Goldenberg, D L · Current opinion in rheumatology · 1995 · DOI
This review article examines fibromyalgia, chronic fatigue syndrome, and related muscle pain conditions. Research using specialized magnetic imaging showed that muscle damage is not the main problem in fibromyalgia. Scientists are now focusing on how the brain and nervous system may be involved in these conditions, using new technologies to better understand what causes them.
This early perspective helped redirect ME/CFS research away from peripheral muscle abnormalities toward central nervous system dysfunction, establishing a more accurate foundation for future investigations. The recognition that muscle is not the primary problem validated patients' experiences while opening new avenues for targeted research and potential treatments.
This editorial does not prove what the primary cause of ME/CFS or fibromyalgia is—only that muscle damage is not it. The article does not establish efficacy or long-term safety of any specific treatments, and the association with Lyme disease requires further investigation to clarify causation versus coincidence.
About the PEM badge: “PEM required” means post-exertional malaise was an explicit required diagnostic criterion for participant inclusion in this study — not that PEM was studied, observed, or discussed. Studies using criteria that do not require PEM (e.g. Fukuda, Oxford) are tagged “PEM not required”. How the atlas works →
The first block is for the primary paper and is the citation you should use in research work. The atlas-snapshot line only applies if you are specifically referring to this atlas’s reading of the paper on the date shown.
Primary citation
Goldenberg, D L (1995). Fibromyalgia, chronic fatigue syndrome, and myofascial pain syndrome.. Current opinion in rheumatology. https://doi.org/10.1097/00002281-199503000-00011
BibTeX
@article{mecfsatlas-goldenberg-1995-fibromyalgia-chronic,
author = {Goldenberg, D L},
title = {Fibromyalgia, chronic fatigue syndrome, and myofascial pain syndrome.},
journal = {Current opinion in rheumatology},
year = {1995},
doi = {10.1097/00002281-199503000-00011},
note = {PubMed: 7766493},
url = {https://www.mecfsatlas.com/evidence/goldenberg-1995-fibromyalgia-chronic},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-29. https://www.mecfsatlas.com/evidence/goldenberg-1995-fibromyalgia-chronic
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