The main purpose of this web site is to provide a forum for information about Fibromyalgia.  In my recently published book, Healing Fibromyalgia- the three step solution, you can read all about the latest research regarding pain, central sensitivity, the biology of stress, and the newest available treatments for Fibromyalgia.  The book includes many real-life issues that affect patients with Fibromyalgia and describes specifically how they've worked in an integrative way with their caregivers.  Find the path that works best for you in Healing Fibromyalgia- the three step solution, by David Trock, MD and Frances Chamberlain, now available at all bookstores and Amazon.com David Trock, MD Current Positions: Chief of Rheumatology, Danbury Hospital Assistant Professor of Medicine at Yale University School of Medicine Board Certified in Rheumatology and Internal Medicine Fellow of the American College of Physicians Fellow of the American College of Rheumatology    My primary interests include: Fibromyalgia, post-traumatic myofascial pain syndromes, the inflammatory nature of obesity, Rheumatoid Arthritis, Lupus, Vasculitis, Lyme Disease, Rheumatologic issues during pregnancy, Osteoarthritis, Safety and proper use of arthritis medications. HEALING FIBROMYALGIA- The Three-Step Solution Table of Contents Part I: The Problem Chapter 1. Fibromyalgia and Its Common Triggers Chapter 2. The Biology of Chronic Stress Chapter 3. Pain Generators Chapter 4. Sleep Matters Chapter 5. Why Doctors Have Failed Part II: The Solution Chapter 6. Making the correct diagnosis Chapter 7. The Ideal Fibromyalgia Work-up Chapter 8. Your Way to Recovery Chapter 9. New treatments on the horizon Chapter 10. Tools for Managing Your Fibromyalgia Chapter 11. Putting It All Together   Selected Publications: Trock DH: Tired, achy and overweight: the inflammatory nature of visceral obesity.  J Clin Rheum; 2008 (in press). Trock DH, Chamberlain F: Healing Fibromyalgia,the three-step solution (Wiley & Sons publishers), published in April 2007. Trock DH, Voinea A, Wolk J, Majoros S: New Onset Lupus Presenting as Serositis in an 80 year old woman; Does a high-titer ANA in Pleural, Pericardial, or Peritoneal Fluid help confirm the diagnosis?  J Clin Rheum, Vol 11, No 5; 292-293, Oct 2005. Rudinskaya A, Trock DH: Successful treatment of a Patient with Refractory Adult-Onset Stills Disease with Anakinra; J Clin Rheum, Vol 9, No 5, 330-332, 2003. Tikhomirov V, Trock DH: Systemic Necrotizing Vasculitis and Coinfection with HIV and Hepatitis C; J Clin Rheum, Vol 5, 157-164, 1999. Kaluta A, Trock DH, Burns D, Trock E: A Holistic Approach to Reducing the Symptoms of Fibromyalgia; Connecticut Medicine; Vol 63, No 8, 1999. Trock DH, Craft JE: Arthritis & Pregnancy (book chapter); Medicine of the Fetus and Mother, Edited by Reece & Hobbins; B. Lippincott, Philadelphia, 1992. Malawista SE, Trock DH, Edelson R: Treatment of Rheumatoid Arthritis by Extracorporeal Photochemotherapy; Arthritis and Rheumatism, Vol 34; 646-654, 1991. Trock DH, Becker CB: Thyrotoxicosis Resembles Lyme Disease; Annals of Internal Medicine; Vol 114, 914-915, 1991. In addition, I've described a syndrome called TEDIOUS Syndrome, an overlap of fibromyalgia and metabolic syndrome.  This striking co-occurrence of obesity, pain, and fatigue is attributed to the inflammatory nature of visceral adipose tissue (abdominal fat).  Originally described as an acronym for traumatic eating disorders in obese uncomfortable subjects, TEDIOUS syndrome appears to be much more; it's a metabolic disturbance that arises in susceptible patients whose behavioral eating issues, previous trauma (physical or emotional), and disordered sleep combine to affect appetite, energy, mood, and pain perception.  It's fascinating to see how these aspects of health intersect, and how a common-sense approach to treatment can make a wonderful difference.  Stay tuned...    For more information, please email info@davidtrock.com