Fibromyalgia has a spectrum of symptoms and severity. It is very difficult to diagnose and treat, especially in the typical 10-15 minute office visit. Fibromyalgia is widespread muscle pains, in at least 11 of 18 standard tender points, that lasts for at least 3 months. The pains can migrate and have good and bad days. The typical locations are the neck, back, hips, arms, legs, and chest. Patients usually describe “knots’ in their muscles that are painful. In Fibromyalgia patients, the muscles are actually shortened and tightened. Massage therapy is typically helpful, but painful.

Along with the pain, Fibromyalgia patients experience other debilitating symptoms. These include:

  • A constant feeling of exhaustion and severe fatigue
  • Overall body aches
  • Insomnia or other sleep disorders
  • Depression not caused by a trauma or event, but by chronic discomfort
  • Cognitive problems, often called "brain fog", involving poor concentration, confusion, trouble finding words, and short term memory difficulties
  • Reoccurring headaches
  • Multiple reoccurring infections
  • Irritable bowel syndrome
  • Weight gain
  • Low libido
  • TMJ problems


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