Is a common chronic pain condition, characterised by

Pain ( Spontaneous, widespread , diffuse, worse in the morning, hypersensitivity to all painful stimuli, >3 months duration, 11 out of 18 defined tender points produce tenderness on digital palpation)
Sleep disturbances
Fatigue

Pathophysiology may include

dysfunction of descending inhibitory pathways
abnormal neurotransmitter release
central sensitisation etc

Tricyclic antidepressants ( like Amitriptyline 5-10 mg ) may be effective in fibromyalgia as they reduce pain & fatigue and improve sleep

Other therapies used:

Pregabalin
Gabapentin
Newer MAO inhibitors like pirlindole
TENS
Acupuncture
Intravenous lignocaine
Injection of trigger points
Cognitive Behavioural Therapy
Warm bath
Complimentary therapies

#pain , #fibromyalgia , #PainManagement

Reference: Dedhia JT, Bone ME. Pain and fibromyalgia. Contin Educ Anaesth Crit Care Pain. 2009; 9(5): 162–166.