What is Fibromyalgia? Symptoms, Causes, Diagnosis & Treatment Options

Home Blog What is Fibromyalgia? Symptoms, Causes, Diagnosis & Treatment Options

Created At: Jun 25, 2025 Updated At: Jun 25, 2025
Author: Dr. Garima Bishwas
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Fibromyalgia is a chronic disorder characterised by widespread musculoskeletal pain, fatigue, and tenderness in localised areas. Despite being a common condition, it remains misunderstood by both patients and some healthcare providers.

Most prevalent among women, fibromyalgia affects approximately 2-4% of the global population. The symptoms are often invisible, leading to delayed diagnosis or misdiagnosis. Raising awareness about what fibromyalgia is is essential to ensure early intervention and a better quality of life.

What is fibromyalgia?

Medically, fibromyalgia is defined as a long-term or chronic condition that causes pain and tenderness throughout the body. It affects soft tissues such as muscles, tendons, and ligaments.

Unlike arthritis, fibromyalgia does not involve inflammation or damage to joints. Instead, it’s believed to be related to how the brain and spinal cord handle pain signals. This miscommunication heightens the perception of pain, making everyday sensations feel overwhelming.

Understanding what fibromyalgia is is crucial because it allows for proper recognition of symptoms, leading to timely treatment and improved outcomes.

Common Symptoms of Fibromyalgia

Fibromyalgia symptoms can vary widely but commonly include:

1. Widespread Muscle Pain:

Pain is often described as a constant, dull ache that lasts for at least three months.

2. Fatigue:

Even after a full night's sleep, people may feel exhausted.

3. Sleep Disturbances:

Restorative sleep is often disrupted.

4. Cognitive Difficulties:

Known as "fibro fog," this affects concentration and memory.

5. Depression or Anxiety:

Emotional symptoms often accompany physical discomfort.

4. Headaches:

Including tension and migraine-type headaches.

5. Sensitivity:

Heightened response to light, sound, temperature, or touch.

Recognising fibromyalgia symptoms early can support timely symptom treatment and better symptom control.

What Causes Fibromyalgia?

The exact cause of fibromyalgia is still unknown, but several factors are believed to contribute:

1. Physical or Emotional Trauma:

Accidents, injuries, or psychological stress can trigger symptoms.

2. Infections:

Illnesses may initiate or exacerbate symptoms.

3. Genetics:

Family history plays a significant role.

4. Nervous System Abnormalities:

Abnormal pain responses in the brain and spinal cord.

Since there is no definitive cause, managing fibromyalgia often requires a multifactorial approach.

How is Fibromyalgia Diagnosed?

Diagnosing fibromyalgia can be challenging due to the lack of specific lab tests. Physicians generally rely on

1. Medical History and Symptom Discussion:

Detailed assessment of symptoms and their impact.

2. Tender Point Examination:

Testing sensitivity at 18 specific points on the body.

3. Exclusion of Other Conditions:

Blood tests to rule out rheumatoid arthritis, lupus, or thyroid issues.

Because fibromyalgia symptoms overlap with other disorders, a careful diagnostic process is essential.

Treatment Options for Fibromyalgia

There is no cure, but a combination of strategies can offer effective symptom treatment. Options include

Medications:

1. Pain Relievers:

Such as acetaminophen, ibuprofen, or tramadol.

2. Antidepressants:

Help with both mood and sleep disturbances.

3. Anti-Seizure Drugs:

Medications like pregabalin and gabapentin reduce nerve pain.

4. Therapies:

● Cognitive Behavioral Therapy (CBT): Improves coping strategies.

● Physical Therapy: Increases mobility and reduces stiffness.

● Occupational Therapy: Helps adjust daily activities to minimise stress.

5. Lifestyle & Self-Care:

● Exercise and Yoga: Gentle physical activity can improve symptoms.

● Stress Management: Techniques like meditation and journaling.

● Healthy Sleep Hygiene: Keeping a regular sleep schedule.

● Dietary Changes: Anti-inflammatory foods and adequate hydration.

Customising fibromyalgia treatment to individual needs ensures long-term symptom control and improves quality of life.

Living with Fibromyalgia

Living with fibromyalgia requires ongoing adjustment and self-awareness. Effective coping strategies include:

1. Mindfulness and Relaxation:

Reducing stress helps lessen symptom flare-ups.

2. Support Groups:

Connecting with others who understand your experience.

3. Family Involvement:

Encouragement and understanding from loved ones.

4. Routine Medical Checkups:

Essential for monitoring symptoms and treatment effectiveness.

Though fibromyalgia can be a lifelong condition, many people learn to manage symptoms and lead fulfilling lives.

Conclusion

Understanding what fibromyalgia is and recognising fibromyalgia symptoms early is key to effective symptom treatment and improved quality of life. With no one-size-fits-all solution, a holistic approach involving medical, therapeutic, and lifestyle interventions offers the best path forward. If you or someone you know is experiencing symptoms, consult a healthcare provider for a personalised care plan.