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Fibromyalgia (FMS)

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Overview
Causes
Diagnosis
Treatments
Complications
Related
Autoimmune/Scleroderma
Cardiac
Gastrointestinal
Interstitial Cystitis
Lupus
PMS
Sjögren's
Sleep Disorders/RLS
Scleroderma
TMJ
CFS/FMS?
Disability
Research
Psychosocial
Medical: Pain
Support
Personal Stories

Overview: What is Fibromyalgia (FMS)?

Fibromyalgia KaleidoscopeFibromyalgia (FMS) causes chronic pain, fatigue, disturbed sleep and a myriad of other symptoms. It can occur by itself or along with other forms of arthritis, including scleroderma. Although it is never fatal, it is usually difficult to manage and can cause significant disability and disruption of quality of life.

What is Fibromyalgia? Fibromyalgia is a long-term (chronic) condition that causes widespread pain in the muscles, tendons and ligaments. Arthritis Research UK. (Also see Autoimmune Diseases)

Illness perceptions and burden of disease in fibromyalgia. Long–term prospective studies should be conducted to improve the understanding of the course of illness and to determine whether early diagnosis and intervention can reduce the severity and duration of symptoms. PubMed, Expert Rev Pharmacoecon Outcomes Res, 12/07/2016.

Causes

Vitamin D status in rheumatoid arthritis (RA) patients: relation to clinical manifestations, disease activity, quality of life (QoL) and fibromyalgia syndrome (FMS). Special attention is required regarding vitamin D levels in RA patients with FMS and decreased QoL. Vitamin D should be corrected and supplementation considered among the RA management armamentarium. PubMed, Int J Rheum Dis, 2014 Oct 7. (Also see Rheumatoid Arthritis Treatments and Vitamin D Deficiency)

Sympathetic nervous system dysfunction in fibromyalgia, chronic fatigue syndrome, irritable bowel syndrome, and interstitial cystitis. Sympathetic dysfunction could be the common underlying pathogenesis that brings on these overlapping clinical features. PubMed, J Clin Rheumatol, 2014 Apr;20(3):146-50. (Also see Chronic Fatigue Syndrome, Irritable Bowel Syndrome and Interstitial Cystitis)

Diagnosis

Fibromyalgia symptoms or not? Understand the fibromyalgia diagnosis process. Fibromyalgia symptoms include widespread body pain, fatigue, poor sleep and mood problems. And because fibromyalgia symptoms can occur alone or along with other diseases, it can take time to tease out which symptom is caused by what problem. Mayo Clinic.

Is it necessary to strictly diagnose fibromyalgia syndrome (FMS) in patients with chronic widespread pain (CWP)? Future research should be directed toward classification of CWP to provide guidance to clinicians in selecting effective therapies. PubMed, Clin Rheumatol, 05/26/2015.

Treatments

Overview
Alternative Therapies
Cognitive Therapy
Exercise
Low Level Laser
Medications
Peripheral Nerve Stimulation

Complications

Fibromyalgia Complications Fibromyalgia symptoms may come and go, but the pain syndrome can disrupt your life and is often associated with other diseases. Healthline, 10/06/2014.

Autoimmune, Arthritis or Rheumatic

Autoimmune Diseases. Fibromyalgia may occur by itself or along with any other autoimmune, arthritis or rheumatic disorder, including scleroderma. ISN.

Impaired lung transfer factor (DLCO) in fibromyalgia (FM) syndrome. FM impairs DLCO mainly as a result of a reduction in vital capacity (Vc), and that this defect is inversely proportional to the severity of the dysfunction suggesting a relationship between impaired DLCO and autonomic nerve dysfunction. Clinical and Experimental Rheumatology Online, 05/06/2016.

Fibromyalgia in patients with axial spondyloarthritis: epidemiological profile and effect on measures of disease activity. Findings suggest that the Ankylosing Spondylitis Disease Activity Score ( ASDAS) is better than the Bath Ankylosing Spondylitis Activity Disease Activity Index (BASDAI) in distinguishing patients with disease activity and the use of ASDAS may be very useful in clinical practice as it allows treating patients with the most appropriate therapy. PubMed, Rheumatol Int, 2014 Feb 8.

