2265 North Clybourn Avenue    Chicago, IL 60614    P: 773.296.6700     F: 773.296.1131

Fibromyalgia: Gender Discrimination and Fibro Pain

Let me start with a fact that many doctors acknowledge but prefer not to discuss: Numerous well-conducted studies have shown that all chronic pain patients, but especially women, are seriously undertreated by physicians.

This can be any type of chronic pain–from fibromyalgia, arthritis, cancer, an autoimmune disorder like lupus, anything. If you’re a woman, expect to get short shrift from your doctor–male or female–when it comes to pain control.

Are the reasons for this rooted in a heritage that (wrongly, in this case) admires stoicism? Whatever the cause, too many physicians feel annoyed by the chronic pain patient, quickly labeling her as “needy” or a “hypochondriac,” especially if she has fibro with its raft of negative tests.

Young girls probably pick up on this minimizing of pain early in life. Her sports injury couldn’t possibly be as painful as her brother’s, because, well, she didn’t (shouldn’t?) play as hard. Painful menstrual cramps are another example. Teenage girls regularly faint from them, but often hear “Take a Midol and get used to it.”

The irony is that women are generally more articulate about their symptoms than men, willing to discuss pain with a sympathetic physician who might offer relief. Too frequently, though, women in pain leave the doctor’s office with a sense that wherever the pain is coming from, they’re going to have to learn to live with it.

With this pervasive gender prejudice, you can bet getting adequate pain relief for fibromyalgia (affecting females 95% of the time) is extremely rare. Remember, because fibro falls under the radar screen of diagnostic tests, the vast majority of doctors will not write a decent pain medication prescription for this “non-disease.”

So what kind of treatment can one of the roughly 20 million fibromyalgia patients expect to receive when, after seeing the (statistically-based average of) five physicians who “don’t know what’s wrong” with her, finally finds one who actually diagnoses her fibro?

Disappointment.

The average fibromyalgia patient is kept on an astonishing number of prescription drugs–usually about five–and amazingly enough, not one of these is an actual pain medication.

Five individual prescriptions is a huge number. A doctor can bring high blood pressure under control with one, perhaps two, pills a day. High cholesterol? One. Fibro, five. Why so many? Because he’s treating symptoms, not any specific illness, and fibro brings with it a multitude of symptoms.

But what about the ads you see on TV for fibro pain medications, such as Lyrica? These aren’t actually pain meds (you wouldn’t take Lyrica for a toothache), but various chemicals with many effects on the body (both good and bad), one of which can reduce fibro pain somewhat. If the good effects outweigh the bad, you might feel a little better.

On the other hand, a true pain med (an analgesic) stops pain in its tracks, whether the pain is from an abscessed tooth, cancer, a migraine, or fibro. And this is the one type of medication a fibro patient usually doesn’t receive.

Next week we’ll talk about why this is so, along with those five fibromyalgia prescriptions patients do get.

In the meantime, learn about the organization For Grace, founded by a badly injured former dancer, Cynthia Toussaint, who writes:

“…my doctors completely ignored my symptoms. For the next 13 years, they told me my condition was ‘all in my head’ while the disease with no name mercilessly spread throughout my entire body.”

She realized how poorly women in pain were served by physicians and set about to increase the awareness of the public, physicians, politicians, and health insurers. A good person, Cynthia. Tough, despite her relentless pain.

Click here for Part 5.

Leave a Comment


  1. Mary Hall says:

    Boy, this is just a ray of sunshine….

    M.

  2. Mary Hall says:

    Dr.,

    Medical marijuana has been in the news a lot lately. Has this remedy been evaluated for success with Fibro pain? What is the prevailing opinion?

    Thanks.

    M.

  3. paulrubin says:

    It has not been adequately tested but knowing that fibro is a reaction of the muscles to stress and marijuana reduces the sense of stress, it probably works quite well.

  4. marylou carroll says:

    The entire fibro series has been invaluable. Thank you.

  5. Mindi Anderson says:

    This series has been eye-opening for me. I nearly wept when I read the symptoms I have been experiencing are those of fibro. I’m not crazy. Thanks so much!!!

  6. wandering through says:

    It makes no difference whether the pain is from fibro or cancer, pain medication is routinely under-prescribed. Gender discrimination is real, but the doctor fails to point out that one of the major reasons for under-prescription of pain medications is fear of reprisal by the DEA. Doctors specializing in pain management/relief have been tried and convicted to lengthy jail terms for prescribing adequate pain medication. This over-zealous prosecution of the misguided “war on drugs” is at least as much to blame as any perception that women’s pain just doesn’t matter.

