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Friends...

Always enjoy the exchanges here on The Forum, but now have a problem patient and would like some assistance. She has severe sleep apnea / sleep disturbance / insomnia and suffers from chronic Achilles tendinosis, initially unilateral, now bilateral. Anyone aware of a connection?

Thanks in advance.

 

Fibromyalgia

 

Craig:

Guess I should have filled in the blanks. Her PCP has ruled out fibromyalgia (not certain how one does that), and is as perplexed as me.

She has had sleep issues for 10-15 years, including severe apnea. Just this week (for a variety of reasons), she is being outfitted with a CPAP for the first time after her sleep study last week.

Her shoes fit well and she makes good choices in this regard, with nothing too far up which might be impinging her tendons. There are no significant changes in activities either.

Any other ideas?

 

Its either a big coincidence or its fibromyalgia (or a fibromyalgia related syndrome). Given the diverse clinical presentations of fibromyalgia and the need for time to pass before the 'pattern recognition' reaches a stage before the diagnosis can be made it may be too soon to reach that diagnosis. I more inclined to go with the coincidence idea unless other symptoms develop. See this thread on fibromyalgia.