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Functional Pain Syndromes 

Functional Pain Syndromes
Functional Pain Syndromes

Claudia Sommer

and Nurcan Üçeyler

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date: 27 July 2021

Chapter 4 introduces Susanne Adam, a 57-year-old woman who first noticed fatigue and reduced working performance at the age of 42 with diminished alertness and difficulties in concentration. She also developed pain in the extremities that was initially changing in location and intensity. Until then she had never been seriously ill. However, within 2 years the muscle pain became permanent in the arms and then also in the legs. Symptoms rapidly progressed with additional complaints such as alternating episodes of diarrhea and obstipation, and urge incontinence. These gastrointestinal and bladder symptoms were followed by the occurrence of daily headache and severe sleep disturbances with less than 4 hours of nonrefreshing sleep per night. From the age of 49 years, Ms. Adam was no longer able to work full time as a geriatric nurse, and 1 year later fibromyalgia syndrome (FMS) was diagnosed. She then took part in a mind–body rehabilitation program that she considered beneficial. However, she was still unable to return to work.

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