Fibrositis

Fibrositis—muscular or nonarticular rheumatism—is a controversial diagnosis; nevertheless it represents a real entity, whether primary or secondary. The outstanding symptoms are pain and stiffness. Objective findings are “trigger areas” and indurations. The most common sites are the soft tissues of the neck, shoulder, elbow, carpal tunnel, palms (Dupuytren's contracture) and low back, but sometimes the syndrome is generalized. Therapy for each type is outlined. The immediate treatment usually includes the administration of analgesics, immobilization of the affected area, and infiltration of the trigger points with procaine and adrenocortical steroids. Physical therapy (heat, massage and described exercises) is indispensable.