Fibromyalgia - what is it?
Fibromyalgia (FMS) is a name for widespread pain affecting the muscles and the joints. It is a chronic condition, but it is not life-threatening or progressive and does not cause permanent damage to muscles, bones or joints.
Fibromyalgia makes you feel tired and causes muscle pain and "tender points." Tender points are places on the neck, shoulders, back, hips, arms or legs that hurt when touched. People with fibromyalgia may have other symptoms, such as trouble sleeping, morning stiffness, headaches, and problems with thinking and memory, sometimes called "fibro fog."
Anyone can get it, but it is most common in middle-aged women. People with rheumatoid arthritis and other autoimmune diseases are particularly likely to develop fibromyalgia. It is estimated that 4 million Americans suffer from FMS.
Symptoms of Fibromyalgia
Fibromyalgia is a syndrome (fibromyalgia syndrome, or FMS), or a cluster of problems.Fibromyalgia is an invisible disease. Sufferers look fine on the surface. However, under their outward appearance they are often exhausted and in excruciating pain.
Pain is the most distinguishing characteristic of fibromyalgia. Medically, it's described as generalized musculoskeletal aches, pain and stiffness. For the pain to be diagnosed as fibromyalgia, it has to be present in all four body quadrants (arms and legs) for at least 3 months, and there has to be pain when pressure is applied to at least 11 of the 18 identified trigger points.
The pain waxes and wanes, varying in intensity. People have good days and bad days. Some days it's not too bad; some days it's pretty much disabling. The pain of fibromyalgia often gets worse on cold or humid days, when you haven't slept well, when you are too inactive or too active, when you are stressed or when your hormones change.
The second most disabling characteristic of fibromyalgia is fatigue. Recent findings suggest that the fatigue is due to a stage four sleep disorder called alpha EEG anomaly. During deep stage four sleep, the brain has bursts of awake-like activity, so there is not enough undisturbed deep sleep for the body to get sufficient rest.
In addition to alpha EEG anomaly, many FMS sufferers also have sleep apnea, upper airway resistance syndrome, bruxism (teeth grinding during sleep), limb movement and jerking and restless leg syndrome. All of these contribute to the fatigue of fibromyalgia.
Pain and fatigue are the most disabling features of fibromyalgia, but there are other distressing symptoms, too. 40-70 per cent of fibromyalgia sufferers experience irritable bowel syndrome or other gastrointestinal problems. Constipation and diarrhea, abdominal pain, excessive gassiness, nausea and gastroesophageal reflux are common.
Many fibromyalgia sufferers are distressed by associated mental and emotional problems that manifest themselves alongside the physical ailments. Anxiety and depression are common. It's not known whether they are independent factors, or if they are related to living in constant pain and fatigue and the social stigma of fibromyalgia. People also complain of confusion, experiencing difficulty thinking clearly and a reduction in ability to perform mental tasks. This overall mental fogginess has been termed "fibro fog."
Other symptoms of fibromyalgia include headaches, restless leg syndrome, skin sensitivity and rashes, dry eyes and mouth, Reynaud's syndrome, and various neurological problems.

Locations of standardized tender points of fibromyalgia
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What causes fibromyalgia?
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=> The two ways that Fibromyalgia usually appears
=> The two most common treatment methods for Fibromyalgia
=> The six most common Fibromyalgia symptoms
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Reduce Stress and Reduce Your Fibromyalgia Symptoms
Stress and pain are irreversibly linked in fibromyalgia. For many people, some kind of stressful event is what initially triggers fibromyalgia. It often shows up after a serious illness, some kind of emotional or mental shock or with PTSD (Post Traumatic Stress Disorder). There is probably a genetic tendency toward fibromyalgia, and many people believe that stress unmasks the disorder.Fibromyalgia is thought to be a central nervous system disorder in which either pain-sensing nerves are excessively sensitive, or the brain is extremely sensitive to pain impulses. People with fibromyalgia have poor functioning of the HPA axis-hpyophysis-pituitary-adrenal axis-which is our body's system for responding to stress with neurochemicals like adrenalin and serotonin. We don't know how pain sensation and an abnormal stress response are related, but we do know that people with fibromyalgia experience more pain when they are stressed.