  7. Aloka Dalal says:

    Women’s health was always on the “back burners” of medicine. We have been told to “grin and bear”it. Our bodies are physiologically made to endure more pain than an man (childbirth) but that should not eliminate the fact we do feel pain. Whether it is the Industrialized west or the third world East, we ignore our female patients and try to trivialize their problems into categories of “hypochrondria/menopause/avoidance of work/attentionseeking” .Some of my medical professors taught us to look “deeper” into a complaint made by women and indirectly suggesting that it may be psychosomatic in nature. Also through their actions their attitude they condoned the difference in treatment of women. From doctors to insurance companies they want to make sure that women get the short end of the stick.

  8. Jennifer says:

    THIS IS SO TRUE! I have cysts in my abdomen from a surgery I had. The sutures have become balls of pain and doctors really just don’t care how much pain I’m in. However, my husband has a mysterious knee issue, and they’re pratically throwing pain medications at him.

  9. lisa Vandenberg says:

    Great source of information. I feel like giving up…..I’m. a Disabled Veteran, so my healthcare is poor, to say the least, especially when your medical chart is marked with Fibro. The doctors make you feel like your wasting their time, with their remarks. This disease is starting to be recognized as an autoimmune disease. Good luck to all of you, be strong.

  10. Linda says:

    I love reading your articles, I have to believe that there will be a cure. MMJ is the only thing that doesn’t make me sick, it helps quite a bit!

    Thank you,
    Linda

Join our Newsletter

Get health recommendations, delicious and time-saving recipes, medical news, supplement reviews, birthday discounts, and more!

BIRTHDAY

Health Tips

Dr. Edelberg’s Health Tips contain concise bits of advice, medical news, nutritional supplement and pharmaceutical updates, and stress relief ideas. With every Health Tip, you’ll also receive an easy, delicious, and healthful recipe.

When you sign up to receive Health Tips, you can look forward to Dr. Edelberg’s smart and very current observations arriving in your in-box weekly. They’re packed with helpful information and are often slightly irreverent. One of the most common responses to the tips is “I wish my doctor talked to me like this!”

Quick Connect

Get One Click Access to our

patient-portal

The Knowledge Base

Patient education is an integral part of our practice. Here you will find a comprehensive collection of staff articles, descriptions of therapies and nutritional supplements, information addressing your health concerns, and the latest research on nutritional supplements and alternative therapies.

Join our Newsletter

Get health recommendations, recipes, medical news, supplement reviews, birthday discounts, and more!

Upcoming Workshops

**Winter Solstice Celebration: Drumming Circle and Shamanic Healing
Wednesday, December 19, 2018, 5:45-7:30pm
Katie OberlinHTCP/I
Healing Touch Certified Practitioner/Instructor
Fee: $55.00

Take a break from the hustle and bustle of the holiday season to enter the stillpoint of the Winter Solstice, reflect on the lessons of 2018, and set intentions for the new year. This will be an evening of individual and group healing, ceremony, and celebration.

Space is limited and registration is required.
Please register online.
Call the Center for additional information at (773) 296-6700
More>>

Recent Health Tips

  • Making Sense of “Controversial” Diagnoses

    I’m warning you in advance. You’re entering a minefield here, with explosive views among seemingly conservative health care professionals. At least wear a helmet. Protective eyewear wouldn’t hurt either. You wouldn’t think a slew of conditions you’ve heard about (including chronic Lyme disease, chronic fatigue syndrome, fibromyalgia, chronic Epstein-Barr, toxic mold syndrome, food sensitivities, intestinal dysbiosis, chronic inflammatory response syndrome, and mast cell activation syndrome) Read More

  • Getting Tough With Your Immune System

    No reasonable physician (I modestly include myself here) can refrain from crowing delightedly when a clinical study confirms the value of a treatment he or she had been using for years, even if that treatment had contradicted prevailing standards. Ever since I learned something about natural medicine, I’ve been reluctant to prescribe antibiotics for respiratory tract infections, such as colds, sore throats, and bronchitis. Many physicians had Read More

  • For A Longer Life…Stand Up Now!

    By far the most common answer to my question, “Exercising these days?” is “Not enough.” This is usually accompanied by the briefest flicker of melancholy regret, as if by such a confession my patient has permanently abandoned the hopes and dreams of both a svelte body and enviable longevity. “Don’t worry,” I say, “It’s just a temporary glitch. You’ll start up again.” (Nod, nod). I Read More

December Sale: 20% Off the UltraLux IV Light Box

Full Spectrum Solutions has been an industry leader for the past 20 years, offering therapeutic lighting that is made right here in the Midwest (Michigan). The UltraLux IV is the first and only LED light therapy unit on the market that is both fully adjustable. Unlike many of their competitors, they boast a high CRI rating (90+) and a lifetime warranty so you never have to purchase replacement bulbs again. Full spectrum light therapy is often recommended in cases of Seasonal Affective Disorder (SAD) to help make up for the sunlight that is missing from these shorter, winter days.

To learn more about and purchase the UltraLux IV, click here.

To see past Health Tips on Seasonal Affective Disorder (SAD) and Dr. Edelberg’s recommendations, including a full spectrum light box like the UltraLux IV, click here.