Intensität von Gliederschmerzen und Erschöpfung bei Fibromyalgiesyndrom, depressiven Störungen und chronischen Rückenschmerzen

Abstract

High levels of the intensity of chronic widespread musculoskeletal pain and chronic fatigue may form the basis of a symptom-based diagnosis of FMS.

Not a general, symptom-unspecific, transdiagnostic marker for functional symptoms: sensorimotor processing of head control is intact in chronic pain

“…Generally defined as pain without a structural origin (e.g., tissue damage) that could sufficiently explain the symptoms, functional pain is often used as an umbrella term for a range of pain phenomena, ranging from a single symptom (e.g., neck pain) to separately defined syndromes such as fibromyalgia or complex regional pain syndrome ( 5 ). In contrast to nociceptive pain (i.e., pain due to nociceptor activation) or neuropathic pain (i.e., pain due to nerve damage) affecting the structure of the body, nociplastic or functional pain—as the name already suggests—is concerned with the (dys)function of the organism: due to their symptoms, affected persons are considerably impaired in many facets of everyday functioning (e.g., physical activity, mental wellbeing, and social participation) ( 6 ), sometimes even more so compared to patients with nociceptive or neuropathic pain ( 7 , 8 ). Importantly, simply relieving any (remaining) underlying structural impairment will not lead to a remission of functional pain symptoms ( 9 ).…”