FMS diagnosis and treatment

How is fibromyalgia diagnosed?

A definite diagnosis is possible with the two classics of medical questioning and examination techniques. First, the patient is asked about their medical history, starting from the time at which the patient began to walk as a child. Typical signs of the disorder in childhood include walking on tiptoe without placing weight on the heels and so called growing pains in the school period.

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Problems typically occur starting in first or second grade elementary school, and increase during puberty. Girls are particularly affected, starting with their first period. Starting from the 11th to 15th year of life, sports or physical work, e.g. during the apprenticeship period, become more and more impossible. The medical history also includes questions about occupational activities, the family environment and everyday life.

Then the most frequently diseased points on the body – which are painful to pressure – are palpated (described in the publication: Bauer, JA, Fibromyalgia: A clear diagnosis is possible. Frontier Perspectives 16/2, 11-18, Philadelphia (2008)).

Herein the intensity of the pressure is of no meaning. The focus is on answering the question: Is the pressure bothersome or painful? The intensity of the pain shows itself as a subjective sensation for the patient. The distribution pattern – the «map» of points which are painful on pressure – is decisive.

Treatment of FMS

Currently taught opinion states that fibromyalgia is incurable. Accordingly, only symptoms are treated; that is, the pain is reduced with medications. At best, diagnosed depression is treated; it is often erroneously assumed that this caused the fibro, even though it is usually only a consequence of the pain syndrome and the lack of help against it. Physiotherapy, which is also often prescribed, even intensifies the pain, since the adhered nerve tracts are stretched or overstretched due to the adhesion.

The method of Dr. Bauer has been successfully practiced for more than 20 years (see «Patient testimonials»), but is not recognised by academic medicine. Among other things, the problem is that a double blind study as in pharma research (comparison groups) is not possible in surgical cure methods. The carefully implemented multi-year statistics of the patients successfully treated in past decades, however, prove the efficacy of the method according to Dr. Bauer.

Treatment of fibro according to Dr. Bauer is based on the fact that the nerves – due to different causes – excrete proteins which clump in the nerve canals, resulting in pain syndrome due to pressure on the nerve. The thickened places in the nerve tracts can be shown during surgery. Surgical interventions make it possible to clear the nerve tracts again, removing the pain. It is possible that several interventions will be required to remove all pain points (for details on the tender points, also see «Specialised information for physicians and health insurance funds»).

Side effects / relapses

Surgery is performed on an outpatient basis. It generally leaves a scar which is approx. 10 cm in length. We are not aware of other side effects; none of the surgeries performed thus far resulted in impairments of the nervous system.

During the surgery, not only is the scarred adhesion tissue removed, but the point of passage of the anatomical triad artery-vein-nerve (= vascular nerve tree) is additionally widened. The contents therefore receive a wide new bed. This is comparable to the principle that smaller ponds freeze over more quickly in winter than big ones. It is the same with widening the ALP – the space which is created removes the risk of new adhesions.