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Related Experiment Video

Updated: Jul 14, 2026

A Randomized, Sham-Controlled Trial of Cranial Electrical Stimulation for Fibromyalgia Pain and Physical Function, Using Brain Imaging Biomarkers

A Randomized, Sham-Controlled Trial of Cranial Electrical Stimulation for Fibromyalgia Pain and Physical Function, Using Brain Imaging Biomarkers

Published on: January 5, 2024

Fibromyalgia: revisiting the literature.

Diane Forbes¹, Andrew Chalmers

¹bots@telus.net

The Journal of the Canadian Chiropractic Association

|June 6, 2007

Summary

Fibromyalgia, characterized by chronic pain and tender points, lacks a clear pathological basis. While treatments help coping, they don't eliminate symptoms, and prognosis varies.

Area of Science:

Rheumatology
Pain Medicine
Clinical Immunology

Background:

Fibromyalgia presents with widespread chronic pain and specific tender points.
The American College of Rheumatology (ACR) criteria identify tender points but lack empirical pathological links.
Fibromyalgia may coexist with psychological conditions, but its etiology remains unclear.

Purpose of the Study:

To review the clinical presentation and diagnostic criteria for fibromyalgia.
To examine the empirical evidence supporting the link between tender points and pathological processes.
To assess the measurement of outcomes and prognosis in fibromyalgia patients.

Main Methods:

Literature review of studies utilizing ACR criteria for fibromyalgia diagnosis.

Related Experiment Videos

Last Updated: Jul 14, 2026

A Randomized, Sham-Controlled Trial of Cranial Electrical Stimulation for Fibromyalgia Pain and Physical Function, Using Brain Imaging Biomarkers

A Randomized, Sham-Controlled Trial of Cranial Electrical Stimulation for Fibromyalgia Pain and Physical Function, Using Brain Imaging Biomarkers

Published on: January 5, 2024

Analysis of research on the association between tender points and underlying pathology.

Evaluation of outcome measurement tools and prognostic factors in fibromyalgia care.

Main Results:

No solid empirical evidence links the 11 or more tender points to a specific pathological process.
Tender points may be a concomitant finding in psychological disease states, not offering etiological insight.
Outcome measurement in fibromyalgia is challenging, with poor prognosis in specialty care but variable outcomes in the general population, including spontaneous improvement.

Conclusions:

Fibromyalgia's distinct presentation, marked by chronic pain and tender points, lacks a defined pathological basis.
Current treatments primarily aid in coping with fibromyalgia symptoms rather than eliminating them.
Prognosis for fibromyalgia varies, with some patients improving without specific interventions.