Fibromyalgia: real pain, even when the tests are normal
What fibromyalgia is, how it differs from autoimmune conditions, and what helps people live with it.
Key takeaways
- Fibromyalgia is a real, medically recognised condition.
- It is not autoimmune and does not damage the joints, but it can occur alongside autoimmune conditions.
- Gradual activity and regular sleep are among the things that help most.
What is fibromyalgia?
Fibromyalgia is a long-term condition that causes widespread pain across the body, often with extreme tiredness, unrefreshing sleep and trouble concentrating. Symptoms change from day to day and can get worse with stress, cold or poor sleep.
Why does it hurt?
The exact cause is unknown. It is thought that the nervous system becomes more sensitive to pain signals, so the body feels pain more strongly than usual. Symptoms may start after severe stress, an injury or an infection, and it is more common in women.
Is it an autoimmune disease?
No. Fibromyalgia does not cause inflammation and does not damage the joints or muscles. But it is more common in people with autoimmune conditions such as rheumatoid arthritis and lupus, and the two can occur in the same person.
Why are my tests normal?
No blood test or scan confirms fibromyalgia, so the diagnosis rests on your symptoms, how long they have lasted and an examination. Normal tests do not mean the pain is not there; they help the doctor rule out other causes.
What helps?
There is no cure, but many people improve with a mix of gradual physical activity, sleep habits, psychological support and sometimes medicines a doctor decides on. What works differs from person to person, so talk to your doctor about a plan that suits you.
References
Content is educational and does not replace medical advice. In an emergency, contact emergency services immediately.