FibromyalgiaFor about three months last year, I had pains in my shoulders, neck and back, which my doctor said was probably fibromyalgia. I now have it back again so can you tell me what it is and what can be done about it?
Fibromyalgia is a painful muscular disorder which affects the soft tissues of the body. The condition can be widespread and can affect anywhere from the shoulders to the knees. It tends to last about three months with some people experiencing it only once, while others suffer from it on and off for a period of years. The specific cause of fibromyalgia remains unclear but it is thought that certain chemical substances produced by the body can make the muscles very sensitive to the sensation of pain. It typically affects people between 30 to 60 and is particularly common in women in their 30s and 40s.
On both occasions I got the pains directly after stressful events. Has stress got anything to do with it?
Stress, fatigue and overwork can all aggravate the disorder, as can exposure to damp and cold and excessive activity. Unfortunately, it's a bit of a chicken and egg situation as the condition itself can result in fatigue and sleeping difficulties which can further exacerbate the situation. Although fibromyalgia is often unpleasant and for some a very painful condition, it is not life-threatening and tends to settle over time. Spontaneous recovery can occur in some sufferers while others experience occasional flare-ups on a long-term basis.
Is there any treatment for fibromyalgia?
The goal of treatment is self management of the condition. Try to identify any particular factors that seem to aggravate the condition such as stress, tiredness, heavy activities and emotion. During an attack use hot baths, heat packs or cold compresses over the painful areas. Some sufferers find relaxation techniques helpful. An exercise programme - involving gentle aerobic activities such as walking, swimming or cycling can also be good. Although they have not been proved to bring on or affect fibromyalgia, try to avoid caffeine or alcohol, especially before bedtime, as they can interfere with a good night's sleep. Medication may help on an individual basis so do go back to your doctor to discuss this option.