FROM OUR EXPERTS
Premenstrual tenderness and swelling of the breasts; Breast tenderness - premenstrual; Breast swelling - premenstrual
Valea F, Katz V. Breast diseases. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM. Comprehensive Gynecology . 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 15.
Braverman PK. Premenstrual syndrome and premenstrual dysphoric disorder. J Pediatr Adolesc Gynecol . 2007; 20(1):3-12.
Yonkers KA, O'Brien PM. Premenstrual syndrome. Lancet . 2008;371(9619):1200-1210.
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...
The American College of Rheumatology (ACR) published a new set of diagnostic criteria they are proposing for fibromyalgia in the May issue of the ACR journal Arthritis Care & Research. The new criteria includes common symptoms such as fatigue, sleep disturbances, and cognitive problems, as well as pain. The original diagnostic criteria , established by the ACR in 1990, required the patient to have: 1) A history of widespread pain in all four quadrants of the body for a minimum duration of three months, and
2) Pain in at least 11 of 18 designated tender points when four kilograms (about 10 pounds) of pressure are applied. Problems With the Old Criteria “There are numerous shortcomings with the previous criteria, which didn’t take into account the importance of common symptoms including significant fatigue, a lack of mental clarity and forgetfulness, sleep problems and an impaired ability to function doing normal activities,” said Robert S. Katz, one of th...
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