Palm Springs, Calif.—Several recent papers show that up to half of patients with fibromyalgia have objective evidence of small-fiber polyneuropathy (SFPN), a known peripheral nerve disease that can be tested for objectively and in some cases is curable. This is the first firm evidence of a biological mechanism for fibromyalgia, a disease that was often thought to be psychosomatic.
“If so many fibromyalgia patients might have SFPN, we’ll need ways