Fibromyalgia Is All In Your Head and I Have Proof!

If there is one thing I've learned over the years as a physician, I mean, as a man, it's never to tell a fibromyalgia patient that their symptoms are all in their head.  It's the worst thing you can tell a fibro patient.  Many patients with fibromyalgia have unexplained secondary characteristics.  For example, I still can't explain the physiological basis for most patients with 20 or more allergies also having a diagnosis of fibro.  Now, having fibro doesn't guarantee having multiple allergies, but there does appear to be a strong correlation the other way around?  Does THAT mean fibromyalgia is all in your head?

Again, never say something like that unless you want your life threatened.  And why are almost all fibromyalgia patients women?  Is it a hormonal thing?  I don't know.  All I DO know is never tell a women she's acting crazy because of her hormones.  You tell them they're acting crazy because of their fibro instead and everything will be OK.

And what about all the strange symptoms that make no physiological sense.  Like that belly pain that takes a right angle at the diaphragm, shoots straight up to the left shoulder and takes a hard right into the back of the neck.  Is that fibro related?  I have no idea.  I've learned not to say it's all in their head.  Or is it?

Recent data suggests fibromyalgia MAY be all in your head.  Click on the link for proof!   This compelling research SPECT perfusion to analysis in fibromyalgia patients.  What did they find?
"These results show that brain perfusion abnormalities in patients with fibromyalgia are correlated with the clinical severity of the disease."
See. I was right all along.  I guess I now have the research to prove to patients that their fibro is all in their head and if they don't like what I have to say, they can go read this fancy article about changes in the brain seen by MRI in fibromyalgia sufferers.  If you have fibromyalgia and your doctors or nurses or mother or neighbor tell you that all your debilitating and disabling symptoms are are all in your mind,  don't get angry at them.  They're right!   It is all in the head and not a phantom of your imagination!

With that said, even professional medical societies are questioning whether or not fibromyalgia is real.  Is fibromyalgia real by the strict definition of a disease?  That's the question that was debated last month at the  American College or Rheumatology.  An interesting discussion was had about whether  strict scientific method should be embraced or whether fibromylagia was an example of a pathoplastic condition.   What is meant by pathoplasticity?  This is the need for patients and clinicians to give a name to the cause of an illness or distress.  Pathoplasticity has led to a whole host of loose collections of commonly experienced symptoms being elevated to disease status.   So, what do I think?

Now that you're here and still reading, if you're looking for other resources on fibromyalgia, you've come to the right place.  The Happy Hospitalist has a treasure chest filled with fibro content.  Make sure to review all of it and keep an open mind as you search for your answers.

This post is for entertainment purposes.  I wouldn't wish fibro on anyone.

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