A Review of the Book by Mark Pellegrino, MD

"Understanding Post-Traumatic Fibromyalgia"

Newsgroups: alt.med.fibromyalgia
From: Dragonrider (Lois)
Original Date: Sat, 5 Oct 1996

About the book "Understanding Post-Traumatic Fibromyalgia" by Mark Pellegrino, MD. Anadem Publishing, 1-800-633-0055 to order, $16.25. ISBN 0-9646891-8-9

I got the book, "Understanding Post-Traumatic Fibromyalgia" today, and am *so* impressed and relieved to read confirmation of what I have believed. It talks specifically about regionalized fibromyalgia following trauma, which then becomes more generalized over time. This is as much a book for treatment professionals as for patients, and I wish every doctor had a copy. It is extremely thorough, detailed, and well-written.

It covers (chapters):

1. Fibromyalgia: The Basics
2. Is There a Controversy Regarding Fibromyalgia's Existence?
3. Post-Traumatic Fibromyalgia Overview
4. The Whiplash Injury
5. The Medical History in Post-Traumatic Fibromyalgia
6. The Physical Exam in Post-Traumatic Fibromyalgia
7. Diagnostic Testing Post-Traumatic Fibromyalgia
8. Diagnosing Post-Traumatic Fibromyalgia
9. Mechanisms of Post-Traumatic Fibromyalgia
10. Treatment of Post-Traumatic Fibromyalgia
11. Prognosis in Post-Traumatic Fibromyalgia
12. Special Situations in Post-Traumatic Fibromyalgia
13. Who is a Fibromyalgia Expert?
14. Medical Testimony in Post-Traumatic Fibromyalgia (for Comp, SSDI, etc.)
15. The Future in Fibromyalgia

There are tables - ex. of the 4 types of fibromyalgia:

1. Primary fibromyalgia
2. Concomitant fibromyalgia (occurs along with another condition such as osteoarthritis or scoliosis, with no clear relationship.
3. Secondary (or reactive) fibromyalgia, 2 types:

a. Fibromyalgia that ocurs in the presence of an underlying disease, such as RA, lupus hypothyroidism, or cancer.)

b. POST-TRAUMATIC FIBROMYALGIA: is a special category of secondary fibromyalgia commonly seen following a trauma such as a motor vehicle accident or work injury. [This particular type will be emphasized in this book.]

4. Regional fibromyalgia (More localized form of fibromyalgia, has fewer than 11 of 18 positive tender points.)

There is *so* much here. He distinguishes, for instance, the differences between myofascial pain syndrome (where such associated conditions such as irritable bowel syndrome, irritable bladder and depression are usually not seen, as they ARE in fibromyalgia.)

I HIGHLY recommend this book!

Be well, Lois

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