体育投注网址This diagnostic protocol is referred to as “multisite pain.” It’s in contrast to the 1990 fibromyalgia diagnostic criteria definition for “chronic widespread pain.”
This process of diagnosis focuses on the areas of musculoskeletal pain and severity of pain as opposed to an emphasis on pain duration, which was the previously the focal criteria for a fibromyalgia diagnosis.
Other symptoms of fibromyalgia include:
In people with fibromyalgia, the brain and nerves may misinterpret or overreact to normal pain signals. This may be due to a chemical imbalance in the brain or abnormality in the
Fibromyalgia can also affect your emotions and energy level.
Fibromyalgia fog – also known as “fibro fog” or “brain fog” – is a term some people use to describe the fuzzy feeling they get. Signs of fibro fog include:
According to a
Fibromyalgia symptoms have generally been more severe in women than in men. Women have more widespread pain, IBS symptoms, and morning fatigue than men. Painful periods are also common.
However, when the 2016 revisions to the diagnostic criteria are applied, more men are being diagnosed with fibromyalgia, which may reduce the degree of distinction between the pain levels men and women experience. More research needs to be done to further evaluate that distinction.
体育投注网址The transition to menopause could make fibromyalgia worse.
Part of the stigma and difficulty in getting diagnosed stems from society’s expectation that men who are in pain should “suck it up.”
体育投注网址In the past, people were diagnosed with fibromyalgia if they had widespread pain and tenderness in at least 11 out of 18 specific trigger points around their body. Healthcare providers would check to see how many of these points were painful by pressing firmly on them.
Common trigger points included the:
体育投注网址For the most part, trigger points are no longer a part of the diagnostic process.
Instead, healthcare providers may diagnose fibromyalgia if you’ve had pain in 4 out of the 5 areas of pain as defined by the 2016 revised diagnostic criteria, and you have no other diagnosable medical condition that could explain the pain.
体育投注网址Pain is the hallmark fibromyalgia symptom. You’ll feel it in various muscles and other soft tissues around your body.
体育投注网址The pain can range from a mild achiness to an intense and almost unbearable discomfort. Its severity could dictate how well you cope day to day.
Fibromyalgia appears to stem from an abnormal nervous system response. Your body overreacts to things that shouldn’t normally be painful. And you may feel the pain in more than one area of your body.
体育投注网址However, available research still doesn’t pinpoint an exact cause for fibromyalgia. Research continues to evolve in better understanding this condition and its origin.
体育投注网址When fibromyalgia pain is in your chest, it can feel frighteningly similar to the pain of a heart attack.
Chest pain in fibromyalgia is actually centered in the cartilage that connects your ribs to your breastbone. The pain may radiate to your shoulders and arms.
体育投注网址Fibromyalgia chest pain may feel:
Your back is one of the most common places to feel pain. About of Americans have low back pain at some point in their lives. If your back hurts, it may not be clear whether fibromyalgia is to blame, or another condition like arthritis or a pulled muscle.
体育投注网址Other symptoms like brain fog and fatigue can help pinpoint fibromyalgia as the cause. It’s also possible to have a combination of fibromyalgia and arthritis.
The same medications you take to relieve your other fibromyalgia symptoms can also help with back pain. Stretching and strengthening exercises体育投注网址 can help provide support to the muscles and other soft tissues of your back.
You can also feel fibromyalgia pain in the muscles and soft tissues of your legs. Leg pain can feel similar to the soreness of a pulled muscle or the stiffness of arthritis. It can be:
Sometimes fibromyalgia in the legs feels like numbness or tingling. You may have a creepy crawling sensation. An uncontrollable urge to move your legs is a sign of restless legs syndrome (RLS)体育投注网址, which can overlap with fibromyalgia.
Fatigue sometimes manifests in the legs. Your limbs can feel heavy, as if they’re held down by weights.
体育投注网址Healthcare providers and researchers don’t know what causes fibromyalgia.
体育投注网址According to the latest research, the cause appears to be a multiple-hit theory that involves genetic disposition (hereditary characteristics) complemented by a trigger, or a set of triggers, such as infection, trauma, and stress.
体育投注网址Let’s take a closer look at these potential factors and several more that may influence why people develop fibromyalgia.
A past illness could trigger fibromyalgia or make its symptoms worse. The flu, pneumonia, GI infections, such as those caused by Salmonella and Shigella bacteria, and the Epstein-Barr体育投注网址 virus all have possible links to fibromyalgia.
Fibromyalgia . If you have a family member with this condition, you’re at higher risk for developing it.
体育投注网址Researchers think certain gene mutations may play a role. They’ve identified a few possible genes that affect the transmission of chemical pain signals between nerve cells.
People who go through a severe physical or emotional trauma may develop fibromyalgia. The condition has been
Like trauma, stress can leave long-lasting effects on your body. Stress has been linked to hormonal changes that could contribute to fibromyalgia.
Healthcare providers don’t fully understand what causes the chronic widespread nature of fibromyalgia pain. One theory is that the brain lowers the pain threshold. Sensations that weren’t painful before become very painful over time.
体育投注网址Another theory is that the nerves overreact to pain signals.
In autoimmune diseases like rheumatoid arthritis (RA) or multiple sclerosis (MS)体育投注网址, the body mistakenly targets its own tissues with proteins called autoantibodies. Just like it would normally attack viruses or bacteria, the immune system instead attacks the joints or other healthy tissues.
