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Is Fibromyalgia Real? Understanding and Thriving with This Invisible Chronic Condition

Updated: Aug 2


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Why Fibromyalgia Deserves to Be Understood


You've canceled plans again. The third time this month. As you send that apologetic text message to friends who were expecting you, a familiar wave of guilt washes over you. "They probably think I'm making excuses," you worry, staring at your perfectly normal-looking body that feels like it's being crushed from the inside. For the millions of women living with fibromyalgia, this scenario isn't the exception—it's the norm.


Every morning, you wake up feeling like your body has been through a war, yet there's no visible wound, cast, or bandage to show for it. The relentless ache in your muscles makes simple tasks like brushing your hair feel monumental. The crushing fatigue that no amount of sleep can cure leaves you struggling to make it through basic daily activities. The mental fog makes you forget words mid-sentence, causing embarrassment in conversations. These invisible battles define daily life with fibromyalgia.


"But you don't look sick," they say. Four words that simultaneously invalidate your suffering and force you to justify your pain all over again.


Fibromyalgia doesn't just steal your energy; it steals moments, relationships, and the ability to live life on your own terms. It transforms reliable bodies into unpredictable landscapes where pain migrates without warning and fatigue descends without mercy. The unpredictability can be as debilitating as the symptoms themselves.


Yet, fibromyalgia remains one of the most misunderstood medical conditions, despite affecting approximately 4 million adults in the United States alone, with women accounting for 80-90% of diagnoses. Whether you're newly diagnosed, have been living with fibromyalgia for years, or are supporting a loved one, this comprehensive guide will shed light on what fibromyalgia truly is and provide practical strategies for managing it with greater confidence and less suffering.


Is Fibromyalgia Real? The Science Behind the Condition


Yes, fibromyalgia is absolutely real. This condition has been recognized by the American Medical Association since 1987 and is extensively studied in the medical community. The question itself reflects the unfortunate stigma attached to conditions that cannot be easily visualized through standard medical tests.


Modern neuroscience has made significant strides in understanding fibromyalgia. Researchers have identified that the nervous system in people with fibromyalgia processes pain differently, amplifying normal sensations into chronic, widespread pain.


Functional MRI studies have shown that fibromyalgia patients process pain signals differently than people without the condition. Their brains show heightened activity in pain-processing regions, suggesting a neurological basis for their symptoms. Research from institutions like the National Institutes of Health has demonstrated that people with fibromyalgia have abnormal levels of certain neurotransmitters in their cerebrospinal fluid, further confirming the biological reality of this condition.


Scientists have also discovered that fibromyalgia patients have abnormalities in their small nerve fibers, particularly in their skin and eyes. These findings help explain the widespread pain and sensitivity that are characteristic of the condition. Additionally, researchers have found evidence of inflammation in the brain and spinal cord of fibromyalgia patients, offering another biological marker for the condition.


Key Takeaway: Fibromyalgia is a neurological condition involving central sensitization, where the brain and spinal cord misinterpret pain signals. This is not "all in your head"—it's a physical, measurable condition with neurological underpinnings that can now be observed through advanced medical technology.


Why Do People Doubt Fibromyalgia? Common Myths Debunked


Despite substantial medical validation, fibromyalgia continues to face skepticism from both medical professionals and the general public. This doubt often stems from several factors:


  1. The invisible nature of the condition: Unlike a broken bone or skin rash, fibromyalgia's symptoms aren't visible to observers.


  2. The lack of a definitive diagnostic test: While diagnostic criteria exist, there's no single blood test or scan that can confirm fibromyalgia.


  3. Historical gender bias in medicine: With women comprising the majority of fibromyalgia patients, the condition has suffered from the legacy of dismissing women's pain as "emotional" or "psychosomatic."


  4. Outdated medical education: Many practicing physicians completed their training before fibromyalgia was well-understood, leading to knowledge gaps about the condition.


Modern science has proven these misconceptions wrong, but awareness and education remain crucial for combating lingering myths.


A 2018 study published in the Journal of Rheumatology found that fibromyalgia patients face significant stigma in healthcare settings, with many reporting that their symptoms were dismissed or attributed to psychological causes. This experience is all too common among women with fibromyalgia, who often spend years seeking a diagnosis while being told their symptoms are "just stress" or "depression."


