Forbes Diane, Chalmers Andrew
J Can Chiropr Assoc. 2004 Jun;48(2):119-31.
Fibromyalgia has a distinct clinical presentation. With no distinct characteristic beyond the presence of 11 or more tender points and chronic pain in all four quadrants of the body, it represents one extreme of a normal distribution of pain states. Research exploration utilizing the ACR criteria has not found solid empirical evidence to link the finding of multiple tender points to a specific pathological process. These points may be present as a concomitant finding with psychological disease states but they have not lead to further etiological understanding. Measurement of outcomes is difficult and the prognosis for patients in the specialty care setting is poor, however in the general population the prognosis is variable, and includes improvement without treatment. The success of treatments has been limited mainly to helping patients improve their ability to cope with, but not to eliminate the tender points.
纤维肌痛有独特的临床表现。除了存在11个或更多的压痛点以及全身四个象限的慢性疼痛外，没有其他明显特征，它代表了疼痛状态正态分布的一个极端情况。利用美国风湿病学会（ACR）标准进行的研究探索尚未找到确凿的经验证据将多个压痛点的发现与特定病理过程联系起来。这些压痛点可能作为心理疾病状态的伴随发现而存在，但它们并未带来对病因的进一步理解。结果的测量很困难，专科护理环境中患者的预后较差，然而在普通人群中，预后是可变的，包括未经治疗也会改善。治疗的成功主要限于帮助患者提高应对能力，但无法消除压痛点。
