It can range anywhere from mild aches to intense, searing pain. There are points throughout the body (including on each side of the neck) that are tender to the touch and can refer pain to other parts of the body.
The pain is most often accompanied by fatigue, sleep problems, difficulty concentrating, headaches, depression, and anxiety. People with fibromyalgia may also have tenderness in the joints, muscles, tendons, and other soft tissues.
One specific kind of neck pain associated with fibromyalgia is occipital neuralgia. It is excruciating pain that starts in the back of the neck and stretches up to the scalp. It can cause pain behind one eye as well as increased sensitivity to light.
If you have fibromyalgia, one of the main symptoms is likely to be widespread pain. This may be felt throughout your body, but could be worse in particular areas, such as your back or neck. The pain is likely to be continuous, although it may be better or more severe at different times.
Sometimes, your muscles will twitch. Other times they will burn or ache with deep stabbing pain. Some patients with fibromyalgia have pain and achiness around the joints in their neck, shoulders, back, and hips. This kind of pain makes it difficult to sleep or exercise.
The drugs amitriptyline, duloxetine, milnacipran and pregabalin can relieve fibromyalgia pain in some people. They may cause side effects such as a dry mouth or nausea. Normal painkillers like ibuprofen or acetaminophen (paracetamol) aren't recommended for the treatment of fibromyalgia.
If fibromyalgia has caused you to experience pain and stiffness in your neck and shoulders, you may also have frequent headaches. These can vary from being mild headaches to severe migraines, and could also involve other symptoms, such as nausea (feeling sick).
Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. Researchers believe that fibromyalgia amplifies painful sensations by affecting the way your brain and spinal cord process painful and nonpainful signals.
It's unlikely that you'll need an MRI for a diagnosis of fibromyalgia or chronic fatigue syndrome unless your particular set of symptoms is similar to that of a neurological illness that requires evaluation with an MRI. You may also need an MRI at some point to diagnose an injury or a different illness.
The pain may get worse with activity, cold or damp weather, anxiety, and stress. This condition is more often diagnosed in people between the ages of 20 and 50.
Fibromyalgia is often triggered by an event that causes physical stress or emotional (psychological) stress. Possible triggers include: a serious injury, such as after a car accident. an infection, such as Epstein-Barr virus or Lyme disease.
The most helpful treatment approach for fibromyalgia is a combination of self-care, physical activity and cognitive-behavioral therapy. But medication may also be needed.
Diagnosis of Fibromyalgia
Currently, there are no specific laboratory or imaging tests for fibromyalgia. The main symptoms—pain and fatigue—are shared with many other conditions, so doctors typically try to rule out other causes for your symptoms.
Several rheumatic diseases can mimic fibromyalgia. These include sero-negative rheumatoid arthritis, ankylosing spondylitis, Lyme disease, polymyalgia rheumatica and lupus. They have symptoms of widespread pain along with joint involvement. Most rheumatic diseases are treated with medication and physical therapy.
Someone with fibromyalgia may sometimes experience clumsiness, dizzy spells, feeling too hot or cold, painful periods, restless legs syndrome, and numbness or tingling in hands and feet. Daily pain and sleep deprivation can cause problems at home and work.
Dry eyes: A relatively common eye problem due to fibromyalgia is dry eyes. The mucous membranes in the nose, mouth, and eyes can dry up. Dry eyes can be especially uncomfortable for people who wear contact lenses. Using eye drops with vitamin A can help to keep your eyes moist and alleviate discomfort.
There's no single test (such as a blood test or an imaging test like an X-ray) that can confirm a diagnosis of fibromyalgia.
The US Food and Drug Administration (FDA) has approved three drugs for use in fibromyalgia: pregabalin (Lyrica), duloxetine (Cymbalta), and milnacipran (Savella). Pregabalin is used to reduce pain and improve sleep.
Although large-scale studies are still needed to confirm their effectiveness, the newest FDA-approved treatments for fibromyalgia include Quell and milnacipran. Quell is an over-the-counter transcutaneous electrical nerve stimulator intended to be used for pain relief.
In some cases, the doctor may recommend a multivitamin that includes antioxidant vitamins A, C, D, E, and the B vitamins, as well as calcium, magnesium, selenium, and zinc to ease symptoms. Coenzyme Q10. This antioxidant, used to convert food into energy, has shown some promise in treating fibromyalgia symptoms.
In the past, fibromyalgia was thought to be related to muscle and ligament issues. Some experts even believed it was a psychogenic or somatoform disorder, meaning the symptoms were mental in nature and originated in an individual's “head.” However, new research suggests that fibromyalgia may be a nerve pain disorder.
People with fibromyalgia often report additional types of pain, including headaches, back and neck pain, sore throat, pain or clicking in the jaw (temporomandibular joint dysfunction), and stomach pain or digestive disorders such as irritable bowel syndrome.
The signs and symptoms of polymyalgia rheumatica usually occur on both sides of the body and might include: Aches or pain in your shoulders. Aches or pain in your neck, upper arms, buttocks, hips or thighs.