Empowering Tip: Share resources from reputable organizations like the Centers for Disease Control and Prevention (CDC) or the National Fibromyalgia Association with skeptical friends, family members, or healthcare providers. Having authoritative information on hand can help validate your experience and educate others about the reality of this condition.


Myths vs. Facts:

Myth

Fact

Fibromyalgia is just depression or anxiety.

While mood disorders can coexist with fibromyalgia, it is a distinct neurological condition with physical symptoms that cannot be explained by mental health diagnoses alone.

Fibromyalgia only affects older women.

While more common in women, fibromyalgia can affect anyone, including men and children, across all age groups.

Exercise will cure fibromyalgia.

Gentle, appropriate movement helps manage symptoms, but overexertion can trigger flare-ups. There is no "cure" through exercise alone.

If tests are negative, the pain isn't real.

Standard blood tests and imaging studies don't detect fibromyalgia. The absence of abnormal findings on these tests doesn't invalidate a person's pain experience.

A weak personality causes fibromyalgia.

Fibromyalgia has nothing to do with personality or mental fortitude; it's a neurological condition affecting how the brain processes pain signals.


Recognizing Fibromyalgia Symptoms


Fibromyalgia presents a diverse range of symptoms, which can vary significantly from person to person, making it challenging to diagnose. Many women report that their symptoms fluctuate in intensity, with good days and bad days occurring unpredictably. Understanding the full spectrum of fibromyalgia symptoms can help you recognize patterns and communicate more effectively with your healthcare providers.


Primary Symptoms:


Chronic widespread pain: The hallmark symptom of fibromyalgia is pain that affects both sides of the body, above and below the waist. This pain is typically described as aching, throbbing, stabbing, or burning sensations that persist for at least three months.


Fatigue: This isn't ordinary tiredness that improves with rest. Fibromyalgia fatigue is often described as "bone-deep exhaustion" that can be debilitating, making even simple activities feel impossible. Many women report waking up feeling as tired as when they went to bed.


Cognitive difficulties (Fibro fog): This includes trouble concentrating, memory lapses, mental fatigue, and difficulty finding words. Many women report feeling like their thoughts are moving through molasses, making tasks requiring mental focus especially challenging.


Sleep disturbances: Despite profound fatigue, quality sleep often remains elusive. Problems may include insomnia, restless legs syndrome, sleep apnea, or waking up feeling unrefreshed even after sleeping for hours.


Common Secondary Symptoms:


  • Heightened sensitivity to touch, light, sound, smell, or temperature changes

  • Headaches and migraines, often occurring alongside neck and shoulder tension

  • Digestive issues, including irritable bowel syndrome (IBS), bloating, constipation, or diarrhea

  • Temporomandibular joint disorders (TMJ) causing jaw pain and dysfunction

  • Numbness or tingling, particularly in hands and feet

  • Dizziness and balance problems

  • Bladder issues, including frequent urination or painful bladder syndrome

  • Anxiety and depression, often developing as a result of chronic pain and limitations

  • Skin problems including excessive sweating, rashes, or dry skin

  • Sensitivity to weather changes


For many women, symptoms tend to fluctuate, with periods of relative calm interrupted by intense flare-ups that can last days, weeks, or even months. Identifying your personal triggers can help manage these fluctuations more effectively.


Symptom Journal Tip: Consider keeping a daily symptom journal to track the intensity of your symptoms, potential triggers, and effective relief strategies. This information can be invaluable for identifying patterns and developing personalized management approaches.


For a fuller overview of fibromyalgia symptoms you might not know about, visit 11 Overlooked Fibromyalgia Symptoms: What Your Doctor Might Be Missing.


How Fibromyalgia Is Diagnosed


Unlike conditions diagnosed with specific blood tests or imaging studies, fibromyalgia requires a more clinical approach. This diagnostic process can be frustrating for many women, who often report seeing multiple healthcare providers before receiving an accurate diagnosis. According to the American College of Rheumatology, it takes an average of five years from symptom onset to proper diagnosis.


