Fibromyalgia is a usual chronic syndrome that gives severe bodily pain and mental distress.Symptoms of fibromyalgia are similar to those of arthritis, or joint inflammation so there is a chance of confusion. Unlike arthritis, it has not been found to cause joint or muscle inflammation and damage. It is seen as a rheumatic condition, in other words, one that causes soft tissue pain or myofascial pain.

The cause is unknown, but risk factors comprise of traumatic injury, rheumatoid arthritis and other autoimmune disorders, such as lupus, and genetic factors.

There is no cure, but medications, exercise, acupuncture, and behavioral therapy can help relieve symptoms and improve sleep quality.


The precise cause of fibromyalgia is indistinct. However, present thinking in the arena of Rheumatology advises that fibromyalgia is a problem with central pain processing in the brain, where there may be an enlarged sensitivity or perception of pain to a given trigger.

There is a range of likely risk factors, including:
1) a stressful, traumatic physical or emotional event, such as a car accident
2) repetitive injuries
3) rheumatoid arthritis or other autoimmune diseases, such as lupus
4) central nervous system (CNS) problems
5) the way our genes regulate how we process painful stimuli
6) Fibromyalgia may also be hereditary. Females who have a close relative with fibromyalgia have a higher risk of experiencing it themselves.

Fibromyalgia can lead to widespread pain, sleep problems, and other symptoms.
Common symptoms of fibromyalgia are:
1) widespread pain
2) jaw pain and stiffness
3) pain and tiredness in the face muscles and adjacent fibrous tissues
4) stiff joints and muscles in the morning
5) headaches
6) irregular sleep patterns
7) irritable bowel syndrome (IBS)
8) painful menstrual periods
9) tingling and numbness in the hands and feet
10) restless leg syndrome (RLS)
11) sensitivity to cold or heat
12) difficulties with memory and concentration, known as "fibro-fog"M
13) fatigue
Special symptoms include:
1) problems with vision
2) nausea
3) pelvic and urinary problems
4) weight gain
5) dizziness
6) cold or flu-like symptoms
7) skin problems
8) chest symptoms
9) depression and anxiety
10) breathing problems
11) Symptoms rise at any time during a person's life, but they are most commonly informed around the age of 45 years.

Out of 100, 20% of people in the population with fibromyalgia try acupuncture within the first 2 years. It may work, but more exploration is needed.

Medical attention is desirable because fibromyalgia can be challenging to manage. As it is a syndrome, each patient will experience a dissimilar set of symptoms, and an individual diagnosis plan will be essential.

Treatment may include some or all of the following:
1) an active exercise program
2) acupuncture
3) psychotherapy
4) behavior modification therapy
5) chiropractic care
6) massage
7) physical therapy
8) low-dose anti-depressants, although these are not the first-line treatment
9) People with fibromyalgia need to work with their doctor to come up with a treatment plan that provides the best results.
Drugs may be suggested to treat certain symptoms, some of the drugs are:
1) Over-the-counter (OTC) pain relievers.
2) Antidepressants, such as duloxetine, or Cymbalta, and milnacipran, or Savella, may help reduce pain.
3) Anti-seizure drugs, such as gabapentin also known as Neurontin, and pregabalin, or Lyrica, may be prescribed.
Reviews are necessary from the patients regarding effective pain relief.
Patients should say the doctor about any other prescriptions they are taking to evade side-effects and connections with other drugs.

A blend of aerobic exercise and resistance training, or strength training, has been associated with a reduction in pain, tenderness, stiffness, and sleep disturbance, in some patients. If exercise is helping with symptoms, it is important to maintain steadiness in order to see progress. Working out with a partner or personal trainer may assist to keep the exercise program active.


Some patients have experienced developments in their value of life after starting acupuncture therapy for fibromyalgia. The number of sittings required will be governed by the symptoms and their harshness.

One study found that 1 in 5 people with fibromyalgia use acupuncture within 2 years of diagnosis. The scientists concluded that it may recover pain and stiffness.

Behavior modification therapy:

Behavior modification therapy is a procedure of cognitive behavioral therapy (CBT) that goals to diminish negative, stress- or pain-increasing behaviors and reinstate positive, mindful behaviors. It comprises learning new coping skills and easing exercises.


It can take some time to approve a diagnosis of fibromyalgia because the symptoms look like those of other conditions, such as hypothyroidism. These conditions must first be ruled out earlier diagnosing fibromyalgia.

There are no laboratory tests for the condition, and this, too, can lead to postponed or unexploited diagnosis. The pain and symptoms over the previous week, out of 19 identified body parts, plus levels of fatigue, unsatisfactory sleep, or cognitive problems symptoms that have been ongoing for at least 3 months no presence of another health problem that would explain the symptoms

Previously, 'Miscellaneous points' were used to diagnose the condition. However, these are no longer recommended to aid in the diagnosis of fibromyalgia.

Miscellaneous points:
When reading up on fibromyalgia, you may have come across the term ‘Miscellaneous points’.

These are definite areas of the body in which fibromyalgia is said to cause the most pain. These comprise the back of the head, inner knees, and outer elbows. Pain can also be ascended in the neck and shoulders, the outer hips, and the upper chest.

Doctors used to identify fibromyalgia based on how they react to heaviness at these points. However, this is no longer seen as a precise way to diagnose the condition.

Injections are not counseled at these points. However, the pain is now believed to be more extensive and present differently in different people. Instead of precise areas or points of pain, fibromyalgia is recognized by the harshness and chronic nature of the pain.

Pursue medical care to rule out other reasons for pain in these areas.
Who is prone to get this disease?
People with rheumatoid arthritis, lupus, or spinal arthritis, known aaankylosing spondylitis, have a complex risk of emerging fibromyalgia, as do patients with some additional rheumatic diseases.
The time period of treatments:
There is no exact time period . The effectiveness of the disease is diminished by working progressively on the treatments.
There is no conclusive cure for fibromyalgia, but more handling options and stronger diagnostic principles are now accessible. Symptoms can improve significantly, as long as the patient follows their treatment plan.