Unbound MEDLINE

Chronic widespread pain and fibromyalgia: two sides of the same coin?

Abstract

Chronic widespread pain (CWP) is very prevalent in the general population (5%-10%) and is characterized by pain in all four body quadrants, the neck, and back. CWP differs from localized pain not only in its distribution but also in the way it affects lives. Multiple pain sites are associated with higher pain intensity, longer pain duration, and greater disability. Anxiety and depression are more common in CWP patients than among those with localized pain and pain-free controls. Fibromyalgia (FM) has been classified as CWP of more than a 3-month duration, with mechanical hyperalgesia at > or = 11 tender-point sites. FM has been found in 2% to 4% of community subjects and represents the extreme of CWP. This article compares pain characteristics, quality of life, consequences for daily living, and psychosocial status between FM patients and individuals with CWP. Available evidence shows that FM is associated with more severe symptoms and consequences for daily life and higher pain-severity compared with CWP.

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  • Aggregator Full Text
  • Authors

    Staud R

    Source

    Current rheumatology reports 11:6 2009 Dec pg 433-6

    MeSH

    Anxiety Disorders
    Chronic Disease
    Depressive Disorder
    Fibromyalgia
    Humans
    Hyperalgesia
    Pain
    Prevalence
    Quality of Life
    Severity of Illness Index

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    19922733