Fibromyalgia
Chronic condition causing widespread pain, fatigue, and cognitive difficulties. A multidisciplinary approach helps manage symptoms effectively.
Last medically reviewed by Dr Leena Das: March 2026
Fibromyalgia is a chronic condition characterised by widespread musculoskeletal pain, fatigue, sleep disturbance, and cognitive difficulties often described as 'fibro fog'. It affects approximately 2-5% of the population and is more common in women.
The exact cause of fibromyalgia is not fully understood, but it is believed to involve changes in how the brain and nervous system process pain signals, resulting in amplified pain perception (central sensitisation). It often develops after a physical or emotional trigger such as injury, surgery, infection, or significant psychological stress.
Diagnosis is clinical, based on a history of widespread pain lasting more than three months, associated symptoms (fatigue, sleep problems, cognitive difficulties), and the exclusion of other conditions. There is no specific blood test or scan for fibromyalgia, though tests may be arranged to rule out other conditions such as thyroid disease, vitamin D deficiency, and inflammatory conditions.
Dr Das takes a holistic approach to fibromyalgia management, recognising that effective treatment requires addressing multiple aspects of the condition. This includes education about the condition, graded exercise programmes, sleep hygiene strategies, cognitive behavioural therapy, and medications when appropriate (such as amitriptyline, duloxetine, or pregabalin). The goal is to improve function and quality of life.
Symptoms
- •Widespread pain throughout the body
- •Fatigue and exhaustion
- •Sleep disturbance
- •Cognitive difficulties ('fibro fog')
- •Headaches
- •Irritable bowel symptoms
- •Sensitivity to temperature, light, and noise
- •Mood changes
Treatment Options
- ✓Patient education
- ✓Graded exercise programmes
- ✓Cognitive behavioural therapy
- ✓Sleep management strategies
- ✓Medications (amitriptyline, duloxetine, pregabalin)
- ✓Mindfulness and relaxation techniques
Frequently Asked Questions
Is fibromyalgia a real condition?
Yes, fibromyalgia is a recognised medical condition involving changes in how the brain processes pain signals. It is not 'all in the mind' and can be significantly disabling. Modern understanding of the condition has improved substantially.
How is fibromyalgia diagnosed?
Diagnosis is based on clinical assessment — a history of widespread pain for more than three months with associated symptoms. Blood tests may be done to exclude other conditions but there is no specific test for fibromyalgia itself.
Can fibromyalgia be cured?
There is no cure, but symptoms can be effectively managed with a combination of exercise, lifestyle changes, psychological support, and medication. Many patients see significant improvement with the right management approach.
Why should I see a rheumatologist for fibromyalgia?
Rheumatologists are experts in musculoskeletal conditions and are skilled at distinguishing fibromyalgia from inflammatory conditions that may need different treatment. Dr Das can provide accurate diagnosis and a comprehensive management plan.
Expert Fibromyalgia Care
Book a private consultation with Dr Leena Das. Self-referral accepted — no GP referral needed.
Book Appointment — From £225