

  52. Pingback: sexboer
  53. Pingback: porno files
  54. Pingback: pornofilmpjes
  55. Pingback: iptv korean
  56. Pingback: usps liteblue
  57. Pingback: vibrating massager
  58. Pingback: Att.net Mail
  59. Pingback: 15% minoxidil
  60. Pingback: gay mesh underwear
  61. Pingback: Awaydays
  62. Pingback: penis vibrator
  63. Pingback: best p spot toy
  64. We are a group of volunteers and starting a new scheme in our community.

    Your website provided us with useful information to work on. You’ve performed a formidable job and our entire group
    can be thankful to you.

  65. I would like to thank you for the efforts you have put in penning this blog.
    I am hoping to see the same high-grade content by you in the future as well.

    In truth, your creative writing abilities has encouraged me to
    get my very own website now 😉

  66. hi!,I like your writing very so much! proportion we keep up a correspondence
    extra approximately your article on AOL? I need
    a specialist in this area to resolve my problem. Maybe that’s you!
    Taking a look forward to see you.

  67. Pingback: blk 418
  68. Pingback: gay dildo porn
  69. Hello there, I discovered your web site by means of Google while looking for a related subject, your website came up, it appears great.
    I have bookmarked it in my google bookmarks.
    Hi there, just was alert to your blog through Google, and located that it’s really
    informative. I am going to watch out for brussels.

    I will be grateful if you happen to continue this in future.

    A lot of folks will probably be benefited from your writing.
    Cheers!

  70. Pingback: easy guitar licks
  71. Pingback: virgin coconut oil
  72. Pingback: Dankwoods
  73. Pingback: Credit cards
  74. Pingback: buy ativan online
  75. Pingback: bondage sex toys
  76. Pingback: anal lubricant
  77. Pingback: IPX-369
  78. Pingback: HUNTA 656
  79. Pingback: crazybulk review
  80. Pingback: basketball
  81. Pingback: nipple sex toys
  82. This is a really good tip particularly to those new
    to the blogosphere. Short but very precise info… Many thanks for sharing this one.
    A must read post!

  83. Heya! I just wanted to ask if you ever have any trouble with hackers?

    My last blog (wordpress) was hacked and I ended up losing many
    months of hard work due to no data backup. Do you have any methods to protect against hackers?

  84. Have you ever thought about including a little bit more than just your articles?

    I mean, what you say is fundamental and all. But think of if you added some great images or videos to give your posts more, “pop”!
    Your content is excellent but with pics and video clips, this website could certainly be one of the very best in its field.
    Good blog!

  85. Wow that was unusual. I just wrote an very long comment but after I clicked
    submit my comment didn’t show up. Grrrr…
    well I’m not writing all that over again.
    Regardless, just wanted to say great blog!

  86. I like the valuable information you provide in your articles.
    I will bookmark your weblog and check again here regularly.
    I am quite certain I’ll learn a lot of new stuff right here!
    Good luck for the next!

  87. When I initially commented I appear to have
    clicked the -Notify me when new comments are added- checkbox and from now on whenever a comment
    is added I get 4 emails with the same comment. Is there a means you can remove me from that service?
    Many thanks!

  88. Hi there would you mind letting me know which hosting company you’re working with?
    I’ve loaded your blog in 3 different internet browsers and I must say this blog loads
    a lot faster then most. Can you recommend a good
    web hosting provider at a fair price? Thank you, I appreciate it!

Leave a Reply

Your email address will not be published. Required fields are marked *