Just having fibromyalgia is stressful. Dealing with constant pain, fatigue and mental cloudiness is stressful. Not being able to accomplish things is stressful, especially if it affects your employment situation. That can lead to financial stress. The fact that few people understand what you are going through and expect you to behave "normally" is stressful. Dealing with a chronic illness and lifestyle changes is stressful.
Stress reduction is an important part of managing your fibromyalgia. Here are a few ways that may help alleviate some of your stress.
1. Good self care. Eating a nutritious diet, getting the right amount of the right kind of exercise, establishing regular sleep habits and giving yourself grace are all part of taking good care of yourself. They are important.
2. Practice body awareness. People who deal with chronic pain, as in fibromyalgia, become accustomed to ignoring their bodies; it's one way they cope with the pain. If you learn to recognize your body's cues that you are becoming tense, you can use a relaxation technique or exercise early on, before stress becomes unmanageable. At the same time, you don't want to lose that protective lack of awareness about pain. Take breaks every so often and just sit quietly and pay attention to how you feel. Learn where you feel stress first. Do you get heartburn? Do your shoulders get tight? Once you learn that, you can periodically scan to see if your body is showing tension.
3. Change the way you think. This takes practice, but it gives you a chance to respond to situations instead of reacting.
4. Keep a stress journal. This has two purposes. You can journal about stressful incidents and use the journal as a tool to help you identify situations that are stressful to you. This can help you either avoid repeating these situations or be better prepared should they be unavoidable. Journaling about a stressful event also helps you debrief and de-stress after the event.
5. Learn stress management techniques, such as visualization, meditation and breathing. These techniques decrease the level of neurochemicals circulating in your body, and help decrease both stress and pain.
6. Physical therapy, stretching and massage can help decrease muscle tension and stress, and help minimize pain.
7. Talk to a counselor who specializes in stress management and pain treatment. He or she can help you learn new ways to manage stressful events.
If you decrease your stress, you will probably experience less pain and fatigue from your fibromyalgia.
Help is available
Fibromyalgia and Exercise
The most effective treatment for fibromyalgia is exercise. Which seems totally weird, because most people with fibromyalgia hurt worse and are more fatigued after exercise, and they may feel that way for days. The key is the right amount of the right kinds of exercise.If you are new to exercising within the constraints of fibromyalgia, it may be helpful to enlist the help of a trainer, physical therapist or exercise physiologist to design a program specifically for you. Every person with fibromyalgia has a different exercise capacity, so you need an individualized program.
Another important concept related to exercise is your "baseline." Each person has a different baseline. It is the level of exercise that you can maintain over time. It does not mean that you are pain-free, but that the pain doesn't interfere with your lifestyle. You also need to remember that you'll always have good days and bad days. You don't stop or reduce your exercise because of a bad day. (Although you may reduce it for a while if you have a bad flare-up that lasts days or weeks.)
Exercise training for someone with fibromyalgia begins with stretching. Stretching reduces the stiffness and keeps ligaments and tendons from shortening over time. Stretching should be gentle and it should feel good. It is usually a good idea to warm your muscles with mild aerobic activity, such as walking, for a few minutes before stretching.
Daily low-impact, gentle aerobic exercise is the next step. Aerobic exercise has tons of health benefits. It specifically helps reduce fibromyalgia symptoms because it improves flexibility, causes your body to release endorphins and other happy chemicals and reduces stress. Walking and bicycling are excellent low-impact exercises. It is important to start at a level suitable to where you are and increase your level of exercise slowly. If you get fatigued after five minutes of walking, start there and increase your time by a minute or two every week or two.
Some activities are especially good for fibromyalgia. Water aerobics and swimming are wonderful. The buoyancy of the water supports your sore muscles and allows you to exercise with less pain. Swimming has a double benefit of gentle stretching along with aerobic exercise.
Tai Chi and Qi Gong and Yoga emphasize slow, gentle movements that are ideal for people with fibromyalgia. All three exercises include breathing and focusing, which decrease stress. You also learn to be aware of your body and learn to recognize signs of stress.
