Fibromyalgia
Multidisciplinary approach to chronic pain, fatigue, and central sensitization syndromes.
Book a consultation →Fibromyalgia is a chronic syndrome characterized by widespread musculoskeletal pain, fatigue, sleep disturbances and often accompanied by cognitive problems ("fibro fog"). It is believed to be caused by amplification of pain signals in the central nervous system (central sensitization), causing the brain to process pain differently. It is not an inflammatory disease and does not cause joint or organ damage.
- Widespread musculoskeletal pain (> 3 months, both halves of the body)
- Severe fatigue, even after sleep
- Non-restorative sleep (not feeling rested)
- Cognitive problems ("fibro fog" — difficulty concentrating)
- Chronic headaches
- Irritable bowel syndrome
- Heightened sensitivity to light, sound and temperature
- Anxiety and depression as frequent accompaniments
Fibromyalgia requires a multidisciplinary approach — there is no single medication that treats all symptoms. The combination of pharmacological, psychological and physical treatment gives the best results.
- ✓Patient education about the nature of the condition (essential)
- ✓Gradual aerobic exercise (pilates, swimming, walking)
- ✓Cognitive behavioural therapy (CBT) for pain management
- ✓SNRI antidepressants (Duloxetine, Milnacipran)
- ✓Pregabalin or Gabapentin for neurological pain control
- ✓Sleep hygiene and treatment of sleep disorders
Is fibromyalgia an "imaginary disease"?
No — fibromyalgia is a real and well-documented neurological condition. fMRI studies show objective changes in how the brains of fibromyalgia patients process pain.
Can men have fibromyalgia?
Yes, although the condition more commonly affects women (about 80% of cases). Men with fibromyalgia are often diagnosed late because the condition is considered "female".
Does physical therapy help?
Yes — aerobic exercise has the strongest evidence base for fibromyalgia. Start slowly and gradually increase intensity. Pushing through initial exercise-related discomfort leads to long-term improvement.
Do medications cure fibromyalgia?
Medications help manage symptoms but do not cure the condition. Combining medication with non-pharmacological therapies (exercise, CBT) gives much better results than medication alone.
Is fibromyalgia a lifelong disease?
Many patients see significant improvement with proper treatment. Some patients achieve full remission. Active management of stress, sleep and physical activity is key for long-term outcomes.
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