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Description
It may be psychological. Nociplastic pain involves measurable central nervous system changes

This back-and-forth from cold to hot can happen many times a day
"Reata Pharmaceuticals Announces FDA Approval of Skyclarys (Omavaloxolone), the First and Only Drug Indicated for Patients with Friedreich's Ataxia"

Pain during gripping activities, weakness in the affected arm, and decreased function can persist for months or even years

& Williams, G

Guidance on diagnosis may vary between countries (see key guidelines section)