Whether we are talking about exercise or sleep, pacing and routine are important if you have fibromyalgia. Going to bed and getting up at the same time every day helps with sleep. Exercising at the same time every day helps with exercise. Your body begins to respond to routine.
Exercise must be paced, too. That means starting at a low level, increasing gradually, and incorporating rest into your routine. You exercise, then rest, then exercise some more. Over time, you can shorten the rest periods and/or lengthen the exercise periods. Rhythm and pacing make a big difference in how much exercise you can tolerate.
It is recommended that you consult your doctor before starting any new exercise regime.
To find out more on why exercise can be so beneficial please visit EliminateFibromyalgia.com .
Fibromyalgia Poll
6 Fibromyalgia Pain Relief Strategies
1) Entering into a consistent and relaxing exercise routine is one of the easiest and most beneficial ways of dealing with Fibromyalgia. Please remember to never start an exercise routine without consulting a doctor first.
2) A low carb and high protein diet is another popular way to help relieve Fibromyalgia pain. Not only will eating right help your body overall, by eliminating high amounts of saturated fat, refined white sugar, caffeine and alcohol, you can eliminate many common symptom triggers.
3) As any long time sufferer of Fibromyalgia can tell you, nothing feels better than a good heating pad. Pads help with circulation and also help to loosen up muscles and joints that can ache during severe bouts of Fibro flare-up.
4) The use of topical pain medications is another popular way to deal with Fibromyalgia. But a quick trip to your local drug store reveals an overwhelming choice in pain relief rubs. The industry standard is, of course, Bengay.
5) Meditation might not be a cure-all for pain, but it can help relieve a lot of stress that can be a major trigger for Fibromyalgia symptoms. Meditation is a very personal, and for most a private practice.
6) A final helper for pain is deep tissue massage. By helping to stimulate blood flow in the joints and muscles that are aching, symptoms and pain can be reduced. This works much the same way as a heating pad, but many Fibromyalgia sufferers swear by the deeper and more complete relief of a massage.
Fibromyalgia can be a painful and debilitating ailment. Luckily, there are many non-drug methods of dealing with the chronic pain caused by this condition. You may have to try several methods before you find one that is right for you, but there is hope for everyone with Fibromyalgia.
For more information on overcoming Fibromyalgia symptoms please visit EliminateFibromyalgia.com.
Fibromyalgia - Recommended Reading
Diet Linked to Fibromyalgia
Foods to eat or avoid
One method of treating Fibromyalgia that many sufferers agree helps is changing your diet. While there is no ironclad recipe of foods to include and foods to avoid, you can use these tips as a starting point to easing your Fibromyalgia symptoms. The key here is remembering what works for some, doesn't work for all. It will take some time and some experimentation to figure out the right diet modifications for your Fibromyalgia.=> Try to balance your diet. The first goal of any sufferer is to get the body in as optimum condition as possible. Cut down on fatty foods and try to eat more veggies and fruit. Drink more water to help flush everything through your system. Cut down drastically on junk food.
=> Take in more protein and less carbs. Even if you don't suffer from Fibromyalgia, this is sound advice. Lean proteins, like skinless chicken, lean beef and fish, are an excellent and healthy way to fuel your body. They help keep energy levels high and can even help with hypoglycemia. The carbs, on the other hand, help the body to make insulin, which in small doses is good, but if your body makes too much, it can lead to your system storing fat.
=> Avoid caffeine and anything that has caffeine in it. This may be close to impossible when you consider the popularity of coffee and soft drinks today, but caffeine is a diuretic and can exacerbate IBS symptoms that are common with Fibromyalgia. This means no caffeinated pop and also no chocolate or coffee.
=> Try to eliminate alcohol consumption. Not only can the combination of many common prescription medications and alcohol be very bad for you, even alcohol on its own can make symptoms worse. Alcohol can aggravate the stomach and digestive tract and cause increased bowel problems.
