Fibromyalgia is the second most common condition affecting your bones and muscles. Yet it's often misdiagnosed and misunderstood. Its classic symptoms are widespread muscle and joint pain and fatigue.
We do know certain things suggest you're more likely to get it:
- You're a woman.
- You have another painful disease, such as arthritis, or an infection.
- You have a mood disorder, like anxiety or depression.
- You were physically or emotionally abused or have PTSD.
- You rarely exercise.
- Other family members have it.
Simply put, you ache all over. Common symptoms include:
- Muscle pain, burning, twitching, or tightness
- Low pain threshold or tender points
- Draining fatigue
- Trouble concentrating and remembering, called "fibro fog"
- Insomnia or not sleeping well
- Feeling nervous, worried, or depressed
Other fibro symptoms can include:
- Belly pain, bloating, queasiness, constipation, and diarrhea (irritable bowel syndrome)
- Dry mouth, nose, and eyes
- Sensitivity to cold, heat, light, or sound
- Peeing more often
- Numbness or tingling in your face, arms, hands, legs, or feet
Your doctor will examine you and ask you about your past medical issues and about other close family members.
There's no test that can tell you that you have fibromyalgia. Instead, because the symptoms are so similar to other conditions, your doctor will want to rule out illnesses such as an underactive thyroid, different types of arthritis, and lupus. So you may get blood tests to check hormone levels and signs of inflammation, as well as X-rays.
If your doctor can't find another reason for how you feel, they'll use a two-part scoring system to measure how widespread your pain has been and how much your symptoms affect your daily life. Using those results, together you'll come up with a plan to manage the condition.
The three drugs approved specifically for fibro pain are:
Over-the-counter painkillers may help, too. Stronger medicines, like opioids, tend not to work well in the long run, and you could become dependent on them.
Regular moderate exercise is key to controlling fibro. You'll want to do low-impact activities that build your endurance, stretch and strengthen your muscles, and improve your ability to move easily -- like yoga, tai chi, Pilates, and even walking. Exercise also releases endorphins, which fight pain, stress, and feeling down. And it can help you sleep better.
A counselor, therapist, or support group may help you deal with difficult emotions and how to explain to others what's going on with you.