The diagnostic process typically involves:


Comprehensive Medical History


Your healthcare provider will ask detailed questions about:

  • The duration, location, and nature of your pain

  • Your fatigue levels and sleep quality

  • Other symptoms you're experiencing

  • Family history of similar conditions

  • Recent physical or emotional stressors

  • Previous and current medical conditions


Physical Examination


While no single physical finding confirms fibromyalgia, your doctor may:

  • Perform a tender points examination (though this is less emphasized in newer diagnostic criteria)

  • Check for signs of other conditions that could explain your symptoms

  • Assess your overall physical condition and functioning


Laboratory and Imaging Tests


These tests don't diagnose fibromyalgia but help rule out other conditions with similar symptoms:

  • Complete blood count (CBC)

  • Erythrocyte sedimentation rate (ESR)

  • Comprehensive metabolic panel

  • Thyroid function tests

  • Vitamin D levels

  • Rheumatoid factor and antinuclear antibody tests

  • X-rays or other imaging (if specific areas of concern exist)


Diagnostic Criteria


The current diagnostic criteria from the American College of Rheumatology focus on:

  1. Widespread pain index (WPI): Assessing pain in specific body regions

  2. Symptom severity scale (SS): Evaluating fatigue, waking unrefreshed, cognitive symptoms, and other somatic symptoms

  3. Symptoms present at similar levels for at least three months

  4. No other condition that would explain the pain


Finding the Right Doctor: If you suspect you have fibromyalgia, consider consulting a rheumatologist or a physician with experience in fibromyalgia management. Not all healthcare providers are equally knowledgeable about this condition, and finding someone who understands fibromyalgia can make a significant difference in your care.


Causes of Fibromyalgia: What We Know So Far


While the exact cause of fibromyalgia remains elusive, research has identified several factors that likely contribute to its development. Understanding these potential causes can help validate your experience and inform treatment approaches.


Central Sensitization


The most widely accepted theory involves central sensitization, where the central nervous system (brain and spinal cord) becomes hypersensitive to stimuli:


  • Pain signals are amplified through a process called "wind-up"

  • Normal sensations may be interpreted as painful

  • Pain threshold is lowered throughout the body

  • Pain processing centers in the brain show increased activity


Research using functional MRI has shown that people with fibromyalgia process pain signals differently, with greater activation in pain-processing brain regions even with mild stimuli.


Genetic Factors


Fibromyalgia tends to run in families, suggesting a genetic component:


  • First-degree relatives of people with fibromyalgia have an 8.5 times higher risk of developing the condition

  • Specific gene variants related to pain processing and stress response have been identified in fibromyalgia patients

  • Genes that regulate neurotransmitters like serotonin, dopamine, and norepinephrine may play a role


Triggering Events


Many people report that their fibromyalgia symptoms began after a specific event:


  • Physical trauma (such as car accidents or surgeries)

  • Severe infections (like Lyme disease, COVID-19, or Epstein-Barr virus)

  • Prolonged psychological stress (major life changes, PTSD, chronic stress)

  • Hormonal changes (perimenopause, pregnancy, thyroid disorders)


These triggers may act as a "tipping point" in genetically susceptible individuals, initiating the neurological changes that characterize fibromyalgia.


Neurochemical Imbalances


Research has identified several chemical abnormalities in fibromyalgia patients:


  • Elevated levels of substance P (a pain neurotransmitter) in spinal fluid

  • Decreased levels of serotonin and norepinephrine (which help regulate pain)

  • Abnormal levels of stress hormones like cortisol

  • Changes in growth hormone production, affecting muscle repair

  • Disruptions in neurotransmitters involved in pain signaling


Understanding the Complexity: Fibromyalgia likely results from a complex interplay of these factors rather than a single cause. This complexity helps explain why treatments that work for one person may not work for another, and why a multifaceted treatment approach is often most effective.


 If you're interested in a deeper exploration of fibromyalgia triggers, check out What Causes Fibromyalgia? Exploring Triggers, Symptoms, and Practical Tips for Women.


Common Misconceptions About Fibromyalgia


Despite growing awareness and research, fibromyalgia remains surrounded by persistent myths and misunderstandings. These misconceptions can create barriers to proper care and add emotional burden to those already dealing with this challenging condition.


Myth: "Fibromyalgia isn't a real medical condition."


Truth: Fibromyalgia is recognized as a legitimate medical condition by major health organizations worldwide, including the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC), and the American College of Rheumatology. It has a specific diagnostic code (M79.7) in the International Classification of Diseases (ICD-10), the standard diagnostic tool for epidemiology, health management, and clinical purposes.


Myth: "You just need to exercise more and push through the pain."


Truth: While appropriate movement is beneficial, pushing beyond your limits can trigger severe flare-ups that leave you bedridden for days. The approach to exercise with fibromyalgia requires careful pacing, starting with very gentle activities and gradually building tolerance. Many women benefit from working with physical therapists who understand chronic pain conditions and can develop appropriate programs that help rather than harm.


