Fibromyalgia Pain Management

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Fibromyalgia, a long-term disorder that affects the muscles, tendons and other soft tissues, is characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It is believed that fibromyalgia amplifies pain sensations by affecting the way the brain and spinal cord processes pain signals. Pain management for Fibromyalgia is possible, thanks to several treatment options.

Cause/Risk Factors

  • The cause of fibromyalgia is currently unknown.
  • Possible triggers may include physical or emotional trauma, including surgery, infection or significant psychological stress.
  • In some cases, symptoms gradually accumulate over time with no specific triggering event.
  • Women are more likely to develop fibromyalgia than men.
  • People with fibromyalgia often tend to have tension headaches, temporomandibular joint (TMJ) disorders, irritable bowel syndrome, anxiety and depression.


  • Pain—from mild to severe—is the primary symptom of fibromyalgia.
    • Painful areas are called “tender points” and are generally found in the soft tissue on the back of the neck, shoulders, chest, lower back, hips, shins, elbows and knees.
    • The pain may feel like a deep ache or a shooting, burning pain.
    • The joints are not affected by fibromyalgia, though pain may feel like it is emanating from the joints.
  • Chronic fatigue, depressed mood and sleep problems are also common symptoms.
  • Other symptoms can include memory and concentration problems, numbness and tingling in hands and feet, tension headaches and palpitations.


  • There is no test to confirm or rule out a diagnosis of fibromyalgia. Instead, a diagnosis is based on a collection of symptoms.
  • In order to be diagnosed with fibromyalgia, a person must have had at least three months of widespread pain in at least 11 of 18 specific tender point areas.
  • The presence of other symptoms, including fatigue, waking up tired and having difficulty concentrating, is also a component of diagnosing fibromyalgia.
  • Ruling out conditions that have similar symptoms to fibromyalgia can be helpful in making a diagnosis. Blood tests that can help with this process include:
    • Complete blood count
    • Erythrocyte sedimentation rate
    • Thyroid function tests
    • Vitamin D levels

Fibromyalgia and Pain Management

At PMIR Medical Center, we understand that pain is a complex condition that affects the whole person—body, mind and spirit. We provide a comprehensive, multidisciplinary approach to treatment, customizing the most effective treatment plans for our patients and empowering them to become a collaborative partner in their recovery process.

While there is no cure, pain management for Fibromyalgia is possible. Most people have a significant reduction in symptoms and experience a better quality of life when the condition is diagnosed and treated properly.

We offer treatment options for fibromyalgia pain management that include:

We specialize in non-medication-based therapies to help our patients achieve sustained pain relief. However, we do offer pain medication, when necessary, as a supplement to other treatment options.

We may also recommend complementing your treatment at PMIR with complementary and alternative medicine (CAM) options that include:

  • Physical therapy
  • Acupuncture
  • Massage
  • Biofeedback

To learn more about fibromyalgia and pain management, and to find the treatment plan that might be best for you, schedule an appointment with a PMIR physician today.

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PMIR Pain Checker

The PMIR symptom checker is intended for educational purposes only. PMIR encourages patients to educate themselves on all pain symptoms and the treatments we provide. However, we recommend anyone who may be suffering from any pain to not self-diagnose, or to supplement seeking medical advice with information on our site. If you are in pain, or have a medical emergency contact one of our offices or dial 911.