When I read articles or hear people talk about fibromyalgia, I often see the terms tender points and trigger points used interchangeably. Sometimes even medical professionals will mix them up. The fact is, tender points and trigger points are two very different things. If you have fibromyalgia, you probably know that tender points are used in diagnosing FM. But then what are trigger points?
To learn what each is and how to differentiate between them, read: The Difference Between Tender Points and Trigger Points
For years people with fibromyalgia who are unable to continue working at a full-time job have struggled and worried about whether they would qualify for Social Security Disability. Finally, last week the Social Security Administration issued a ruling providing guidance on how they develop evidence to establish that a person has a medically determinable impairment (MDI) of fibromyalgia, and how they evaluate fibromyalgia in disability claims and continuing disability reviews under titles II and XVI of the Social Security Act. This ruling went into effect on July 25, 2012.
For a complete copy of the ruling, including footnotes, references and a tender point diagram, see Social Security Ruling, SSR 12-2p; Titles II and XVI: Evaluation of Fibromyalgia in the Federal Register. Following is a copy of the core elements of the ruling that I think would be of most interest to people with fibromyalgia.
Fibromyalgia is a complex medical condition characterized p...
Fibromyalgia is usually thought of as a fairly new illness, however, it may have actually existed for centuries. Although the term “fibromyalgia” was first coined in 1976, physicians have written about conditions resembling FM since the early 1800s. Reports of illnesses with strikingly similar symptoms can even be found as far back as around 1500 BC. Notable Historical Accounts Probably the earliest description of a fibromyalgia-like condition is found in the Biblical account of Job’s physical anguish. “I, too, have been assigned months of futility, long and weary nights of misery. When I go to bed, I think, `When will it be morning?' But the night drags on, and I toss till dawn…And now my heart is broken. Depression haunts my days. My weary nights are filled with pain as though something were relentlessly gnawing at my bones.” (Job 7:3-4 and 30:16-17 - NLT) In the 19th century, the English arm...
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