Fibromyalgia overview
Chronic widespread pain and fatigue
Fibromyalgia is a debilitating long-term condition characterised by pervasive and chronic pain, muscle stiffness and fatigue. The word ‘fibromyalgia’ literally means ‘muscle fibre pain’.
There is no cure for fibromyalgia as such, however it can be managed by lifestyle changes, including for example getting the right amount of sleep, eating a healthy diet and taking regular physical activity.
Possible causes of fibromyalgia
Changes that can affect the facet joints
The precise cause of the condition is not fully understood. However, it is believed to be related to previous injuries or infections, or even specific chemical exposure. It is also considered to be related to stress and may have a genetic component (i.e. inherited). Largely, it is now considered to be a central nervous system issue rather than a peripheral musculature issue.
The precise mechanism is believed to be a form of overrepresentation of normal pain signals by the brain and/or the nerves, thought to be caused by a chemical imbalance in the brain and/or disruption of normal CNS signalling.
Fibromyalgia risk factors
Who may be at greater risk?
People at higher risk of developing fibromyalgia include:
- Women, although more men are being diagnosed with the condition
- People in middle age
- People with a family history of the condition
- People having some other chronic inflammatory conditions e.g. rheumatoid arthritisCommon symptoms of fibromyalgia
Fibromyalgia tests and diagnosis
How fibromyalgia is diagnosed
Diagnosing the condition can be difficult, due to the similarity of symptoms to a range of other conditions, including arthritis and some autoimmune conditions.
There are currently no straightforward tests for the condition, as blood tests and imaging tests will not show any abnormalities.
The current diagnostic process involves assessment of the type of pain over a period of time, generally 3 months or longer, and by how widespread it is in the body. It is generally not classified as fibromyalgia if pain is not present on both sides of the body and if pain only affects the upper or the lower body, above or below the waist.