Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. Researchers believe that fibromyalgia amplifies painful sensations by affecting the way your brain processes pain signals. Symptoms sometimes begin after a physical trauma, surgery, infection or significant psychological stress. In other cases, symptoms gradually accumulate over time with no single triggering event. Women are much more likely to develop fibromyalgia than are men. Many people who have fibromyalgia also have tension headaches, temporomandibular joint (TMJ) disorders, irritable bowel syndrome, anxiety and depression…The pain associated with fibromyalgia often is described as a constant dull ache, typically arising from muscles. To be considered widespread, the pain must occur on both sides of your body and above and below your waist. Fibromyalgia is characterized by additional pain when firm pressure is applied to specific areas of your body, called tender points. Tender point locations include: back of the head; between shoulder blades; top of shoulders; front sides of neck; upper chest; out elbows; upper hips; sides of hips; and inner knees.
Unfortunately, it is unknown what causes fibromyalgia, although several factors are considered, including weight, gender, age, and genetics. We often see insurance companies deny claims because of fibromyalgia, citing a lack of objective evidence.
While objective evidence generally does not exist in these cases, our office has multiple arguments against the insurance company’s insistence on objective evidence to grant benefits.
Fibromyalgia, Mayo Clinic (Aug. 11, 2017), https://www.mayoclinic.org/diseases-conditions/fibromyalgia/symptoms-causes/syc-20354780.