This week we have a topic that we are both excited about, Fibromyalgia and small fiber neuropathy. In the last year there have been numerous landmark scientific studies demonstrating that fibromyalgia patients have problems with the nerves sensing pain. These issues can range from the pain nerves discharging spontaneously and abnormally in fibromyalgia patients to actual nerve degeneration involving the pain nerves, a condition termed small fiber neuropathy.
These studies are of great significance as our understanding of fibromyalgia has drastically changed over the last 25-30 years. What was once a condition that was termed a diagnosis of exclusion, meaning “you don’t have rheumatoid arthritis but you have pain like someone who does and we don’t know what is wrong with you,” has become an entity with many recognized problems in the brain, spinal cord, the immune system, and now the peripheral nerves. We will use today as an update on Fibromyalgia from our broadcast earlier this year.