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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Article Home Bone, Muscle and Joint Disorders Fibromyalgia Overview and Facts

Fibromyalgia Overview and Facts

Fibromyalgia is a syndrome characterized by chronic widespread body pain and tender points. It is also associated with depression sleep disorder, other connective tissue disorder like rheumatoid arthritis



Fibromyalgia is a condition characterized by chronic generalized body pain associated with sleep disturbance, worsening fatigue, joint stiffness, depression and other cognitive disturbances


  • Pain- generalized body ache and tender points which increases on pressure(allodynia)
  • Numbness and tingling sensation
  • Chronic weakness(fatigue)
  • Recurrent and prolonged muscle cramps
  • Sleep disturbances
  • Anxiety and depression
  • Cognitive dysfunction- impaired memory, reduced attention span, irritability, impaired multi- task ability
  • Irritable bowel syndrome
  • Bladder disturbance

Precipitation factors

  • Emotional stress- anxiety and stress increases the pain
  • Whether changes- cold and damp environment increase pain
  • Sleeping disturbance and physical activity increases the pain
  • Infection, allergy, and physical injury worsens the symptoms of fibromyalgia


  • Fibromyalgia is a condition where in there is generalized body ache of unknown etiology.
  • This syndrome is more common in females than males.
  • Fibromyalgia is associated with cognitive and behavioral disturbances.
  • Fibromyalgia is also associated with rheumatoid arthritis, irritable bowel syndrome.
  • There is no definitive investigation for the diagnosis of fibromyalgia
  • Diagnosis of fibromyalgia is based on ACR criteria and clinical expertisisation of the treating physician.
  • Fibromyalgia may occur as primary condition or may be the result of another disease called secondary condition.
  • Fibromyalgia is often misdiagnosed and due to overlapping of symptoms of generalized pain with many other pain syndromes the diagnosis is often delayed
  • Fibromyalgia patients in course of time suffer from sleep and cognitive disturbance
  • Fibromyalgia symptoms worsen with emotions, cold climate and strenuous exercise
  •  The treatment for fibromyalgia is multi-modal including pharmacological and non pharmacological measures.