Understanding Fibromyalgia

A Comprehensive Guide to Chronic Pain Management

Neurology

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Last updated: Mar 24, 2025

What is Fibromyalgia?

Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain, fatigue, sleep disturbances, memory issues, and mood changes. It affects approximately 2-4% of the population, predominantly women.

Key Symptoms

  • Widespread Pain: Constant dull ache lasting at least 3 months
  • Fatigue: Persistent tiredness despite adequate sleep
  • Cognitive Difficulties: Often called "fibro fog"
  • Sleep Problems: Including insomnia and sleep apnea
  • Depression and Anxiety: Common co-occurring conditions

Diagnosis

Diagnosis is based on:

  • Widespread pain index (WPI)
  • Symptom severity scale score
  • Duration of symptoms (≥3 months)
  • Exclusion of other conditions

Treatment Options

Medications

  • Pain relievers
  • Antidepressants
  • Anti-seizure drugs

Lifestyle Changes

  • Regular exercise
  • Stress management
  • Good sleep hygiene
  • Healthy diet

Alternative Therapies

  • Acupuncture
  • Massage therapy
  • Yoga and tai chi
  • Physical therapy

Living with Fibromyalgia

Self-Management Strategies

  1. Pace activities
  2. Practice relaxation techniques
  3. Maintain a regular schedule
  4. Join support groups

When to See Your Doctor

  • When symptoms worsen
  • If new symptoms develop
  • For regular monitoring of treatment effectiveness

Research and Future Treatments

Ongoing research focuses on:

  • Understanding root causes
  • Developing new treatments
  • Improving diagnostic criteria

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