Overview
Fibromyalgia is a long-term condition that causes widespread pain, fatigue, and tenderness in the muscles and joints. People with fibromyalgia may also experience trouble sleeping, headaches, and problems with memory and concentration, sometimes called "fibro fog." The cause is not well understood, but it often occurs after physical trauma, surgery, or significant stress.
Our approach
Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain, fatigue, and tenderness in localized areas. It is believed to be related to abnormal pain processing in the brain, which amplifies pain signals. Fibromyalgia can also be associated with other symptoms, including sleep disturbances, mood disorders, and cognitive difficulties, commonly referred to as "fibro fog."
Symptoms
Symptoms of fibromyalgia can vary in severity and may include:
- Widespread Pain: A persistent, dull ache affecting multiple areas of the body, lasting for at least three months.
- Fatigue: Feeling tired even after a full night's sleep, or experiencing frequent exhaustion during the day.
- Sleep Disturbances: Difficulty falling asleep, staying asleep, or waking up unrefreshed (non-restorative sleep).
- Fibro Fog: Cognitive difficulties, including problems with concentration, memory, and mental clarity.
- Stiffness: Stiffness, especially in the morning or after prolonged inactivity.
- Headaches: Tension-type headaches or migraines.
- Digestive Issues: Symptoms such as irritable bowel syndrome (IBS), bloating, or constipation.
- Sensitivity to Stimuli: Heightened sensitivity to light, noise, temperature, or touch.
- Numbness or Tingling: In the hands, feet, or other areas of the body.
- Depression or Anxiety: Commonly co-occurring with fibromyalgia.
Diagnosis
Diagnosing fibromyalgia can be challenging, as there is no specific test for the condition. The diagnosis is made based on symptoms and a process of exclusion:
- Medical History and Symptom Assessment: Reviewing the patient's symptoms, duration, and impact on daily life.
- Physical Examination: Checking for tenderness in specific areas (tender points) across the body.
- Exclusion of Other Conditions: Conducting blood tests or imaging studies to rule out conditions such as rheumatoid arthritis, lupus, thyroid disorders, or multiple sclerosis.
- Diagnostic Criteria: The American College of Rheumatology (ACR) criteria include widespread pain lasting for at least three months and the presence of other symptoms such as fatigue and cognitive disturbances.
