By:  Heather M. Garrison, PA-C (Pain Solutions of High Point)

Fibromyalgia is a multifaceted syndrome that, while more accurately diagnosed and more adequately treated in recent years, is still poorly understood.

There is no clear-cut explanation as to its cause; however, there are growing theories stemming from ongoing research into the disease and its treatment. From what we do know, Fibromyalgia most likely arises from the central nervous system and causes a myriad of symptoms that extend throughout the body.

There are certain populations of patients who are more likely to be affected by the disease. There is a likely link between Fibromyalgia and patients with a history of trauma, such as repetitive injuries or abuse, and those who already suffer from a rheumatologic disorder, like Lupus or Rheumatoid arthritis.

Frequently patients will complain of chronic fatigue and widespread pain. They will experience exquisite tenderness throughout their body with no recent injury or other plausible explanation. These patients will frequently have irregular bowel habits and are often diagnosed with Irritable Bowel Syndrome. They commonly suffer from sleep disorders and depression or anxiety disorders.

Regardless of the cause, one fact remains: If you have Fibromyalgia, it can affect quite literally every aspect of your life. Combine that with the lack of clarity in its cause, and you have one very difficult disease to treat.

The most important thing to remember about treating Fibromyalgia is that there is not one specific treatment. Fibromyalgia requires treatment from many angles to help patients maintain or regain their quality of life.

One of the most beneficial things that patients can do to help themselves is to stay active. Regular exercise helps to decrease the symptoms of fatigue and depression as well as pain. Eating a balanced diet and getting adequate rest are also key factors in treating Fibromyalgia.

There are several prescription medications available that are very effective for controlling the symptoms of Fibromyalgia. Trigger point injections have also been found to be a very beneficial and relatively low-risk procedure for decreasing the amount of pain associated with this disease. In general, opioid medications have very limited use in Fibromyalgia. Patients may also benefit from psychotherapy or behavioral therapy to help them learn to cope with the changes their disease brings into their lives and the lives of those closest to them.