Join Now!      Login

Whole Person Wellness Program
 
healthy.net Wellness Model
Skip Navigation Links
 
 
FREE NEWSLETTER
   
   
   
 
Health Centers
Key Services
 
Medicial Mistakes?
How many people each year suffer some type of preventable harm that contributes to their death after a hospital visit?
from 46,000 to 78,000
from 78,000 to 132,000
from 132,000 to 210,000
from 210,000 to 440,000

 
 

 Q and A on Chronic Fatigue Syndrome and Fibromyalgia with Jacob Teitelbaum, M.D. - #3 
 
The following is one in an ongoing series of columns entitled From Fatigued to Fantastic by . View all columns in series
Q: How is fibromyalgia defined?

A: The definition for fibromyalgia was developed by the American College of Rheumatology (ACR) and is much more straightforward. You have fibromyalgia if you have:

1) a history of widespread pain or achiness for at least three months that must have been present on both the right and left side of the body, both above and below the waist, and somewhere in the mid body (e.g. -- the neck, mid chest, or mid back). The pain can have been steady or intermittent.
2) pain on pressing on at least 11 of 18 spots on the body that are known as "tender points."

Having other illnesses does not exclude one from having fibromyalgia. In fact, is common to have other illnesses such as lupus or rheumatoid arthritis as a cause for fibromyalgia. It is important to be aware of this, as treating the associated fibromyalgia can dramatically improve these patients quality of life.

Q: How many people have CFS and fibromyalgia?

A: Current conservative estimates are that two percent of the population have fibromyalgia. I suspect that this is probably greater than four percent when one includes people with milder cases of the syndrome. This means that 6 to 12 million Americans suffer with this problem.

Interestingly, using strict CDC criteria (which is what the epidemiologists have to do) it is estimated that only about four to eight hundred thousand Americans have CFS. This is because of the exclusions that we discussed above. As most of the people in our studies (and many others) with fibromyalgia also have CFS, one would expect at least four million cases of CFS in the United States. Sadly, I suspect that this gross underestimate of the frequency of CFS has resulted in a major loss of research funding.

Q: How would you define these syndromes?

A: I think the above definitions without the exclusionary criteria are reasonable for now for research purposes. In day-to-day medical practice however, I propose the following definition. If you have fatigue that significantly interferes with your life that is not caused by overwork and does not go way with rest, poor sleep (despite making adequate time for sleep), and three or more of the following without a clear cause you have CFS and /or (if you have widespread pain as well) fibromyalgia unless proven otherwise!

  1. diffuse widespread pain of unknown cause without joint swelling or redness,
  2. brain fog
  3. increased thirst
  4. bowel dysfunction
  5. decreased libido
  6. recurrent infections and,
  7. problematic medication, chemical, and /or food sensitivities.


Dr. Teitelbaum is a board certified internist and director of the Annapolis Research Center for Effective CFS/Fibromyalgia Therapies, where he sees CFS/Fibromyalgia/Chronic pain patients from all over the world (410-266-6958). Having suffered with and overcome these illnesses in 1975, he spent the next 28 years creating, researching, and teaching about effective therapies. He is the author of the best-selling From Fatigued to Fantastic!" and the newly released "Three Steps to Happiness! Healing through Joy". His web site can be found at: www.vitality101.com


      
 Comments Add your comment 

 About The Author
Jacob Teitelbaum MD is author of the popular free iPhone application "Cures A-Z" and author of the best-selling book From Fatigued to Fantastic! (3rd revised edition, Avery/Penguin Group) and Pain Free 1-2-3-A......moreJacob Teitelbaum MD
 
 From Our Friends
 
 
 
Popular & Related Products
 
Popular & Featured Events
Integrative Healthcare Symposium 2015
     February 19-21, 2015
     New York, NY USA
 
Wellness Inventory Certification Training (Level I)
     February 24-May 26, 2015
     Teleclass, CA USA
 
Additional Calendar Links
 
Stevia Products & Info
 
Dimensions of Wellness
Wellness, Transcending, dimension!

Home       Wellness       Health A-Z       Alternative Therapies       Find a Practitioner       Healthy Products       Bookstore       Wellness Inventory
Healthy Kitchen       Healthy Woman       Healthy Man       Healthy Child       Healthy Aging       Wellness Center       Nutrition Center       Fitness Center
Free Newsletter      What Doctor's Don't Tell You      Stevia.com      Discount Lab Tests      First Aid      Global Health Calendar      Privacy Policy     Contact Us
Disclaimer: The information provided on HealthWorld Online is for educational purposes only and IS NOT intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek professional medical advice from your physician or other qualified healthcare provider with any questions you may have regarding a medical condition.
Are you ready to embark on a personal wellness journey with our whole person approach?
Learn More/Subscribe
Are you looking to create or enhance a culture of wellness in your organization?
Learn More
Do you want to become a wellness coach?
Learn More
Free Webinar