Fibromyalgia is a complex disorder. It causes chronic widespread pain that can be disabling.
|Fibromyalgia Trigger Points|
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The exact cause of fibromyalgia is unknown. It may be a problem with how the nerves and brain process pain.
Conditions that are commonly associated with fibromyalgia include:
Fibromyalgia is more common in women. Physical or mental stress may also increase your chance of getting it.
Symptoms and severity of fibromyalgia can vary.
More common symptoms include:
- 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
- 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
- Medical illness
You will be asked about your symptoms and past health. A physical exam will be done. Certain areas can be tender in those with fibromyalgia. Diagnosis is usually based on shared information and exam. The pain needs to be present for at least 3 months.
The goal of treatment is to relieve or control the symptoms. Talk with your doctor about the best plan for you. Options include:
Stress and tension can make pain worse. Therapies that may improve relaxation and improve pain include:
Overall health can affect your symptoms. Your doctor may also recommend lifestyle changes, such as:
- Eat a healthy diet.
- Learn new coping skills for physical and mental stress.
- Keep healthy sleep habits. This includes a regular sleep schedule.
- Commit to a regular exercise program. Include activity that increases your heart rate, strength training, and flexibility exercises. Walking, biking, and swimming may be good options to start with.
Your doctor may recommend the following to help manage symptoms:
- Over-the-counter pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs)
- Muscle relaxants
- Opioids—if not relieved by other treatments
American College of Rheumatology http://www.rheumatology.org
The American Fibromyalgia Syndrome Association http://www.afsafund.org
The Arthritis Society http://www.arthritis.ca
Fibromyalgia Information and Local Support http://fibromyalgia.ncf.ca
About fibromyalgia. National Fibromyalgia Association website. Available at: http://www.fmaware.org/about-fibromyalgia. Accessed December 31, 2018.
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Fibromyalgia. EBSCO DynaMed Plus website. Available at: https://www.dynamed.com/topics/dmp~AN~T116339/Fibromyalgia . Updated November 29, 2018. Accessed December 31, 2018.
Fibromyalgia. National Institute of Arthritis and Musculoskeletal and Skin Diseases website. Available at: http://www.niams.nih.gov/Health%5FInfo/Fibromyalgia/default.asp. Updated July 2014. Accessed December 31, 2018.
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2/17/2009 DynaMed Plus Systematic Literature Surveillance https://www.dynamed.com/topics/dmp~AN~T116339/Fibromyalgia : Russell IJ, Perkins AT, Michalek JE; Oxybate SXB-26 Fibromyalgia Syndrome Study Group. Sodium oxybate relieves pain and improves function in fibromyalgia syndrome: a randomized, double-blind, placebo-controlled, multicenter clinical trial. Arthritis Rheum. 2009;60:299-309.
4/14/2009 DynaMed Plus Systematic Literature Surveillance https://www.dynamed.com/topics/dmp~AN~T116339/Fibromyalgia : Munguía-Izquierdo D, Legaz-Arrese A. Assessment of the effects of aquatic therapy on global symptomatology in patients with fibromyalgia syndrome: a randomized controlled trial. Arch Phys Med Rehabil. 2008;89:2250-2257.
4/22/2011 DynaMed Plus Systematic Literature Surveillance https://www.dynamed.com/topics/dmp~AN~T116339/Fibromyalgia : Sañudo B, Galiano D, Carrasco L, Blagojevic M, de Hoyo M, Saxton J. Aerobic exercise versus combined exercise therapy in women with fibromyalgia syndrome: a randomized controlled trial. Arch Phys Med Rehabil. 2010;91(12):1838-1843.
4/22/2011 DynaMed Plus Systematic Literature Surveillance https://www.dynamed.com/topics/dmp~AN~T116339/Fibromyalgia : Carson JW, Carson KM, Jones KD, Bennett RM, Wright CL, Mist SD. A pilot randomized controlled trial of the Yoga of Awareness program in the management of fibromyalgia. Pain. 2010;151(2):530-539.
- Reviewer: Michael Woods, MD
- Review Date: 06/2018
- Update Date: 12/31/2018