I saw my rheumy on Tuesday. He still hasn't come out and said I have FM, but he described it the best he has so far. He didn't mention a continuum, but the way he described healthy as being "here" (stretching his right arm out) and FM being "here" (left arm out), with me being somewhere in the middle, that's what he must have been talking about. I have read that FM is on a continuum, not necessarily you have it or not. I don't have IBS and a lot of other related conditions, but I do seem to have tender points to some degree and definite skin sensitivity. Massages are great with a heavier pressure, NOT with a light touch! Also, I cringe to even think about how it felt to try one of those vibrating massage cushions or those pronged things you can use to massage someone's head. He said "people with FM" wouldn't like those things, either, and wasn't surprised that I couldn't abide them. He is focusing now on quality of sleep. Which, of course, has a strong interaction with FM. He says he has seen others get back to feeling normal, even those with strenuous jobs with their hands (my hands always feel crummy), with better sleep. I am already on a CPAP for sleep apnea, but he wants sleep doc to work on decreasing the cortical arousals that showed up as increased even during my titration study. Have you heard of FM as a continuum? I have, a couple of times. Do you still consider being on the continuum as having FM, just say, less severe? Is it a way for docs not to actually label patients with FM to keep them away from that stigma?