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Pain Care Physicians, PLLC
206-538-6300 | Fax: 206-538-6301 | Email: info@anesispain.com

Fibromyalgia and Associated Conditions

Fibromyalgia and Associated Conditions

Fibromyalgia is a disorder characterized by widespread pains and other associated symptoms of fatigue, headache, and disturbed sleep. The biological basis of the disorder is poorly understood; the immune system and nutritional factors may play a role, but the most recent evidence suggests that fibromyalgia is a dysfunction in the sensory and regulatory processes of the central nervous system (brain and spinal cord). Brain imaging studies suggest that people with fibromyalgia have amplification of background sensory information from the small nerve endings which exist throughout the body, including the musculoskeletal system. Most individuals are not aware of this surveillance activity of the nervous system, but if the signal is turned up, like white noise on a radio, it can be distracting and uncomfortable. Enhanced sensory input and disrupted regulation of other routine bodily functions having to do with sleep, digestion and urination can cause symptoms like insomnia, headache, irritable bowel symptoms and pelvic pain.

The term that has been coined for this set of conditions is “central sensitization syndromes”. We administer a questionnaire to all of our new patients to help detect these syndromes. If this survey along with other clinical information support this diagnosis, we have various strategies to offer help.