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December 29, 1945

Current Comment

JAMA. 1945;129(18):1264. doi:10.1001/jama.1945.02860520032011

FIBROSITIS OF THE BACK  Copeman and Ackerman1 reported in 1944 a clinical study of "fibrositis" of the back in which the pain was studied clinically and the occurrence of trigger points confirmed. The exact situation in which these occurred in a large number of patients was charted and the pain pattern of definite shape obtained. The dissection of 14 bodies of persons dying from various causes, excluding those of fibrositis, established the existence of a basic fat pattern. This fat pattern was observed to correspond exactly in shape and situation with the pain pattern already charted. Lesions suggestive of inflammatory reaction were not found in any deep fibrous tissue, but certain abnormalities affecting the lobules of the fat pattern were found in several instances.