=> Finally, try to reduce or eliminate refined white sugar from your diet. Again, this falls under the category of sound medical advice to anyone, but for Fibromyalgia sufferers, it's an especially good idea. Not only can sugar disrupt sleep patterns if too much is eaten, it can harm your immune system and tests have shown that Fibromyalgia patients report fewer symptoms and less severe symptoms when they decreased their sugar intake.
Treating your Fibromyalgia can be a chore, especially when some doctors won't even admit it exists. But there are significant steps you can take at home to decrease your Fibromyalgia symptoms by changing what you eat for the better. While everyone may get different results, these tips will hopefully have you on your way to a healthier tomorrow.
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"Don't forget to Reduce Stress, Excercise Regularly, Get Enough Sleep and Eat Healthy."
more information and resources on Fibromyalgia Syndrome (FMS)
Feel free to add your favorite resource here.
National Fibromyalgia Association
To develop and execute programs dedicated to impro more...0 points
Fibromyalgia - MayoClinic.com
Fibromyalgia - Comprehensive overview covers sympt more...0 points
UKFibromyalgia
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Fibromyalgia Symptoms
Overview of fibromyalgia symptoms.0 points
MedlinePlus: Fibromyalgia
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WebMD Fibromyalgia Health Center - Find fibromyalgia information and the latest health news
Fibromyalgia affects an estimated 5.8 million Amer more...0 points
Fibromyalgia (Fibrositis) Causes, Diagnosis, Symptoms, and Treatment on MedicineNet.com
Find out about fibromyalgia, a chronic condition t more...0 points
Fibromyalgia - wiki
Fibromyalgia (new lat., fibro-, fibrous tissue, Gk. myo-, muscle, Gk. algos-, pain, meaning muscle and connective tissue pain) is also referred to as FM or FMS. Fibromyalgia is characterized by chron...
Fibromyalgia on the web
- A Time To Reflect » Blog Archive » Living with fibromyalgia
- The December issue of Prevention carries a personal essay ? purportedly written by me ? on livin...
- Fibromyalgia, Chronic Fatigue Syndrome & The Role of The Psychiatrist
- Fibromyalgia and chronic fatigue syndrome are not psychological illnesses, contrary to the misconcep...
- ME/CFS & Fibromyalgia Around the Web : FightingFatigue.org
- Rodriguez and co-workers from Madrid, San Diego, and Seattle reviewed the literature on comorbidity...
- Survive Holiday Shopping With Fibromyalgia & Chronic Fatigue Syndrome
- Survive Holiday Shopping With Fibromyalgia & Chronic Fatigue Syndrome.
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Guestbook
Please let us know what you think about this page and also share your thoughts and experiences with fibromyalgia with us.
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Reply
- Spook Spook Nov 9, 2009 @ 1:44 pm
- For the first time I really understood what it is about. Blessed by an Angel.
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- baymist baymist Nov 5, 2009 @ 1:20 pm
- I suffer from fibro as well, and found this very informative. Thanks for all the wonderful resources.
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- Irenemaria Irenemaria Nov 3, 2009 @ 4:44 pm
- One of my children has this awful fybromyalgia to fight. She says that swimming can help a bit. But sometimes she cannot even carry a liter of milk.
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- Lisa_Jo Lisa_Jo Oct 26, 2009 @ 8:41 am
- This is a great lens. I know three people who suffer from fibromyalgia. I have learned quite a bit about it through working for a Naturopath Doctor. I have also learned that there is a possibility of its beginning being linked to staph infection. You can find information about natural help for staph by visiting my lens "A Silver Lining Against H1N1 Virus." I look forward to reading more of your lenses. I found it very informative. Thank you so much for sharing your knowledge. I feel priveledged to be in such great company in the search for natural health care. Many continued blessings.
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- CherylK CherylK Sep 21, 2009 @ 12:18 pm
- I have a sister who suffers from fibromyalgia. This is such a good resource that I am going to tell her about this page. It sees like just changing the diet would be really beneficial. Thank you for putting so much thought and research into this lens!
