User talk:Jerabek

Dear friends:

This is a contribution to the discussion about FM and TMS. First off, the article in the Wikipedia. It is written in the definition section:"...diffuse or specific muscle, joint, or bone pain...", while in the section Symptomps you can find:"widespread, diffuse pain...achiness around joints, and nerve pain." OK, but what I did not find and what is most important that the pains are migrated e.g. one day in the left thorax, other day in the lumbar part and/or neck etc. This is very important diagnostic symptom. Section Differentials: Influenza - during my 33 years of my medical practice I´ve never seen influenza lasting 3 months or more (according to definition of ARA for FM) without any lab response. Celiac Disease - I doubt if there are pains typical for FM. Mercury toxicity - should be intoxication. The rest is a little bit doubtful for me, because everything introduced there has its typical symptomatology. But never mind, it is good to put it there for less experienced persons. The rest of the article is more-less acceptable. I´m not happy with the term Tension myositis syndrome. Myositis means an inflammation of the muscle(s). In the FM there are no inflammatory signs except of some lymphocytes infiltrations. I personally do not think that the FM is a mind-body disease. I can see basically the following vitious circle: pain - sleep disturbance - poor recuperation - depression - amplification of pain and back again. Of course, in details it is much more complicated. Regarding to the possible therapy. For the lack of knowing cause of FM the treatment should be complex pointing to any of the sympotom of any individual. I call it "A tactic of the total war". Surprisingly, the most of targets can be hit by physical therapy procedures for their non specific mechanisms of action, control of ionic channels including. Although I am not familiar with the works of Dr. Sarno, I like that he is a member of the Howard A. Rusk Institute of Rehabilitation Medicine that means for me that his approach is not only mental but certainly much more extensive. For further reading I recommend the article: The Treatment of Chronic Fatigue Syndrome and Fibromyalgia by Dr. Charles Lapp, MD, ProHealth Medical Advisory Board Member, ImmuneSupport.com I think, although not beeing fan of mind-body theory, if there are any results, they should be taken seriously. Personally, I prefer the complex European balneological approach - and it works, too. This type of treatment is pretty tricky and includes as a part some of psychotherapy as well. --Jerabek 13:38, 10 July 2006 (UTC)