A Visual Guide to Fibromyalgia

It’s the next most common symptom. This isn’t the normal tiredness that follows a busy day, but a lingering feeling of exhaustion. People with fibromyalgia may feel tired first thing in the morning, even after spending hours in bed. The fatigue may be worse on some days than others, and it can get in the way of work, activities and exercise, and household chores.

Research has yet to pinpoint a clear culprit, although there are many theories. Some doctors believe hormonal or chemical imbalances disrupt the way nerves signal pain. Others suggest a traumatic event or chronic stress may raise your odds. Most experts agree that fibromyalgia probably results from a combination of things, rather than just one.

Pain and fatigue that don’t let up can make you cranky, anxious, and depressed. You may have trouble staying on task at work, taking care of your kids, or keeping up with cleaning, for example. Exercise or hobbies such as gardening may seem daunting. Because you’re exhausted and in a bad mood, you may not want to visit with friends. Fortunately, treatments can help relieve symptoms so you can do what you enjoy.

When you see your doctor, describe your pain in detail, including where it is and how often it happens. Also tell your doctor about other symptoms, such as fatigue, sleep problems, or anxiety. They may do a blood test for fibromyalgia as well as tests to rule out other conditions.

It used to be that rheumatologists — arthritis doctors — were the only ones who treated fibro. Today, the condition has captured the attention of a wide range of health care providers. Many people are treated by their primary care doctors. Check with local support groups and hospitals for a list of fibromyalgia experts in your area.

An important first step to feeling better is figuring out what makes your symptoms worse. Common triggers include:

• Cold or humid weather
• Too much or too little physical activity
• Stress
• Poor sleep

Many people with fibromyalgia have trouble falling asleep or wake up often during the night. Studies suggest some of them stay in a shallow state of sleep and never get restful, deep sle