Widespread chronic pain disorder affecting muscles, tendons, and soft tissues. Rated under 38 CFR 4.71a, DC 5025. Commonly associated with sleep disturbance, fatigue, cognitive difficulties (fibro fog), and tender points.
That is constant, or nearly so, and refractory to therapy
That is episodic, with exacerbations often precipitated by environmental or emotional stress or by overexertion, but that are present more than one-third of the time
That requires continuous medication for control
Medical Evidence
Current diagnosis from a qualified healthcare provider, medical records documenting symptoms and treatment history
Service Connection
Evidence linking your condition to military service (service treatment records, incident reports, or nexus letter)
Personal Statement
Your detailed account of how fibromyalgia (myofascial pain syndrome) affects your daily life and when symptoms began
Lay Evidence
Buddy letters from fellow service members or family who can corroborate your symptoms
During your Compensation & Pension exam for fibromyalgia (myofascial pain syndrome), examiners will assess your symptoms against the rating criteria above.
Be specific: Describe your worst day, not your average day
Document everything: Bring copies of all medical records and evidence
Functional impact: Explain how symptoms affect work, sleep, and daily activities
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