Fibromyalgia symptoms look very similar to those of autoimmune disorders. These symptom overlaps have led to the theory that fibromyalgia could be an autoimmune condition.
体育投注网址This claim has been hard to prove, in part because fibromyalgia doesn’t cause inflammation, and to-date reproducing haven’t been found.
Fibromyalgia flare-ups can be the result of:
体育投注网址An imbalance in brain chemicals may cause the brain and nervous system to misinterpret or overreact to normal pain signals.
Other factors that increase your risk of developing fibromyalgia include:
体育投注网址Your healthcare provider may diagnose you with fibromyalgia if you’ve had widespread pain for 3 months or longer. “Widespread” means the pain is on both sides of your body, and you feel it above and below your waist.
After a thorough examination, your healthcare provider must conclude that no other condition is causing your pain.
体育投注网址No lab test or imaging scan can detect fibromyalgia. Your healthcare provider may use these tests to help rule out other possible causes of your chronic pain.
体育投注网址Fibromyalgia can be hard for healthcare providers to distinguish from autoimmune diseases because the symptoms often overlap.
体育投注网址Currently, there isn’t a cure for fibromyalgia.
Instead, treatment focuses on reducing symptoms and improving quality of life with:
Medications can relieve pain and help you sleep better. Physical and occupational therapy improve your strength and reduce stress on your body. Exercise and stress-reduction techniques can help you feel better, both mentally and physically.
In addition, you may wish to seek out support and guidance. This may involve seeing a therapist or joining a support group.
体育投注网址The goal of fibromyalgia treatment is to manage pain and improve quality of life. This is often accomplished through a two-pronged approach of self-care and medication.
Common medications for fibromyalgia include:
体育投注网址Over-the-counter pain relievers such as ibuprofen (Advil) or acetaminophen (Tylenol) can help with mild pain.
Narcotics, such as tramadol (Ultram), which is an opioid, were previously prescribed for pain relief. However, research has shown they’re not effective. Also, the dosage for narcotics is typically increased rapidly, which can pose a health risk for those prescribed these drugs.
Most healthcare providers recommend avoiding narcotics to treat fibromyalgia.
Antidepressants such as duloxetine (Cymbalta) and milnacipran HCL (Savella) are sometimes used to treat pain and fatigue from fibromyalgia. These medications may also help improve sleep quality and work on rebalancing neurotransmitters.
Gabapentin (Neurontin) was designed to treat epilepsy, but it may also help reduce symptoms in people with fibromyalgia. Pregabalin (Lyrica), another anti-seizure drug, was the first drug FDA-approved for fibromyalgia. It blocks nerve cells from sending out pain signals.
A few drugs that aren’t FDA-approved to treat fibromyalgia, including antidepressants and sleep aids, can help with symptoms. Muscle relaxants, which were once used, are no longer recommended.
体育投注网址If the medications your healthcare provider prescribes don’t entirely relieve your fibromyalgia symptoms, you can look for alternatives. Many natural treatments focus on lowering stress and reducing pain. You can use them alone or together with traditional medical treatments.
Natural remedies for fibromyalgia include:
Therapy can potentially reduce the stress that triggers fibromyalgia symptoms and depression.
may be the most affordable option, and it will give you a chance to meet others who are going through the same issues.
Cognitive behavioral therapy (CBT)体育投注网址 is another option that can help you manage stressful situations. Individual therapy is also available if you prefer one-on-one help.
体育投注网址It’s important to note that most alternative treatments for fibromyalgia haven’t been thoroughly studied or proven effective.
Some people report that they feel better when they follow a specific diet plan or avoid certain foods. But research hasn’t proven that any one diet improves fibromyalgia symptoms.
If you’ve been diagnosed with fibromyalgia, try to eat a balanced diet overall. Nutrition is important in helping you to keep your body healthy, to prevent symptoms from getting worse, and to provide you with a constant energy supply.
体育投注网址Dietary strategies to keep in mind:
体育投注网址Share this diary with your healthcare provider. They can help you identify any foods that aggravate your symptoms. Avoiding these foods can be beneficial helping you manage your symptoms.
Fibromyalgia can leave you feeling tired and worn out.
体育投注网址Fibromyalgia pain can be uncomfortable and consistent enough to interfere with your daily routine. Don’t just settle for pain. Talk to your healthcare provider about ways to manage it.
体育投注网址One option is to take pain relievers such as:
These medications bring down inflammation. Though inflammation is not a primary part of fibromyalgia, it may be present as an overlap with RA or another condition. Pain relievers may help you sleep better.
体育投注网址Please note that NSAIDS do have side effects. Caution is advised if NSAIDS are used for an extended period of time as is usually the case in managing a chronic pain condition.
Talk with your healthcare provider to create a safe treatment plan that works well in helping you manage your condition.
Antidepressants and anti-seizure drugs are two other medication classes your healthcare provider may prescribe to manage your pain.
体育投注网址The most effective pain reliever does not come in a medication bottle.
Practices like yoga, acupuncture, and physical therapy can:
Fibromyalgia fatigue can be just as challenging to manage as pain.
Most people get diagnosed in middle age.
Fibromyalgia is a chronic (long-term) condition. However, some people may experience remission-type periods in which their pain and fatigue improve.
Last medically reviewed on October 10, 2019