Fibromyalgia
Pain all over the body with normal tests: why it happens, why it is not imagined and which treatment has evidence.
No es inflamación en los músculos: el sistema nervioso deja el volumen del dolor al máximo. Ejercicio progresivo, sueño y apoyo psicológico son la base del tratamiento.
Fibromyalgia is widespread chronic pain, with tiredness that sleep does not fix, unrefreshing sleep and trouble concentrating (the so-called “fibro fog”). Blood tests and X-rays come back normal because muscles and joints are healthy: the problem lies in how the nervous system processes pain signals.
It is as if the brain had a volume knob for pain that got stuck at maximum: a mild stimulus is felt as intense pain. The main treatment is not common painkillers but gentle, progressive aerobic exercise, better sleep and psychological support; the doctor decides whether any medication is needed.