Myth: "Fibromyalgia is just depression or anxiety manifesting as physical symptoms."


Truth: While depression and anxiety commonly co-occur with fibromyalgia (often as a result of living with chronic pain), they are distinct conditions. Many people with fibromyalgia have no history of mental health conditions, and treating depression alone rarely resolves fibromyalgia symptoms. The relationship is complex, as chronic pain affects mental health, and stress can exacerbate fibromyalgia symptoms.


Myth: "It's just laziness or an excuse to avoid responsibilities."


Truth: People with fibromyalgia often push themselves beyond their limits to meet obligations, resulting in post-exertional malaise that can last for days. Many continue working, raising families, and maintaining households despite significant pain and fatigue. Rather than lacking motivation, they frequently demonstrate extraordinary determination in accomplishing daily tasks that others take for granted.


Myth: "You can't have fibromyalgia if you have good days."


Truth: Fibromyalgia is characterized by fluctuating symptoms with unpredictable patterns of flares and remissions. Having good days doesn't invalidate the diagnosis; it's actually a typical feature of the condition. Many women with fibromyalgia learn to take advantage of their better days while preparing for the inevitable return of symptoms.


Myth: "Only middle-aged women get fibromyalgia."


Truth: While fibromyalgia is more common in women (especially between ages 30-50), it affects people of all genders, ages, and backgrounds. Men, children, and older adults can all develop fibromyalgia, though their symptoms may present differently and they may face additional diagnostic challenges due to these misconceptions.


Empowering Tip: Use the Spoon Theory to explain your limited energy resources to friends and family. This metaphor, created by Christine Miserandino, helps convey how chronic illness forces you to carefully allocate your energy (spoons) throughout the day, making choices that others don't have to consider.


Living Well with Fibromyalgia: Practical Tips


Living with fibromyalgia requires developing a personalized approach to managing symptoms while still participating in activities that bring you joy. These strategies can help you regain some control over your symptoms and improve your quality of life.


Gentle Movement and Exercise


Exercise might seem counterintuitive when you're in pain, but the right kind of movement can significantly improve fibromyalgia symptoms:


Water-based exercises: The buoyancy of water reduces pressure on painful joints while providing gentle resistance. Many women find pool therapy or aqua aerobics particularly helpful for building strength without triggering pain.


Gentle yoga: Yoga combines gentle stretching, strengthening, and mindfulness. Look for classes specifically designed for people with chronic pain or fibromyalgia.


Tai chi: This ancient practice involves slow, flowing movements that improve balance, flexibility, and mental focus while being gentle on the body.


Walking: Start with very short distances (even just 5 minutes) and gradually increase as tolerated. Using walking poles can provide additional support and stability.


Personal Experience - "I started with just 10 minutes of gentle yoga a day and slowly built up over six months. It's been a game-changer for my pain levels and mobility. The key was consistency without pushing beyond my limits." – Emily, 38


 Looking for supportive ways to stay active? Fibromyalgia Physical Therapy: A Complete Guide to Gentle Exercises for Pain Relief offers helpful, low-impact options.


Dietary Approaches


While no single diet works for everyone with fibromyalgia, many find that certain dietary changes help reduce inflammation and improve energy:


Anti-inflammatory focus: Emphasize foods like leafy greens, colorful vegetables, berries, fatty fish (salmon, sardines), nuts, seeds, olive oil, and turmeric.


Identify food sensitivities: Consider keeping a food diary to identify potential trigger foods. Common culprits include gluten, dairy, processed foods, artificial sweeteners, and MSG.


Balanced meals: Include protein, healthy fats, and complex carbohydrates at each meal to help stabilize blood sugar and energy levels.


Hydration: Aim for at least 64 ounces of water daily, as dehydration can worsen fatigue and headaches.


Sleep Optimization


Quality sleep is essential for managing fibromyalgia, though often challenging to achieve:


Consistent schedule: Go to bed and wake up at the same time every day, even on weekends.

Sleep environment: Create a cool, dark, quiet bedroom free from electronic distractions.

Bedtime routine: Develop a calming pre-sleep ritual that signals to your body it's time to wind down.

Comfort considerations: Invest in a supportive mattress and pillows that accommodate tender points.


