Also called fibromyalgia syndrome (FMS), it affects 2–4% of the population. It can occur at any age, in both sexes, but most commonly in women, typically developing between 3 and 50.
What causes it?
Research suggests Fibromyalgia is not an autoimmune or inflammation illness but one where the brain has a problem interpreting pain signals from the nervous system. Still, all medical practitioners do not fully understand or recognise the condition. It is often misdiagnosed by healthcare professionals and misunderstood by the public.
Background and history
Fibromyalgia is not a new condition; it’s existed for centuries and was once considered a mental disorder until the tender points associated with it were discovered in the early 1820s. It was then reclassified as fibrositis because the pain was believed to be caused by inflammation at the tender sites.
In 1976, it was renamed Fibromyalgia, derived from the Latin word “fibro” (fibrosis tissue) and the Greek terms for “myo” (muscle) and “algia” (pain). In 1981 Dr Muhammad Yunus, known as “The Father of Fibromyalgia”, published his first paper. The International Diagnostic Criteria for
Fibromyalgia were clarified in 2019 to include the following:
A 3 months history of pain
With severe pain in 3 to 6 different body areas or milder pain in 7 or more different areas. Note: this is assessed by applying gentle pressure to specific “tender points” where the pain is likely to be at its worst.
Moderate sleep disturbance
No other reason for the symptoms has been determined.
Fibromyalgia can feel similar to other joint-related problems, such as osteoarthritis and tendinitis, but the symptoms are more widespread throughout the body than in a specific area. They also come and go for no apparent reason and move around the body; symptoms can include:
Muscle pain or tight, tender spots
Burning sensation or muscle, twitching
Numbness or tingling in the arms, hands, legs, feet, and face.
Difficulty concentrating, aka “fibro fog.”
Insomnia or poor quality, un-refreshing sleep
Feeling nervous, worried, or depressed.
Sensitivity to cold, heat, light, or sound
Headaches or head pain
Digestive symptoms: abdominal pain, nausea, bloating, and IBS (irritable bowel syndrome), including constipation and diarrhoea.
Dry mouth and eyes
Risk factors include people who also have the following:
Other painful conditions such as lupus, rheumatoid arthritis, or ankylosing spondylitis.
A family member with the condition.
Anxiety, depression, or another mood disorder.
A sedentary lifestyle and rarely exercising.
A previous history of abuse (physical or emotional) or living with PTSD.
Getting a diagnosis
There is no test for Fibromyalgia, so diagnosis is made following a careful medical history and physical examination and by elimination. Blood tests are usually needed to rule out other conditions, check hormone levels and look for signs of inflammation.
Myofascial pain syndrome
Autoimmune conditions such as multiple sclerosis, lupus, and ankylosing spondylitis, especially in the early stages
Vitamin D or B12 deficiencies
Myelopathy resulting from spinal cord compression
Mood disorders, including depression and anxiety disorders
Myalgic encephalomyelitis (also called, inaccurately chronic fatigue syndrome)
There is no known cure for Fibromyalgia, but medication can reduce symptoms in some people. Treatment plans usually involve a combination of medications such as painkillers, antidepressants and graded exercise. Plus, support or talking therapies to manage stress and mood therapies.
Lifestyle, mind, and movement
Lifestyle changes may ease symptoms and enable people to live more active, meaningful lives. Stress reduction is fundamental to any fibromyalgia treatment plan; relaxation techniques and mind-body therapies can be effective options because they help release “feel-good” chemicals: serotonin, dopamine, and endorphins.
Meditation, mindfulness, guided imagery, and deep breathing are valuable options too. While ‘pacing’ is key to managing symptoms, do not overdo it by balancing periods of activity with rest. Adding in movement practice, such as restorative pilates or yoga, Tai Chi or Qi Gong, is an excellent way to build resilience. The controlled movements of these methods help release tension but shouldn’t cause fatigue.
Fibromyalgia is a long-term condition that, in a few cases, results in disability. Treatment is most effective when an integrative approach is used, one that includes patient education, exercise, and medications. People affected respond best with multifactorial healthcare approaches.
is a charity that offers information and support groups. Some people find this a helpful network where they can talk to others with the condition. Fibromyalgia Action UK