Fibromyalgia syndrome (FMS) is nondestructive, whole body muscle and tendon (not joint) achiness that waxes and wanes.

FMS is a chronic pain disorder, with abnormalities on functional MRI (fMRI) of the brain:

FMS is often described,” like having (the achiness of) the flu”, or “like being hit (all over my body) with a baseball bat”, or, “like being run over by a bus”.

Often, FMS runs in families.

FMS is associated with depression, irritable bowel syndrome (IBS), or sleep disturbances.

FMS pain may flare due to: hunger, lack of sleep, stress, depression, tiredness, cold environments, muscular exertion (exercise, activities of daily living, etc.).

FMS may be treated with: antidepressants (SSRIs, SNRIs, tricyclic antidepressants); muscle relaxers; sleep medications; warm showers/warm baths; gentle, warm-water exercises; improved fitness, and nonsteroidal antiinflammatory medicines (NSAIDS).

Charles Tadros, M.D.

January 10, 2023

Saint Louis, Missouri

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