A genuine and common condition causing widespread pain, fatigue and disturbed sleep, where a clear diagnosis and a considered plan can help
Fibromyalgia is a common condition that causes widespread pain throughout the body, often alongside fatigue, disturbed sleep and difficulty with concentration. It is a real and recognised condition. The pain relates to how the nervous system processes pain signals rather than to damage or inflammation in the joints, which is why standard tests can be normal even though the symptoms are very real.
Written for patients and reviewed by Dr Liubov Borukhson, Consultant Rheumatologist (GMC 7021928).
Fibromyalgia can affect people in several ways. Common features include:
There is no single test for fibromyalgia. The diagnosis is made from the characteristic pattern of symptoms, a careful history and examination, and tests to exclude other conditions that can cause similar pain and fatigue, such as inflammatory arthritis or thyroid problems. An important part of the assessment is taking the symptoms seriously and ruling out other causes, so the diagnosis is reached with confidence.
Where there is any question of joint inflammation, ultrasound can help clarify whether inflammation is present. Dr Borukhson uses point-of-care ultrasound during the consultation. You can read more on the ultrasound clinic page.
Fibromyalgia is usually best managed with a combination of approaches tailored to the individual, which may include graded exercise and activity, attention to sleep, strategies for managing pain, and sometimes medication aimed at the way pain is processed. The aim is to improve daily function and quality of life, and the plan is developed together with you.
Fibromyalgia is often poorly understood, and people sometimes struggle to have it recognised. A careful specialist assessment confirms the diagnosis, excludes other conditions, and sets out a clear, practical plan. If you have widespread pain and fatigue, a considered review can help you move forward.
A careful specialist assessment can confirm the diagnosis, exclude other causes, and agree a practical plan to improve daily life
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