Autoimmune Thyroid Disease and Fibromyalgia

Fibromyalgia and chronic widespread pain in autoimmune thyroid disease. This review looks at the current understanding of the prevalence of pain syndromes in autoimmune thyroid disease, their likely causes, present appreciation of the pathogenesis of chronic widespread pain, and how our knowledge can be used to find lasting and effective treatments for the pain syndromes associated with autoimmune thyroid disease. PubMed, Clin Rheumatol, 2014 Jan 18. (Also see Autoimmune Thyroid Disease)

Cardiac Autonomic Dysfunction

Comparison of heart rate variability (HRV) and classic autonomic testing for detection of cardiac autonomic dysfunction (CAD) in patients with fibromyalgia. HRV does not improve detection of CAD in FM patients over classic autonomic testing. PubMed, Int J Rheum Dis, 04/29/2016.

Gastrointestinal

(PDF) The Association of Fibromyalgia (FM) with Irritable Bowel Syndrome (IBS). FM occurs in up to 60% of patients with irritable bowel syndrome (IBS). Up to 70% of patients with a diagnosis of FM have symptoms of IBS. UNC Center for Functional GI and Motility Disorders.

Interstitial Cystitis (Bladder) and Fibromyalgia

Interstitial Cystitis and Fibromyalgia. A subset of interstitial cystitis (IC) patients also have fibromyalgia (FM), a chronic pain disorder with a multitude of symptoms. Interstitial Cystitis Association.

Lupus and Fibromyalgia

Lupus. It is common for people with lupus (and other autoimmune diseases) to be initially diagnosed with fibromyalgia. ISN.

Overview
Antibodies
Causes
Diagnosis
Lupus in Overlap
Media Stories
Pediatric Lupus
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Research
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Symptoms
Treatments
Irritable bowel syndrome (IBS)-type symptoms in female patients with mild systemic lupus erythematosus (SLE): frequency, related factors and quality of life. IBS-type symptoms are highly prevalent among women with SLE and are associated with fibromyalgia (FM) and depression. SLE+IBS patients had worse quality of life (HRQOL) vs Non-IBS SLE, independently of FM status. Treating IBS symptoms may improve HRQOL in women with SLE. PubMed, Neurogastroenterol Motil. (Also see Systemic Lupus Erythematosus and Depression)

Migraine and Fibromyalgia

Frequency of Migraine Headaches in Patients With Fibromyalgia. Migraine headaches are common in patients with fibromyalgia and these conditions can significantly increase a patient’s cumulative disease burden. PubMed, Headache, 05/21/2015.

Premenstrual Syndrome

Premenstrual syndrome (PMS) and fibromyalgia (FMS) may be related; in fact, PMS is listed as a symptom of fibromyalgia. However, a person can have PMS without having FMS.

Sjögren's Syndrome

Prevalence and clinical impact of fibromyalgia (FM) in patients with primary Sjögren's syndrome (pSS). The study showed that FM was prevalent in pSS and FM was associated with higher EULAR Sjögren's Syndrome Patient Reported Index and more severe depression. PubMed, Clin Exp Rheumatol, 08/27/2015. (Also see Symptoms and Complications of Sjögren's Syndrome)

Sleep Disorders

The role of sleep in pain and fibromyalgia. Mechanistically, sleep deprivation impairs descending pain-inhibition pathways that are important in controlling and coping with pain. PubMed, Nat Rev Rheumatol, 04/28/2015.

Obesity and sleepiness in women with fibromyalgia (FM). There is an important association between sleepiness and FM, suggesting that the occurrence of obesity may be involved with sleepiness in these patients. PubMed, Rheumatol Int, 2015 Feb;35(2):281-7.

The Impact of Pain on Anxiety and Depression is Mediated by Objective and Subjective Sleep Characteristics in Fibromyalgia (FM) Patients. There is a high prevalence of sleep problems in individuals with FM, which may play a role in the relationship between pain and anxiety and depression. PubMed, Clin J Pain, 2014 Oct;30(10):852-9. (Also see Depression)

Scleroderma and Fibromyalgia

About half of people with fibromyalgia have Raynaud's. Occasionally Raynaud's is secondary to connective tissue diseases, such as scleroderma. (Also see What is Scleroderma? and Raynaud's)

Temporomandibular Joint Disorder and Fibromyalgia

Features of temporomandibular disorders in fibromyalgia syndrome. Facial pain was reported by 85% of the fibromyalgia group, and 77.5% were diagnosed with myofascial temporomandibular disorders TMD. ProHealth. Cranio.