Stress Management


Stress is a common trigger for fibromyalgia flares, making stress reduction techniques valuable tools:


Mindfulness meditation: Even short daily practices can help calm the nervous system. Apps like Calm, Headspace, or Insight Timer offer guided meditations specifically for chronic pain.

Breathing exercises: Simple breathing techniques like 4-7-8 breathing (inhale for 4 counts, hold for 7, exhale for 8) can activate the parasympathetic nervous system, reducing pain and anxiety.

Progressive muscle relaxation: This technique involves tensing and then releasing each muscle group, helping reduce physical tension that exacerbates pain.

Journaling: Writing about your experiences, emotions, and gratitude can help process feelings and reduce stress.


Pacing and Energy Conservation


Learning to pace yourself is perhaps the most important self-management skill for fibromyalgia:


Activity pacing: Alternate periods of activity with rest, even when feeling good.

Energy banking: Rest before important events, not just after symptoms appear.

Task modification: Find easier ways to accomplish necessary tasks (sitting while cooking, using delivery services when possible).

Prioritization: Identify what truly needs to be done versus what can wait or be delegated.


Alternative Therapies to Explore


Many people with fibromyalgia find significant relief through complementary approaches that address both physical symptoms and overall well-being. While research on these therapies varies, anecdotal evidence from the fibromyalgia community suggests they can be valuable additions to conventional treatment.


Acupuncture


This ancient Chinese medicine practice involves inserting thin needles into specific points on the body:


  • Research shows acupuncture can help reduce pain and fatigue in fibromyalgia patients

  • Results often improve with regular sessions (typically weekly for 6-8 weeks initially)

  • Look for practitioners with experience treating chronic pain conditions


Massage Therapy


Different massage techniques can help address muscle tension and pain:


  • Swedish massage uses gentle strokes for general relaxation

  • Myofascial release focuses on connective tissue restrictions

  • Trigger point therapy targets specific areas of muscle tension

  • Communication with your massage therapist about pressure sensitivity is essential


Personal Experience: "Regular massage therapy has been crucial for managing my fibromyalgia. I found a therapist who specializes in chronic pain conditions and understands when to use lighter pressure. I leave each session with significantly reduced pain and better mobility." – Maria, 45


Mind-Body Practices


These approaches recognize the connection between mental and physical health:


  • Biofeedback trains you to control physiological processes like muscle tension and heart rate

  • Clinical hypnotherapy can help reduce pain perception and improve sleep

  • Guided imagery uses focused relaxation to create mental images that promote healing

  • Body awareness techniques help reconnect with physical sensations in a non-threatening way


Heat and Cold Therapy


Simple temperature-based treatments can provide quick relief:


  • Warm showers, baths, or heating pads relax muscles and increase circulation

  • Cold packs numb pain and reduce inflammation

  • Alternating heat and cold can be particularly effective for some people

  • Paraffin wax treatments for hands and feet can ease joint stiffness


CBD and Hemp-Based Products


With changing regulations, these options have become more accessible:


  • Some studies suggest CBD may help reduce pain and improve sleep

  • Available in various forms, including oils, topicals, and capsules

  • Quality and potency vary significantly between products

  • Consult your healthcare provider before trying, especially if taking other medications


If you're curious about supplement options for fibromyalgia relief, take a look at The Essential Guide to Supplements for Fibromyalgia: Pain Relief, Energy, and Wellness.


Building a Support System


Living with fibromyalgia can sometimes feel isolating, especially when friends and family don't fully understand what you're experiencing. Building a strong support network is crucial for emotional well-being and practical assistance.


Finding Your Tribe


Connecting with others who understand your experience firsthand can be incredibly validating:


Online communities: Join fibromyalgia-specific forums, Facebook groups, or platforms like MyFibroTeam where you can share experiences and ask questions in a supportive environment.

Local support groups: Check with hospitals, community centers, or the National Fibromyalgia Association for in-person groups in your area. These meetings provide both emotional support and practical advice.

Virtual support groups: Organizations like the Fibromyalgia Coalition International offer online support meetings, making connections possible even when leaving home is difficult.


Educating Loved Ones


Helping friends and family understand fibromyalgia can improve your relationships and support:


Share resources: Provide loved ones with articles, videos, or books from reputable sources that explain fibromyalgia in accessible language.

Use analogies: The spoon theory or battery analogy can help illustrate limited energy reserves in a way that's easy to understand.

