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What is FMS? What is Fibromyalgia?
FMS (Fibromyalgia Syndrome) is a disease that affects the connective tissue and locomotor system with pain and fatigue disorder in muscles, ligaments and tendons (the connective tissues of the body which consist of fibers). "Fibro" describes the fibrous aspect, "my" the muscular aspect, and "algia" the condition of pain.
The term can be abbreviated to fibromyalgia.
The concept could be germanized and we could therefore talk about Faser-Muskel-Schmerz (FMS) In order to formulate the FMS acronym differently, the German terms with the same capital letter are used: Faser- Muskel-Schmerz = Pain–Muscle–Fiber, but the term Fibromyalgia is adopted and the English denomination Fibromyalgia (which is pronounced as: faibromaalgia).
is FMS Diagnosed? For the most part, laboratory testing reveals nothing.
It is particularly not possible to prove any changes as this can be done with classical rheumatism, the chronic polyarthritis (CP). This true and important fact leads to simplified diagnoses of "false rheumatism" in contrast to real rheumatism.
While in the case of real rheumatism cortisone must be used, according to American rheumatologists, it may not be prescribed for fibromyalgia.
In 1990, American rheumatologists published the multi-center-criteria-study defining the clinical and examinational criteria. Patients must be in pain for a minimum duration of 3 months and at least 11 of the 18 specified tender points of the body must be painful on pressure.
The physician will exercise pressure with his thumb or his index finger and for research purposes, equipment will be used that exercises a precisely defined degree of pressure per cm2.
The spots that react painful to the pressure are called "tender points" and must not be confused with the trigger points of myofascial pain which hurt by themselves and can cause pain in a different part of the body – this is called long- distance effect, referred pain, comparable to the long-distance effect of acupuncture points. It is remarkable that fibromyalgia deals not only with tender points but with trigger points as well.Precisely the similarities that lead to the mentioned possibilities of confusion, have also been used by Prof. Dr. Bauer and Prof. Dr. Heine (1,2) as a stimulus to discover the common features. It had already been demonstrated that, according to the conclusions of the group around Melzack, the trigger points coincide to 71% with the acupuncture points (3), whereas according to Heine (4), the acupuncture points correspond in 82% of all cases to the anatomically definable nerve-vessel-bunches (NVBs).
This means that it was possible to recognize and describe the acupuncture points as openings through which the mentioned NVBs have passed, which represent precisely the anatomical triad consisting of the 3 components: artery, vein, nerve. Upon closer examination of the 18 tender points, Bauer noticed that they also coincide with known acupuncture points.For Bauer, this was the starting-point to look out for these kind of stenosis and openings of the anatomical triad that correspond to the position of acupuncture points while performing operations on the upper and lower extremities. It was possible to find some of them on the extremities and it was established, that in particular areas 6 to 8 of these holes were frequently glued up, precisely with those patients who, irrespective of surgery, complained of wandering pain.Thus, acupressure diagnostics was born. There is no difference between the application of acupressure diagnostics and the search for painful "tender points", except for the fact that all the points of all the meridians could be affected, and in case they are, they hurt typical of the defined pressure. Each acupuncture point can become a tender point. Thus, all the points of the Large Intestine, the Lung and the Pericardium must be palpated, all the points of the Kidney, the Bladder and the Gall Bladder Meridians and other meridians are examined.The huge number of points allows a more precise diagnosis than the examination of the 18 tender points. It was possible to demonstrate that very often fibromyalgia begins at one quadrant and that the complete picture, which is described as generalized fibromyalgia and which is meant by some American rheumatologists when they require that the patients' pain must affect all four quadrants, is displayed only in the course of a decade. In the case of a young girl, for instance, fibromyalgia begins when she starts her apprenticeship and is mistakenly diagnosed as tendosynovitis, years later the pain includes her shoulders, the back of her neck and of her head, and at a later time the opposite side of her body or her leg as well. In addition, pain in the small of the back will make itself felt particularly during and after a pregnancy. In the end, after 5, 10 or more years "everything hurts": according to this example, stage 1 affected one of the upper quadrants, stage 2 affected one neighbouring quadrant, stage 3 affected both neighbouring quadrants, and stage 4 represents the complete picture – generalized fibromyalgia.
Fibromyalgia can be proved by using acupuncture diagnostics and is no longer neither a wastebasket nor a tentative diagnosis.

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