Update #3 from Jacob Teitelbaum, MD
Their Causes and How To Treat Them Effectively!
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:
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:
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:
Copyright © 2001 - Jacob Teitelbaum, MD [Used with permission here.]
Last Updated: December 12, 2001