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- Demaw Demaw Jul 12, 2009 @ 9:54 pm
- It is so sad as this syndrome mimics some other diseases and makes it hard to diagnose. 5*
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- davidstillwagon davidstillwagon Jun 12, 2009 @ 3:35 pm
- a lot of great information on an important subject! 5*
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- Angel Angel May 23, 2009 @ 1:52 pm
- I suffer from 90% of the fibromyalgia symptoms but i still hope i don't have it !
i tried acupuncture,infrared-heat and supplements such as Sam-e,MSM,B complex and co-enzyme Q10. But I'm still in pain all the time ! i don.t know what to do ?
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- spirituality spirituality May 15, 2009 @ 9:47 am
- Great lens - you've been blessed by a squidoo angel :)
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- shevans shevans May 6, 2009 @ 3:39 pm
- Thank you for this large amount of information on fibromyalgia. I thought that I might have it, but after reading this lens, I apparently do not. My problems do not seem to exhibit the symptoms here, which is fortunate. A great resource for learning about this condition.
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- Selena Selena Jan 27, 2009 @ 7:12 pm
- I'm so thankful that there are more people that know about this disease and that you share your way of life with fibromyalia and give others advice as to what helps you and maybe it will help others out there.I'm in a very good group that all women have fibromyalia and it's great.We get to talk to each other and are always there whenever we need to vent when we get a Fibro-Flare and having a bad day,they are there for you.The group is called Fibromyalia Sisters on CafeMom.com.It is a great womens group of all ages adult.Thank you again for your information.
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- d-artist d-artist Nov 17, 2008 @ 8:30 am
- great information that I can use...thanks for sharing...5*
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- rockycha rockycha Oct 28, 2008 @ 1:47 pm
- Congrats on Giant Squid 100! Squid Angel blessings for this great lens! I have Chronic Fatigue Syndrome and find that D-Ribose helps me with my fibro muscle aches and pain in a flash too. Great Job!
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- Rajays Rajays Oct 25, 2008 @ 12:32 pm | in reply to JudyDunn
- Thank you so much for sharing your experience here with us. We can all learn to better manage our fibromyalgia symptoms by learning from each others experience.
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- JudyDunn JudyDunn Oct 25, 2008 @ 8:13 am
- Great information! I have found that high quality sleep, even more so that quantity, makes a big difference in managing my fibromyalgia. Treating restless leg and getting a good mattress really helped. And I completely agree with the assessment about exercise....it is a delicate balance.
The one thing I found that I can't tolerate is the deep tissue massage. I know several people with FMS who swear by the massage, but I find it is too painful, and causes me more stress.
When I cross a line,...too little sleep, too much activity, bad diet, lots of stress....I crash. It is like hitting a wall. There are no reserves left. And, there is no warning when it will hit. That is the part that I find most challenging, but fortunately it is rare these days.
Finally, attitude can make a big difference.
Don't define yourself by your illness. Too much attention to it, can amplify the symptoms. Get on with life as best you can.
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- Oct 21, 2008 @ 7:46 am
- Suffering from this myself I have to say this is a great lens with great info!
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- The_Homeopath The_Homeopath Oct 7, 2008 @ 11:13 am
- I have come to congratulate you on being a member of the Giant 100 club!! Yes, you deserve a Happy Dance. I also really enjoyed your lens. I suffered from fibromyalgia for several years before drastically modifying my diet. I'm lensrolling this on to my Food Allergy Testing lens. Thank You!!
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- Rajays Rajays Oct 4, 2008 @ 12:39 pm
- To JaguarJulie,
Reflex Sympathetic Disorder Syndrome(RSDS/RSD) is also called Chronic Regional Pain Syndrome (CRPS). It is classified as a chronic neurological syndrome that shares some of the symptoms of fibromyalgia including chronic pain which can make the diagnosis of RSD symptoms difficult.
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- JaguarJulie JaguarJulie Oct 4, 2008 @ 9:54 am
- A jam-packed, informational resource of a lens on Fibromyalgia. I'm wondering is Reflex Sympathetic Disorder related to Fibromyalgia? You've done a great job of presenting the info!
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Reply
- monarch13 monarch13 Sep 25, 2008 @ 12:31 pm
- Thanks for the great resources and hard work! 5 Stars!
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