Fibromyalgia: Symptoms, Causes and Treatments


Fibromyalgia is a chronic and often disabling condition that affects millions of people worldwide. Marked by widespread pain and an unusual sensitivity to touch, it can dramatically reduce a person’s quality of life. In this article, we’ll explore what fibromyalgia is, its symptoms, possible causes, and the available treatment approaches.

What is Fibromyalgia?

Fibromyalgia is one of the leading causes of chronic, widespread pain affecting the muscles and soft tissues. People living with this condition typically experience a heightened response to pain stimuli compared to those without it.

In Brazil, for example, it’s estimated that around 3% of the population—roughly 2.5 million people—are affected. Studies show that women are significantly more likely than men to be diagnosed with fibromyalgia. While it can develop at any age, it most commonly begins in middle adulthood, and the likelihood increases with age.

A combination of factors may contribute to the onset of fibromyalgia, including past physical trauma, autoimmune diseases like rheumatoid arthritis and lupus, and genetic vulnerability.

Common Symptoms of Fibromyalgia

Those with fibromyalgia may experience a wide range of symptoms, including:

  • Persistent, widespread body pain
  • Muscle and joint stiffness, especially after rest
  • Frequent headaches
  • Trouble sleeping or non-restorative sleep
  • Numbness or tingling sensations in hands and feet
  • Restless Leg Syndrome
  • Heightened sensitivity to temperature changes
  • Difficulty concentrating and memory issues (often referred to as “fibro fog”)
  • Chronic fatigue
  • Digestive issues such as Irritable Bowel Syndrome (IBS)

Additional symptoms can include blurred vision, nausea, urinary and pelvic discomfort, unexpected weight changes, dizziness, flu-like feelings, skin sensitivities, chest pain, breathing issues, mood disorders like anxiety and depression, and even PTSD. While symptoms can appear at any point in life, they are most frequently reported between the ages of 25 and 55.

What Causes Fibromyalgia?

Although the precise cause remains unclear, research suggests that fibromyalgia is linked to the way the central nervous system processes pain. Individuals with the condition may have altered pain signals, making even mild stimuli feel intense or painful.

Potential contributing factors include:

  • Physical or emotional trauma (e.g., car accidents or severe stress)
  • Repetitive injuries
  • Autoimmune conditions like lupus or rheumatoid arthritis
  • Nervous system irregularities
  • Inherited traits affecting pain sensitivity

There is a noticeable genetic component as well—those with close relatives who have fibromyalgia are at greater risk. Additionally, people already living with autoimmune or inflammatory conditions are more likely to develop fibromyalgia.

How is Fibromyalgia Treated?

Treating fibromyalgia is complex and often requires a personalized approach tailored by a healthcare professional, such as a rheumatologist. Most treatment plans combine medication with lifestyle changes and non-drug therapies.

Common treatment strategies include:

  • Gentle, low-impact exercise
  • Acupuncture
  • Talk therapy or psychotherapy
  • Chiropractic care
  • Massage therapy
  • Physical therapy
  • Relaxation and stress reduction techniques
  • Cognitive Behavioral Therapy (CBT)
  • Prescription medications like antidepressants, nerve pain relievers, and muscle relaxants

Because each person’s experience with fibromyalgia is unique, it’s essential to adapt treatments to the individual’s needs in order to improve daily function and comfort.

Final Thoughts

Fibromyalgia is a challenging and often misunderstood condition that requires a multi-faceted treatment approach. With proper medical support and a tailored care plan, it’s possible for individuals to manage symptoms and lead more fulfilling lives. Ongoing research is crucial to deepening our understanding of this condition and improving the options available for those who live with it.