Set clear boundaries: Communicate your needs directly, such as requiring advance notice for social events or needing to limit activity duration.

Express appreciation: Acknowledge the efforts of supportive people in your life, reinforcing positive interactions.


Workplace Support


Many women with fibromyalgia continue working with appropriate accommodations:


Know your rights: In the United States, fibromyalgia can qualify as a disability under the Americans with Disabilities Act (ADA), entitling you to reasonable workplace accommodations.

Request accommodations: Examples include flexible schedules, ergonomic workspace modifications, the ability to sit or stand as needed, or remote work options.

Documentation: Work with your healthcare provider to obtain proper documentation of your condition and recommended accommodations.

Virtual Connection: Follow credible fibromyalgia accounts on social media platforms to stay connected with the community. The Fibro Wellness Hub Instagram (@fibrowellnesshub) offers daily support, practical tips, and community connection.


Finding the right doctor is an important step too — learn how in 5 Ways to Ensure You Find a Doctor Who Understands Fibromyalgia.


Final Thoughts: Hope and Empowerment


Living with fibromyalgia may be challenging, but it doesn't define you. With the right tools, treatments, and support, you can lead a fulfilling, joyful life despite your symptoms. Remember that you are not alone in this journey, and your experiences matter.


Finding the right combination of treatments and lifestyle modifications takes time and patience. What works for one person may not work for another, and your own needs may change over time. Be gentle with yourself during this process of discovery and adjustment.

Remember that having fibromyalgia doesn't mean giving up on your dreams and goals. It may mean adapting how you pursue them, but your passions and aspirations remain important. Many women with fibromyalgia continue to work, raise families, engage in creative pursuits, and contribute meaningfully to their communities.


As research continues to advance our understanding of fibromyalgia, new treatments and management approaches will emerge. Stay informed about these developments through reputable sources like the Fibro Wellness Hub and medical research organizations.


Most importantly, believe in yourself and your ability to thrive despite fibromyalgia. Your resilience in facing this challenging condition every day is remarkable. By sharing your experiences and advocating for yourself and others, you contribute to greater awareness and understanding of fibromyalgia in society.


Your journey with fibromyalgia is uniquely yours, but you're part of a strong community of others who understand. Together, we can continue to advance awareness, research, and support for everyone affected by this condition.


FAQs


Q: Can fibromyalgia go away on its own?


A: Fibromyalgia is a chronic condition, but symptoms can be managed with the right treatment plan. Some people experience periods of remission where symptoms are minimal, but the condition itself typically requires ongoing management.


Q: What are the best foods for fibromyalgia?


A: While no specific diet works for everyone, many people benefit from an anti-inflammatory approach that includes leafy greens, berries, fatty fish, nuts, seeds, and olive oil while limiting processed foods, sugar, and artificial additives.


Q: How do I explain fibromyalgia to my employer?


A: Share resources from reputable organizations and focus on how specific accommodations can help you perform your job effectively. If needed, request accommodations under the Americans with Disabilities Act (ADA) with documentation from your healthcare provider.


Q: Can children develop fibromyalgia?


A: Yes, children and adolescents can develop fibromyalgia, though it's less common than in adults. Symptoms may present differently, and diagnosis can be challenging. Pediatric rheumatologists are often the most knowledgeable about childhood fibromyalgia.


Q: Is fibromyalgia a form of arthritis?


A: No, fibromyalgia is not a form of arthritis. While both can cause pain, arthritis involves inflammation of the joints, while fibromyalgia is a neurological condition affecting how the brain processes pain signals.


Q: Will I need to take medication forever?


A: Treatment approaches vary by individual. Some people find that a combination of medications and lifestyle modifications works best, while others may reduce medication over time as they develop effective non-pharmacological management strategies.


Resources


References

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  5. Littlejohn G, Guymer E. Neurogenic inflammation in fibromyalgia. Semin Immunopathol. 2018;40(3):291-300.

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  8. Bidari A, Ghavidel-Parsa B, Amir Maafi A, et al. The acute effect of maximal exercise on plasma beta-endorphin levels in fibromyalgia patients. Korean J Pain. 2016;29(4):249-254.

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Medical Disclaimer

This article is for informational purposes only and is not intended as medical advice. Always consult your healthcare provider before starting any treatment or supplement. The content should not be used to diagnose or treat any health condition, and we assume no liability for the use of this information.


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