Fibromyalgia


Fibromyalgia, also known as fibromyalgia syndrome (FMS), is a chronic condition that characteristically causes pain all over the body, including muscle and joint pain, and fatigue as well as other symptoms. Fibromyalgia can lead to depression and social isolation.

What is fibromyalgia syndrome?

A syndrome is a set of symptoms. When they exist together, they imply the presence of a specific disease or a greater chance of developing the disease. With FMS, the following symptoms commonly occur together:

  • Incapacitating fatigue

  • Widespread pain

Are women more likely to get fibromyalgia than men?

Most fibromyalgia patients are women ranging in age from 25 to 60. The truth is women are 10 times more likely to get this disease than men.

What are fibromyalgia symptoms?

Fibromyalgia causes you to ache all over. You may have symptoms of crippling fatigue - even on getting up in the morning. Specific trigger points or tender points on the body may be painful to touch. You may experience swelling, disturbances in deep-level or restful sleep, and mood disturbances or depression.

Your muscles may feel like they have been overworked or pulled. They'll feel that way even without exercise or another cause. Sometimes, your muscles twitch, burn, or have deep stabbing pain

Some patients with FMS have pain and achiness around the joints in the neck, shoulder, back, and hips. This makes it difficult for them to sleep or exercise. Other fibromyalgia symptoms include:

What tests are used to diagnose fibromyalgia?

There are no specific laboratory tests to diagnose fibromyalgia. To make an accurate diagnosis, your GP will rely on a comprehensive physical examination and your medical history. Your GP will also use a diagnosis of exclusion. That means the GP will rule out other conditions that could cause similar symptoms.

To rule out other illnesses your GP may run some specific blood tests. For example your GP may ask for a full blood count (FBC). The GP may also ask for tests for substances such as glucose that can create problems similar to problems caused by fibromyalgia. A thyroid test may also be done. An underactive thyroid (hypothyroidism) can cause problems similar to fibromyalgia. That includes fatigue, muscle aches, weakness and depression.

In many cases if your GP suspects that you may have FMS, they may refer you to a consultant rheumatologist who specialises in the condition. The specialist may go on to perform other tests to rule out other conditions, such as a check for Lyme disease, antinuclear antibodies (ANA), rheumatoid factor (RF), erythrocyte (red blood cell) sedimentation rate (ESR), prolactin level and calcium level.

The doctor will evaluate the severity of related symptoms such as fatigue, sleep disturbances and mood disorders. This will help measure the impact FMS has on your physical and emotional functions, as well as on your overall health-related quality of life.

Treatment for fibromyalgia

Many people with fibromyalgia find it beneficial to consider adding one or more of the following alternative treatment approaches to manage their condition:

  • Physical therapy

  • Chiropractic therapy

  • Nutritional counseling

  • Cognitive behavioral therapy

  • Massage

  • Yoga

  • Hydrotherapy (using water, ice, and steam)


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