What is fibromyalgia?
Fibromyalgia is a chronic pain disorder with widespread musculoskeletal pain, fatigue, sleep problems and cognitive symptoms ('fibro fog'). It's a central sensitization syndrome — the brain amplifies pain signals.
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Diagnosis
Clinical criteria (2016 ACR — WPI and SSS scores) after excluding other causes. No single test confirms fibromyalgia.
Treatment
Multimodal: aerobic exercise (graded), CBT for pain coping, sleep hygiene, medications (duloxetine, milnacipran, pregabalin), treating comorbidities. Avoid opioids.