Fibromyalgia

Fibromyalgia is a long-term condition that causes chronic widespread pain in the muscles, ligaments, and tendons. It is recognised as a primary pain disorder in the World Health Organization’s ICD-11 classification and affects around 3 to 5% of Australians.

What It Is

Fibromyalgia is a complex multisystem illness involving abnormal pain processing in the central nervous system. People often experience pain across multiple areas of the body, along with symptoms such as:

  • Fatigue
  • Non-restorative sleep
  • Stiffness
  • Brain fog or trouble concentrating
  • Sensory sensitivity or digestive issues

It affects people of all ages, though it is more common in women. Triggers can include infections, trauma, surgery, or the onset of another illness.

Diagnosis

There is no single test for fibromyalgia. Diagnosis is based on a clinical history, symptom questionnaires, and tests to rule out other or coexisting conditions. A multidisciplinary approach is often helpful in managing care.

The Link with POTS

Fibromyalgia frequently overlaps with other conditions, including POTS, ME/CFS, IBS, and Sjögren’s disease. Many people with fibromyalgia experience orthostatic intolerance symptoms, such as light-headedness or fast heart rate when standing. Identifying and treating POTS in this group may reduce symptoms and improve daily stability.

Management

Fibromyalgia management is individualised. While there is no cure, symptoms can be managed through a mix of medical treatment, lifestyle changes, and allied health support. Improving sleep, reducing stress, pacing activity, and using modified movement programs are often part of care.

For more information, visit Fibromyalgia Australia.

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