Fibromyalgia is a musculoskeletal disorder consisting of constant debilitating pain in several “trigger points,” or areas of generalized pain and tenderness. In order to be considered for the diagnosis of fibromyalgia, one must exhibit pain to light palpation in 11 of 18 trigger points.
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.