Considering symptoms, causes, and the pain aspect
Knowing who gets fibromyalgia
Looking at medical problems confused with fibromyalgia
Exploring over-the-counter and prescribed medications and alternative remedies
Considering how fibromyalgia affects work and family
Improving sleep, decreasing stress, and dealing with emotional effects
Fibromyalgia has many aspects to consider. In this chapter, I line up the major issues for you and refer you to chapters later in this book where I discuss how fibromyalgia affects you individually and what treatments and medications may work best for you.
Dumping Your Doubts about Whether FMS Is Real
Many people spend months or years questioning their fibromyalgia symptoms, sometimes wondering if theyāre imagining how bad the symptoms are. After all, if you feel terrible one day and then significantly better or almost normal the next day, you may start to think that maybe you were exaggerating the pain and fatigue of the previous day.
The thing is, most people canāt remember pain well. They can remember that they had pain, but they canāt remember what it actually felt like. (This is generally a good thing!) As a result, people experiencing the ups and downs of pain and other symptoms that accompany fibromyalgia worry sometimes that perhaps the problem isnāt that big of a deal and could even be all in their heads. Consequently, they may try to ignore the problem and hope that itāll go far, far away ā preferably today.
But if you have fibromyalgia (and I recommend that you take my self-test later in this chapter to see whether you could be a possible candidate), simply ignoring the problem doesnāt work. The sooner you acknowledge that fibromyalgia is a real and long-term problem, the sooner you can work toward reclaiming your life.
You can gain enormous control over the symptoms that stem from your fibromyalgia, but only rarely can you eradicate them altogether. Most people have plenty of room for improvement, however.
Examining the Symptoms, Causes, and Pain Problems Associated with Fibromyalgia
Fibromyalgia isnāt a one-size-fits-all kind of medical problem, but I can make some descriptive generalizations about it regarding symptoms, causes, and pain.
Sizing up the symptoms
Many people with fibromyalgia report that the following statements are true about their fibromyalgia symptoms. In fact, most people with fibromyalgia say that they have at least several, if not all, of these symptoms (which I cover in much more detail in Chapter 2):
Flu-like pain that can be severe
A constant feeling of extreme fatigue
Several tender body areas that hurt
Muscle stiffness and pain
Worsening of pain after physical activity
Mental malaise and confusion, often referred to as
fibro fog Many people with FMS have other pain-based medical problems as well, which I also cover in more depth in Chapter 2. Some examples of the array of medical conditions that people with fibromyalgia may experience, on top of the fibromyalgia that they already have (as if FMS isnāt enough), include
Interstitial cystitis (a chronic, painful bladder condition that may feel like a constant bladder infection)
Tension headaches or migraine headaches
Benign joint hypermobility syndrome (BJHS; an often painful form of hereditary joint hyperextension)
Attention deficit hyperactivity disorder (ADHD)
Considering causes
No one knows for sure what causes fibromyalgia, but physicians and other experts have many fascinating theories to explain what may induce the onset of FMS. The cause could be hormones or an autoimmune problem or biochemicals gone awry, chronic stress, or it may be related to a previous trauma, such as an injury that you incurred in a car crash or in another serious accident. Individuals who have been abused as children or adults are more likely to develop fibromyalgia than others.
The cause could also be a combination of different factors coming together at just the right time (or the wrong time when you think about it) for you to develop FMS. For example, maybe you got the flu, and then were involved in a serious accident. Or some other awful combination may have occurred.
As researchers (like me) continue to study this medical problem, they move closer to the truth. Speculating about causes can be fascinating, and Chapter 3 offers some common theories for what causes fibromyalgia.
Pondering pain
Thinking about pain is certainly no fun, and yet pain is part of what makes us alive and human. But when pain runs rampant in our bodies, extracting particular pain in certain parts of it, it becomes a major problem, and fibromyalgia pain can be very intense. I talk about the purpose of pain and how and why it needs to be managed in Chapter 4. It may sound like a chapter to avoid, but hold on! You need to read it because it includes some important and useful ideas.
And by the way, Iām not just saying that I believe that the pain and symptoms of fibromyalgia are real because Iām a nice guy who doesnāt want to hurt your delicate feelings. I think that I am here to help you, but even more important, Iām a physician whoās a clinical researcher, and Iāve proven in my studies on the pain of people with fibromyalgia that their pain (and yours) is real.
My studies, as well as the studies that have been done by other researchers, have shown that the pain sensations experienced by people with fibromyalgia (especially women) are actually more intense, and the pain lasts longer than does the pain of people who donāt have fibromyalgia. Read Chapter 4 for further information on the ins and outs of fibromyalgia pain.
Considering Who Gets Fibromyalgia
Just about anyone of any age can develop fibromyalgia, but most research so far indicates that the majority of people with FMS are of the female persuasion, partly because women are more sensitive to pain than men. This is a time where a little equal opportunity of pain would be preferable (if youāre a woman). But who gets fibromyalgia isnāt about fairness.
Although women are the primary sufferers of fibromyalgia, many men have been dia...