Fibromyalgia affects SIX million Americans, four million of which are women.

It occurs most commonly at mid-life but can occur at any age.

Two Types of Fibromyalgia:

  • Primary - Idiopathic (unknown cause)
  • Seconday - Ankylosing spondylitis, trauma, or surgery

Symptoms of Fibromyalgia:

  • widespread muscular pain symptoms
  • aggrevation with stress
  • tiredness
  • anxiety
  • change of symptoms with weather conditions
  • headaches
  • irritable bowel syndrome
  • subjective swelling
  • non-radicular and non-dermatonal numbness
  • sleep difficulties

Fibromyalgia Criteria:

  • The patient must of history of pain for +3 months.
  • Pain on both the right and left side of the body.
  • Pain above and below the waist.
  • Pain in the axial-skeleton.
  • Pain Present in 11 of 18 established tender point sites.
  • Pain noted with digital palpation, not just tenderness.
  • Sites include, occiput, lower cervical spine, trapezius muscles, supraspinatous muscles, second rib, lateral epicondyle, gluteal region, greater trochanter, and knee.


  • Vitamin and supplement support, with calcium and healthy diet.
  • Aerobic exercise is most effective treatment.
  • Referral to psychological counseling and cognitive treatment.
  • Chiropractic, acupuncture, and massage.

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