[Somatoform Pain Disorder and Fibromyalgia--difficulties and problems of their judgement in German consultant praxis].
In the last 20 years the fibromyalgia syndrome and the somatoform pain disorder became more and more important in clinical medicine and in legal affairs. The consultant meets progressive more specific questions, which are not sufficient mentioned in the medico-legal recommendations and at least national "guide-lines" of medical societies.


METHODS
By an casuistic approach we try to show the implications of the often seen comorbidity of these two common disorders (i.e. the fibromyalgia syndrome and the somatoform pain disorder) both in legal and in medical perspectives.


RESULTS
At the moment the medico-legal recommendations and the national "guide-lines" of medical societies are often not sufficient to decide many of the the legal implications and consultant questions that result from the comorbidity ot these often seen "modern disorders". Therefore we try to develop in an single case the solution principles of appropriate judgement for the functional effects of comorbidity with fibromyalgia syndrome and the somatoform pain disorder.


CONCLUSIONS
Because of the wide spectrum of comorbid symptoms between these both disorders one must analyse any specific case very exactly and prove the individual functional implications of the comorbidity in correlation to the degree of impairement. We try to show in an casuistic presentation the possibilities of judgement according the appointments of german law.
Kohl
F
F
Facharzt für Neurologie/Psychiatrie und Psychotherapie/Psychotherapeutische Medizin/Spezielle Schmerztherapie/Rehabilitationswesen, Freiburg.
D003937:Diagnosis, Differential; D005356:Fibromyalgia / Q000175:diagnosis*; D005858:Germany; D006801:Humans; D010146:Pain / Q000209:etiology*; D013001:Somatoform Disorders / Q000175:diagnosis*; D013577:Syndrome