Fibromyalgia

What is Fibromyalgia?

Fibromyalgia is a syndrome characterized by chronic muscle pain, fatigue, and difficulty sleeping. It can be mild or severe, and affects more women than men. Other symptoms include headaches, gastrointestinal problems, dizziness, and depression. There is no known cause, and no one test that can authoritatively diagnose the disorder. Diagnosis is made on the basis of patient history, specific tender points, and symptoms. Treatment includes pain medication, exercise, a regular sleep routine, psychological coping tools, and alternative therapies.

How is Fibromyalgia diagnosed?

Fibromyalgia is a clinical diagnosis. It is also a diagnosis of exclusion. History, physical examination, and an absence of positive laboratory and radiographic findings help to make the diagnosis.

Is exercise and physical therapy important?

Regular exercise is essential in the treatment of Fibromyalgia. Exercise can help to restore adequate blood flow to muscles. Exercises are also important in improving the patient’s mood. Exercise and physical therapy are necessary for adequate physical conditioning so that patients are better able to perform activities of daily living as well as work related activities.

What sort of expectations should I have for my treatment?

It is important to understand that as of yet there is no “cure” for Fibromyalgia. However, this does not mean that effective treatment is not available. Patients can have their pain reduced, improve their function, and better cope with their pain with treatment. Patients should understand that better outcomes occur with a combination of exercise/physical therapy, stress management, and non narcotic medical management. Compliance is essential and patients need to take responsibility for their health.