Relationship Between (CFS) and Fibromyalgia (FMS)

Fibromyalgia and Chronic Fatigue Information on the relationships between the rheumatological condition known as fibromyalgia, fibrositis, or FMS, chronic fatigue syndrome, CFS, myalgic encephalitis, ME, hypometabolism and thyroid disease, including hypothyroidism. VeryWell.

Disability Information for Fibromyalgia

CFS/FMS Objective Medical Evidence Requirements for Disability Adjudication Regarding Social Security Disability in the U.S. Susan M. Daniels, Ph. D.

Research

Bone mineral density (BMD) is decreased in fibromyalgia syndrome (FMS): a systematic review and meta–analysis. In this meta–analysis, we observe that BMD at lumbar spine is decreased in FMS compared with normal individuals. PubMed, Rheumatol Int, 12/05/2016. (Also see Osteoporosis)

Isokinetic Assessment of the Wrist Muscles in Females With Fibromyalgia (FMS). Patients with FMS had decreased muscle strength compared to healthy controls. Archives of Rheumatology, 04/09/2016.

Perceived dyscognition reported by patients with fibromyalgia. Study results provide further evidence that perceived dyscognition in fibromyalgia is influenced by various comorbid symptoms. PubMed, Clin Exp Rheumatol, 02/26/2016.

A randomised, double-blinded study comparing giving etoricoxib vs. placebo to female patients with fibromyalgia. Although being mildly underpowered this study clearly has shown that etoricoxib did not improve pain scores and did not lead to any beneficial mental or physical effects. PubMed, Int J Clin Pract, 01/13/2016.

Association of cardiorespiratory fitness (CRF) with pressure pain sensitivity and clinical pain in women with fibromyalgia (FM). CRF is associated with pressure pain sensitivity but not with clinical pain in women with FM. PubMed, Rheumatol Int, 12/31/2014.

Cognitive and physical fatigue tasks enhance pain, cognitive fatigue and physical fatigue in people with fibromyalgia. People with fibromyalgia show larger increases in pain, perceived cognitive fatigue and perceived physical fatigue to both cognitive and physical fatigue tasks compared to healthy controls. PubMed, Arthritis Care Res, 2014 Jul 29.

The impact of thyroid autoimmunity on arterial stiffness in postmenopausal patients with fibromyalgia (FB). Age, functional status and presence of thyroidperoxidase autoantibody were significantly associated with increased arterial stiffness in postmenopausal FM patients. PubMed, Int J Rheum Dis, 2014 Jan 11.

FMS: Psychological and Sociological Research

Fear of Falling in Women with Fibromyalgia (FM) and Its Relation with Number of Falls and Balance Performance. FM has an impact on fear of falling, balance performance, and number of falls. Perceived balance problems seem to be more closely associated with fear of falling than objective balance performance. PubMed, Biomed Res Int, 2015;2015:589014.

Affective Modulation of Brain and Autonomic Responses in Patients With Fibromyalgia. Patients with fibromyalgia rated all environments as more negative and arousing than did healthy controls. PubMed, Psychosom Med, 2015 Sep;77(7):721-32.

Medical Research: Pain

The impact of fibromyalgia (FM) on health status according to the types, demographic background and pain index. Widespread pain index (WPI) is probably is the most important single indicator of disease severity and quality of life in FM and Type B constitutes a minor but important component of FM. Clinical and Experimental Rheumatology Online, 05/05/2016.

Evaluation of a self–management patient education program for patients with fibromyalgia syndrome (FMS): study protocol of a cluster randomized controlled trial. The study evaluates the effectiveness of a self–management patient education program for patients with FMS in the context of inpatient rehabilitation. BMC Musculoskeletal Disorders, 02/03/2016.

Pain characteristics in fibromyalgia: understanding the multiple dimensions of pain. The reciprocal effects of mood and fatigue on pain experience could be identified; catastrophizing scores show a high correlation with overall life quality and pain experience. PubMed, Clin Rheumatol, 2015 Apr;34(4):775-83.

Support

The National Fibromyalgia Partnership, Inc. (NFP) is the largest non-profit, membership organization for fibromyalgia (FM) in the United States. It provides medically accurate information on FM to individuals with fibromyalgia and their families, health care professionals, and the general public—both nationwide and in many other countries.

Personal Stories

FMS Stories in English and Español/Spanish

Go to CFS/Fibromyalgia Patient Stories
 
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