Disturbances of Pain Perception in Fibromyalgia

  • Eva Kosek
Part of the Plenum Series in Rehabilitation and Health book series (SSRH)


Fibromyalgia (FM) is a chronic pain syndrome characterized by widespread pain, tenderness, disturbed sleep and pronounced fatigue (Boissevain & McCain, 1991a,b). A number of associated symptoms, such as morning stiffness, headache, subjective swelling, paresthesiae, irritable bowel syndrome, irritable bladder and psychological distress are commonly seen in FM patients. The pain present in FM is migrating, i.e., the localization of maximal pain intensity differs from day to day. Using the McGill pain questionnaire FM patients described their pain as being anatomically more extensive and stronger regarding the sensory and affective pain dimensions than did patients with rheumatoid arthritis (RA) (Uveges, Parker, Smarr, McGowan, Lyon, Irvin, Meyer, Buckelew, Morgan, Delmonico, Hewett, & Kay, 1990). However, in other studies, the sensory, affective, and evaluative scores were essentially equal for the FM and RA patients (Leavitt, Katz, Golden, Glickman, & Layfer, 1986; Nolli, Ghirelli, & Ferraccioli, 1988).


Pain Threshold Temporal Summation Fibromyalgia Syndrome Pressure Pain Threshold Quantitative Sensory Testing 
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Copyright information

© Springer Science+Business Media New York 2004

Authors and Affiliations

  • Eva Kosek
    • 1
  1. 1.Department of Rehabilitation MedicineKarolinnska HospitalStockholmSweden

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