Fibromyalgia Syndrome (FMS) is a chronic painful condition, the causes of which are unknown.


  • Symmetrical tender points that must be present for at least three months both above and below the waist
  • Sleep disorder
  • No secondary cause for the symptoms

FMS patients are frequently undiagnosed for long periods of time due to the fact that there are no specific diagnostic tests. A delay in diagnosis can often contribute to anxiety, insomnia, and low mood.

FMS may result from trauma if chronic pain is allowed to occur. Although the emotional problems are well documented in FMS patients, research shows that there are no pre-morbid psychiatric abnormalities in FMS patients.

Diagnosis is clincal and supported by the American College of Rheumatology criteria.

Management requires the appropriate use of anti-inflammatory agents, analgesics, topical agents, and physical exercise. Improving sleep and mood is also recommended for treating clinical depression. Occasionally injections into persistent tender points with various mixtures of anaesthetics and steroids have been used.

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