24 doctors weighed in:
What is fibromyalgia? How is it treated?
24 doctors weighed in

Dr. Chad Boomershine
Internal Medicine - Rheumatology
15 doctors agree
In brief: Nerve sensitivity
Fibromyalgia is a widespread pain disorder caused by increased nerve sensitivity.
In addition to pain, fibromyalgia patients also can experience a range of other symptoms including fatigue, poor thinking, poor sleep, depression, anxiety and stiffness. There are 3 fda approved medications used to treat fibromyalgia: lyrica, Cymbalta and savella (milnacipran). Exercise is also an important treatment.

In brief: Nerve sensitivity
Fibromyalgia is a widespread pain disorder caused by increased nerve sensitivity.
In addition to pain, fibromyalgia patients also can experience a range of other symptoms including fatigue, poor thinking, poor sleep, depression, anxiety and stiffness. There are 3 fda approved medications used to treat fibromyalgia: lyrica, Cymbalta and savella (milnacipran). Exercise is also an important treatment.
Dr. Chad Boomershine
Dr. Chad Boomershine
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Dr. Kenneth Choquette
Pain Management
6 doctors agree
In brief: Over-diagnosed!
The term "fibromyalgia" is substantially over-diagnosed in the medical community today.
It has become a junk term when some can't find the underlying cause of a person's symptoms. There is usually many other contributing causes of the and symptoms that can be treated. True fm is rare and has no good treatment. So hopefully you have the more typical causes of pain and not fm. Ask your doc.

In brief: Over-diagnosed!
The term "fibromyalgia" is substantially over-diagnosed in the medical community today.
It has become a junk term when some can't find the underlying cause of a person's symptoms. There is usually many other contributing causes of the and symptoms that can be treated. True fm is rare and has no good treatment. So hopefully you have the more typical causes of pain and not fm. Ask your doc.
Dr. Kenneth Choquette
Dr. Kenneth Choquette
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1 comment
Dr. Martin Raff
This diagnosis is very controversial. Some doctors do not believe it exists, but there are some very well known rheumatologists who claim expertise in its diagnosis and management.
Dr. Stuart Wasser
Addiction Medicine
4 doctors agree
In brief: Answer part two
Treatments for fibromyalgia include amitriptyline, Cymbalta and any agent with norepinephrine reuptake effects.
Also, Neurontin and Lyrica (pregabalin) are effective. Just this week, they presented low dose Naltrexone (4.5 mgs) at the aapm meeting as beneficial.

In brief: Answer part two
Treatments for fibromyalgia include amitriptyline, Cymbalta and any agent with norepinephrine reuptake effects.
Also, Neurontin and Lyrica (pregabalin) are effective. Just this week, they presented low dose Naltrexone (4.5 mgs) at the aapm meeting as beneficial.
Dr. Stuart Wasser
Dr. Stuart Wasser
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Dr. Stuart Wasser
Addiction Medicine
4 doctors agree
In brief: Answer part one
Fibromyalgia refers to a poorly undsyndrome of increased pain.
Some docs may think it is overdiagnosed since there is no objective test and it certainly should not be dianosed when accompanied by any other explanation for increased pain. However, there are some patients who have a poorly understood process where increased pain signals reach the brain and they truly suffer.

In brief: Answer part one
Fibromyalgia refers to a poorly undsyndrome of increased pain.
Some docs may think it is overdiagnosed since there is no objective test and it certainly should not be dianosed when accompanied by any other explanation for increased pain. However, there are some patients who have a poorly understood process where increased pain signals reach the brain and they truly suffer.
Dr. Stuart Wasser
Dr. Stuart Wasser
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Dr. Laurence Badgley
General Practice
2 doctors agree
In brief: Bone/joint disuse
At quora.Com, rich carson stated: "research published in first quarter of 2013 found obesity & lack of exercise lead to higher prevalence of developing fibromyalgia".
These are causal factors in disorder caused by multiple factors related to musculoskeletal dysfunction. In medicine knowledge of cause(s) enables rational cure(s). See my dissertation at quora.Com re: true cause of fibromyalgia.

In brief: Bone/joint disuse
At quora.Com, rich carson stated: "research published in first quarter of 2013 found obesity & lack of exercise lead to higher prevalence of developing fibromyalgia".
These are causal factors in disorder caused by multiple factors related to musculoskeletal dysfunction. In medicine knowledge of cause(s) enables rational cure(s). See my dissertation at quora.Com re: true cause of fibromyalgia.
Dr. Laurence Badgley
Dr. Laurence Badgley
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2 comments
Dr. Laurence Badgley
The reason for a "spectrum of disorder" for fibromyalgia is that the cause, pelvic girdle instability due to pelvic ligament laxity, manifests differently in individuals & genders.  The body musculoskeletal tower is constantly stressed by gravity & a body tilted above an unstable pelvis incurs widely ranging chronic muscle spasm leading to varying densities of painful trigger points. The delicate female pelvis is more easily injured & women have an higher incidence of Joint Hypermobility Syndrome (inherited trait) that contributes to pelvis instability.  Female pelvices are subject to varying intensities of permanent injury related to frequency of childbirth.  In both sexes, severity of symptoms is a function of musculoskeletal deconditioning & upper body mass borne by an unstable pelvis.  On a Pain Board at Quora.com a medical researcher discusses these dynamics, which are the true cause of fibromyalgia. 
Dr. Laurence Badgley
The unifying genetic relationship in fibromyalgia is probably Joint Hypermobility Syndrome (JHS), a known genetic condition.  I have noted that a good portion of female fibromyalgia sufferers satisfy the Bristol Criteria for JHS, and are able to oppose thumb to lateral radial skin, hyperextended elbows and knees, and can place their palms on the floor with knees locked.  Most could put their feet behind their head and back bridge as youngsters and many can do so as adults.  JHS is a disorder with a spectrum of penetrance; with Marfans and Ehlers-Danlos at the clinical severity end of the spectrum.  My speculation is that the trait is conserved in females because it increases pelvic joint (SIJ and symphysis pubis) flexibility during childbirth.  Many of my patients with fibromyalgia and subclinical JHS delivered their fourth or fifth child in minutes rather than hours.  I speculate that repetitive childbirth, in conjunction with the hormone Relaxin, progressively loosens pelvic ligaments.  This functionality would seem to favor infant survivability.  To my mind fibromyalgia results from the effects of a loose ligament-skeletal system attempting to maintain a medial center of gravity via chronic muscle spasm leading to widespread ischemic trigger points (after the work of Shah at NIH).
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