Fibromyalgia

Definition

Fibromyalgia is a complex, chronic, and disabling disorder. It causes widespread pain. It also causes poor sleep and fatigue.

Fibromyalgia Trigger Points
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Causes

The exact cause of fibromyalgia is unknown.It may be related to abnormal processing of pain.

The following are some of the conditions that are commonly associated with fibromyalgia:

Risk Factors

Fibromyalgia is more common in women, and in people aged 20-60 years old. Physical or mental stress may also increase your chance of getting fibromyalgia.

Symptoms

Symptoms and severity of fibromyalgia are different for everyone.

Fibromyalgia may cause:

  • Generalized pain and tenderness that can:
    • be moderate to severe
    • feel stabbing, shooting, achy, or throbbing
    • be widespread and chronic
    • be associated with muscle twitching
  • Fatigue
  • Weakness
  • Poor sleep
  • Reduced physical endurance
  • Problems with concentration, thought, or memory
  • Sensitivity to noises, light, or odors

Factors that may trigger or worsen symptoms include:

  • Physical injury
  • Weather changes, especially cold, damp weather
  • Stress or anxiety
  • Overexertion
  • Medical illness
  • Surgery

Diagnosis

You will be asked about your symptoms and medical history. A physical exam will be done. Diagnosis is usually based on reported symptoms and tenderness in specific areas of the body during the physical exam.

Fibromyalgia is usually diagnosed when pain or tenderness is there at the same level for more than 3 months and:

  • present in more than 7 locations when the pain score is moderate (5-8 out of 12) or in 3-6 locations when the pain score is severe (9 out of 12)
  • there are problems with sleep, thinking clearly, or fatigue
  • there is no other reason for the symptoms

Treatment

The goal of treatment is to relieve or control the symptoms. Talk with your doctor about the best treatment plan for you. Options include:

Therapy Programs

Lifestyle Changes

Your doctor may also recommend that you make lifestyle changes, such as:

  • Eat a healthy diet .
  • Learn to cope with physical and mental stress.
  • Maintain a regular sleep schedule.
  • Participate in a regular exercise program that includes aerobic activity, strength training, and flexibility exercises. Gentle exercises that may not strain painful areas include walking, biking, and swimming. Talk to your doctor to make sure it is safe for you to start exercising.

Medications

Your doctor may recommend the following to help manage symptoms:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Antidepressants
  • Anticonvulsants
  • Sedatives
  • Muscle relaxants
  • Opioids—if not relieved by other treatments

Prevention

There are no current guidelines to prevent fibromyalgia.

Revisions

Please note, not all procedures included in this resource library are available at Allegiance Health or performed by Allegiance Health physicians.

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This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

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