Fibromyalgia syndrome results in widespread pain and other symptoms related largely to dysregulation of the neuroimmune system. It is often described by patients as ‘feeling like a never-ending dose of the flu’. It can be regarded as a chronic stress-or-sickness response and should be managed using a multimodal approach.
- People with fibromyalgia syndrome (FMS) present with chronic widespread pain, fatigue, sleep disturbance, sensory sensitivity and psychocognitive dysfunction.
- In FMS there is evidence of psychoneuroimmune, cortical and endocrine dysfunction and in some cases widespread small-fibre polyneuropathy.
- Illness, stress, duress and trauma are common triggers of FMS, and there is a strong link to mood and anxiety disorders.
- The whole person with FMS should be managed using a biomedical psychosocial approach.
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