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Characterized by chronic widespread pain, fibromyalgia presents complex problems in both its diagnosis and treatment. Fibromyalgia is a fairly common condition, affecting 2-4% of the population. The condition's prevalence has increased dramatically since 1990. The condition is not new, but has been known by various names, such as fibrositis and myofascial pain syndrome until 1990, when the American College of Rheumatology (ACR) published new classification criteria and first used the name fibromyalgia. The absence of objective diagnostic testing and the overlap with other condition often leads

Fibromyalgia. --- Myalgia.

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Musculoskeletal system --- Musculoskeletal Pain --- Myalgia --- Diseases

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Eosinophilia-myalgia syndrome. --- Tryptophan --- Biotechnology --- Safety measures. --- Toxicology.

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Given the potential problems that can obscure any scientific enterprise, inconsistent results across studies are bound to occur. How are we to decide what is true? Let's turn to philosophy for a reasonable answer. The mathematician-philosopher Bertrand Russell approached a similar problem in his monograph The Problems of Philosophy (Russell B, 1912). He addressed the following question: How do we know that anything is "real"? Is the only reality subjective and simply in our minds, as Bishop Berkley challenged, or can we mostly believe the objective reality? His pragmatic answer: All possibilities may be true, but when the preponderance of evidence indicates that objective reality and knowledge are the most probable case, go with it. If the preponderance of all evidence about the clinical description of fibromyalgia and it's pathogenic mechanisms and treatment strategies indicate a highly probable interrelated hypothesis, go with it. The direction of the literature on the whole trumps the less likely tangents. At the same time, remember Bertrand Russell and his pragmatic answer, and keep an open mind.

Fibromyalgia. --- Fibrofascitis --- Fibrositis --- Muscular rheumatism --- Fasciae (Anatomy) --- Myalgia --- Rheumatism --- Inflammation --- Anatomy

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Acupuncture. --- Myofascial Pain Syndromes --- Acupuncture --- Musculoskeletal system --- Myalgia --- Appareil locomoteur --- Myalgie --- therapy. --- Diseases --- Treatment --- Maladies --- Traitement