BOOKS ON HEALTH
New Order for a Disorder
By JOHN
LANGONE
ll
About Fibromyalgia," by Dr. Daniel J. Wallace and Janice Brock
Wallace, Oxford University Press, $27.50.
This is a book about a disorder that some doctors say does not
exist.
But fibromyalgia is real enough, the authors say, though criteria
for defining it were not endorsed by organized medicine until 1990.
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The authors describe it as a poorly understood form of chronic
neuromuscular pain, and the Arthritis Foundation classifies it
vaguely as a sort of "soft tissue rheumatism."
One author, Dr. Wallace, has treated hundreds of fibromyalgia
sufferers, and he clears up much misunderstanding about a disease
that has sent six million Americans to doctors with complaints that
often get them turned away or treated for depression.
Essentially, Dr. Wallace says, the disease involves widespread
pain lasting at least three months. Often it is associated with
trauma, stress and diseases like lupus, hepatitis and Lyme disease.
Withdrawal from medications, especially steroids, can set it off.
Apart from his clear descriptions of the basic science behind the
disorder and the new drug treatments available, Dr. Wallace emerges
as a strong advocate for those plagued by it. "Many employers," he
writes, "do not realize that fibromyalgia is a treatable workplace
problem. It can impair job performance even though its symptoms and
signs are invisible."
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