Fibromyalgia: what it is, symptoms, causes and treatment

Fibromyalgia: what it is, symptoms, causes and treatment


Find out the main symptoms of fibromyalgia, its main pain points, how it is diagnosed and treated.




According to the Brazilian Society of Rheumatology (SBR), fibromyalgia is the most common disease among women. Of every 10 fibromyalgia patients, seven to nine are women. However, the syndrome can also affect men, the elderly, adolescents and children.

What is fibromyalgia?

According to the SBR, fibromyalgia is a condition characterized by chronic widespread muscle pain, but which has no signs of inflammation at the sites of pain.

Despite widespread muscle pain, which lasts on average three months, it is not possible to identify evidence of inflammation in the painful areas of those who experience it.

What are the causes of fibromyalgia?

The Brazilian Society of Rheumatology states that, although not yet fully clarified, the main hypothesis is that fibromyalgia patients present a change in the perception of pain sensation.

“This is supported by studies that visualize these patients’ brains functioning, and also because fibromyalgia patients show other signs of sensitivity in the body, such as in the bowel or bladder,” says SBR.

According to the association, some fibromyalgia patients develop the condition after a trigger, such as poorly treated localized pain, physical trauma, or a serious illness.

What are the symptoms of fibromyalgia?

Pain for more than three months in one or all parts of the body, the presence of painful spots in the muscles (usually on both sides), depression or anxiety, and changes in bowel habits are among the warning signs of the syndrome. Other common symptoms of fibromyalgia are:

  • Generalized pain: Continuous, widespread pain that affects both sides of the body and is present above and below the waist.
  • Fatigue: Constant feeling of tiredness, even after long periods of rest or sleep.
  • Sleep disorders: Difficulty falling asleep, staying asleep, or waking up frequently during the night.
  • Cognitive problems: Difficulty concentrating, memory, and processing information, often referred to as “fibro fog.”
  • Greater sensitivity: Increased sensitivity to stimuli such as light, sound, temperature and touch.

Is fibromyalgia serious?

Fibromyalgia, although not considered a fatal or progressive disease, can be a serious condition due to the significant impact it has on quality of life. Its symptoms can make it difficult to carry out daily and professional activities, as well as compromising emotional health.

Although it does not cause permanent tissue or organ damage, the severity of fibromyalgia varies from person to person. With proper treatment, many people can control symptoms and live productive lives.

Diagnosis of fibromyalgia

The SBR states that the diagnosis of fibromyalgia is eminently clinical, with history, physical examination and laboratory tests helping to rule out other conditions that may cause similar symptoms.

“Imaging tests must be interpreted very carefully, since radiological findings are not always the cause of the patient’s pain. Fibromyalgia can appear in patients suffering from other rheumatic diseases, such as rheumatoid arthritis and systemic lupus erythematosus, and often makes it difficult for these patients to achieve complete improvement,” informs the association.

What is the treatment for fibromyalgia?

While there is no definitive cure for fibromyalgia, several treatments can help control symptoms and improve quality of life, including:

  • Drug: Painkillers, antidepressants, and anticonvulsants may be prescribed to help reduce pain and fatigue.
  • Physiotherapy: Regular exercise, such as stretching, muscle strengthening, and low-impact aerobic activities, can relieve pain and improve physical function.
  • Complementary therapies: Techniques such as acupuncture, massage, meditation and yoga can help reduce stress and pain.
  • Cognitive Behavioral Therapy (CBT): It helps manage pain and deal with the emotional aspects of the condition.
  • Lifestyle changes: Adopting a regular sleep routine, maintaining a healthy diet, and avoiding excessive stress are important for managing fibromyalgia.

Is someone with fibromyalgia considered PWD?

A person with fibromyalgia may be considered a person with a disability (PWD) depending on the severity of their symptoms and the impact on their functional ability. In Brazil, the Law for the Inclusion of Persons with Disabilities (Law 13.146/2015) also recognizes as disabilities diseases and syndromes that result in significant and permanent limitations that affect daily life.

For a person with fibromyalgia to be considered PWD, it is necessary to demonstrate that the disease causes severe limitations in daily activities and work. However, recognition as a PCD may vary depending on the medical and legal assessment on a case-by-case basis.

Source: Terra

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