Thursday, 20 June 2013

Dear Envita, I would like to refer you to the extensive investigation of FIBROMYALGIA done by Mayo Clinic in the 1980s reported in their own archives,  It helped me a lot for my own symptoms and for those of my patients.  Mayo Clinic referred to the disorder as TENSION MYALGIA and recommended four approaches.  1. Tell the patient you know what it is.  2. Find some form of activity that makes the patient feel better, such as water aerobics.  3. Avoid all pain-killers, steroids, local anaesthetics and anti-inflammatories.  4. Be willing to sit and listen to the patient for about an hour, weekly.  Mayo's suggested a trial of antidepressants, if indicated.  They suggested that the diagnosis means that every possible other diagnosis has been clearly excluded, including Lyme Disease and Infectious Hepatitis.  Every test MUST be negative or non-diagnostic.  I participated in the Chronic Pain Committee at Marshfield Clinic.  The article in the Mayo Clinic Proceedings was extremely helpful and instructive.  Sincerely, Izzy Sommers, MD

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