Fibromyalgia is an intolerance to stress and pain that probably has genetic causes. Chronic pain and stress includes winding of the central nervous system resulting in generalised nerve inflation and muscle spasm. Hallmarks of fibromyalgia are generalised, body pain, sleep distances and fatigue. The pain originates in one area, usually neck and shoulders then radiates out. Most patients report feeling some pain all the time; and many describe it as "exhausting". They mimicked arthritis type of pain occurring near shoulders, elbow, hips and knees.
In spite of increasing evidence that fibromyalgia is a physical disorder, there is no objective method for diagnosing the problem. Accordingly to American College of Rheumatology Classification criteria for a diagnosis of fibromyalgia requires the presence of at least 11 of 18 specific areas on the body that are intensely painful (not just tender) when pressed. These trigger points can be found in the following areas:
1. on left or right side of the back of the neck, directly below the hairline;
2. on left or right side of the front of the neck, above the collar bone (clavicle);
3. on left or right side of the chest, right below the collar bone;
4. on left or right side of the upper back, near where the neck and shoulder join;
5. on left or right side of the spine in the upper back between the shoulder blades (scapula);
6. on the inside of either arm, where it bends at the elbow;
7. on left or right side of the lower back, right below the waist;
8. on either side of the buttocks right under the hip bones;
9. on either knee cap.
Experts recommend a multi-faceted approach for treating fibromyalgia that involves exercise to reduce pain and strengthen muscles, regular sleep routines, drug therapies to improve sleep and other symptoms, and psychological tools for coping with the emotional disorders caused by the disease and for reducing stress that can exacerbate pain.