pattismith
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Fibromyalgia Over-Diagnosed 97% of The Time: Chronic Pain Due To Thoracic Outlet Syndrome, Acromo-Clavicular Joint Syndrome, Disrupted Disc, Nerve Entrapments, Facet Syndrome and Other Disorders Mistakenly Called Fibromyalgia
Research Article 2016
Nelson Hendler*3 and Thomas Romano2
Abstract
A review was conducted of 47 patients referred to Mensana Clinic with the diagnosis of fibromyalgia, and other diagnoses.
Of the 47 patients, 9 received only an initial evaluation, and 38 received a partial or complete diagnostic evaluation.
The diagnostic criterion for fibromyalgia was not met in 37 of 38 patients.
Therefore, 97.3% of patients were misdiagnosed by referring doctors as having fibromyalgia, when they did not meet the diagnostic criteria (errors of commission). Additionally, referring physicians made only 7/50 diagnoses (including fibromyalgia) that were confirmed by objective testing or diagnostic criteria, which means 86 % of the time they made diagnoses that were not confirmed.
Referring physicians also failed to diagnose 133 medical conditions that were confirmed by objective testing at Mensana Clinic, for a failure to diagnose rate of 94.3% (errors of omission). Of the patients misdiagnosed with fibromyalgia, i.e. told they had fibromyalgia when they did not, 94.2% of them were women.
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"this article show that disc disruptions occur in a significant number of patients mistakenly diagnosed with fibromyalgia. The mechanisms for the source of pain from internal disc disruption, which escapes detection on MRI 78% of the time, have been well described [31,32]. Essentially, the nucleus pulposa herniates into the posterior portion of the annulus (disc), where pain fibers are located [32]. However, there is no anatomical disruption of the disc, so the disc appear normal on MRI but produces the same clinical features of a herniated disc where the nucleus pulposa compress the nerve root or spinal cord, with associated neck, back or limb pain, and severe muscle contractions [31,32]."
...
Research Article 2016
Nelson Hendler*3 and Thomas Romano2
Abstract
A review was conducted of 47 patients referred to Mensana Clinic with the diagnosis of fibromyalgia, and other diagnoses.
Of the 47 patients, 9 received only an initial evaluation, and 38 received a partial or complete diagnostic evaluation.
The diagnostic criterion for fibromyalgia was not met in 37 of 38 patients.
Therefore, 97.3% of patients were misdiagnosed by referring doctors as having fibromyalgia, when they did not meet the diagnostic criteria (errors of commission). Additionally, referring physicians made only 7/50 diagnoses (including fibromyalgia) that were confirmed by objective testing or diagnostic criteria, which means 86 % of the time they made diagnoses that were not confirmed.
Referring physicians also failed to diagnose 133 medical conditions that were confirmed by objective testing at Mensana Clinic, for a failure to diagnose rate of 94.3% (errors of omission). Of the patients misdiagnosed with fibromyalgia, i.e. told they had fibromyalgia when they did not, 94.2% of them were women.
...
"this article show that disc disruptions occur in a significant number of patients mistakenly diagnosed with fibromyalgia. The mechanisms for the source of pain from internal disc disruption, which escapes detection on MRI 78% of the time, have been well described [31,32]. Essentially, the nucleus pulposa herniates into the posterior portion of the annulus (disc), where pain fibers are located [32]. However, there is no anatomical disruption of the disc, so the disc appear normal on MRI but produces the same clinical features of a herniated disc where the nucleus pulposa compress the nerve root or spinal cord, with associated neck, back or limb pain, and severe muscle contractions [31,32]."
...
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