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Undaunted by vague symptoms and physical findings that border on the subjective (is tenderness an objective finding?) rheumatologists learn to recognize and manage soft-tissue pain syndromes where cause, pathogenesis, natural history and sometimes therapy remain unclear. Some observers suggest that fibrositis and regional myofascial pain disorders do not deserve designations more dignified than "aches and pains," especially because tissue sections from trigger points and tender sites fail to reveal consistent abnormalities. Clinicians who manage patients with musculoskeletal symptoms, however, generally acknowledge the validity of these disorders. Although not well grounded in science, soft-tissue rheumatism constitutes the current explanation for common
Soft Tissue Rheumatic Pain. Recognition, Management, Prevention.. Ann Intern Med. ;107:269. doi: 10.7326/0003-4819-107-2-269_1
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Published: Ann Intern Med. 1987;107(2):269.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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