Show Summary Details
Page of

Functional Pain Syndromes 

Functional Pain Syndromes
Chapter:
Functional Pain Syndromes
Author(s):

Claudia Sommer

and Nurcan Üçeyler

DOI:
10.1093/med/9780199768882.003.0004
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2021. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

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.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.