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Fibromyalgia Symptoms

Fibromyalgia can affect many parts of your body. The condition is known for widespread pain, but it can also cause fatigue, sleep problems, cognitive issues and several other symptoms that can impact daily life. Understanding these symptoms can help you know when to seek care and how to manage flare-ups. 

Common symptoms of fibromyalgia 

Widespread pain

Pain is the most common symptom. Many people describe it as a constant dull ache that lasts for months. The pain can move around your body and affect both sides, above and below the waist. 

Fatigue 

Even after a full night of sleep, people with fibromyalgia often wake up tired. This fatigue can make it harder to focus, exercise or complete daily tasks. 

Cognitive issues (“fibro fog”) 

Fibro fog can cause trouble with memory, focus and concentration. You may feel mentally slow or have difficulty completing tasks that usually come easily. 

Sensitivity to touch, light and sound 

People with fibromyalgia are often more sensitive to physical pressure and other types of stimulation. Even light touch may feel uncomfortable during a flare. 

Stiffness 

Stiffness is common, especially in the morning or after sitting for long periods. 

Understanding tender points and trigger points 

Fibromyalgia can cause pain in specific areas of the body known as tender points. These 18 tender points are located in predictable spots near joints, the base of the skull and along the sides of the body. While newer diagnostic criteria no longer rely only on tender points, they still help describe the pattern of fibromyalgia pain. 

People with fibromyalgia may also have trigger points. These are tight spots in muscles, tendons or ligaments that hurt when pressed. Trigger points can cause pain in one area and may contribute to overall discomfort. Unlike tender points, trigger points do not follow a set pattern. 

Knowing the difference can help you and your provider better understand your symptoms and create a treatment plan. 

Additional health problems linked to fibromyalgia 

Fibromyalgia often occurs with other health conditions, including: 

Irritable bowel syndrome (IBS) 

Symptoms can include abdominal pain, diarrhea or constipation. 

Headaches and migraines 

Chronic headaches are common and can worsen pain and fatigue. 

Jaw pain and stiffness 

Some people experience jaw pain related to temporomandibular joint (TMJ) disorder. 

Depression and anxiety 

Chronic pain can affect mood and may lead to depression, anxiety or irritability. 

These conditions can make symptoms more challenging and may require additional treatment. 

Fibromyalgia and sleep problems 

Sleep difficulties are a hallmark of fibromyalgia. Even after getting seven to eight hours of sleep, you may wake up feeling unrefreshed. Many people also have disrupted sleep or light sleep throughout the night. 

Poor sleep can make pain, fatigue and cognitive symptoms worse. This cycle can lead to more severe flare-ups if not managed. 

Common triggers for fibromyalgia symptoms 

Fibromyalgia symptoms can come and go. Certain triggers may cause symptoms to flare, such as: 

  • Physical or emotional stress 
  • Changes in weather or temperature 
  • Lack of sleep 
  • Illness or injury 
  • Hormonal changes, including the menstrual cycle 

Knowing your triggers can help you prevent or reduce flare-ups. 

When to see a doctor 

If you are experiencing widespread pain for three months or longer along with fatigue, sleep problems or cognitive issues, talk with your doctor. Early diagnosis and treatment can help you manage symptoms and improve your quality of life. 

The pain management experts at Banner Health can help you understand your symptoms and create a personalized plan to help you feel better.