Fibromyalgia is a disorder of chronic, widespread pain and tenderness. It typically presents in young or middle-aged women but can affect patients of either sex and at any age. Its exact cause is unknown but is believed to involve psychological, genetic, neurobiological and environmental factors.
Persistent (3 months) widespread pain.
Fatigue; disrupted and unrefreshing sleep
Multiple other unexplained symptoms, anxiety and/or depression, and functional impairment of activities of daily living
It is a diagnosis of exclusion and alternative diagnosis must be ruled out before diagnosis is made. Following co -morbid conditions should be ruled out
Other inflammatory or autoimmune disorders
Serious cardiac conditions in those with chest pain, dyspnea, and palpitations
Medications used in the management of fibromyalgia include the following:
Skeletal muscle relaxants
Alpha 2 agonists