Fibromyalgia Treatment

“Fibromyalgia is a chronic condition characterized by widespread pain, fatigue, and increased sensitivity to pressure. It can affect daily activities, sleep, and overall quality of life. With proper evaluation and a personalized treatment approach, many patients can manage symptoms effectively and improve function. I can help guide you toward long-term relief and better daily comfort.”

-Dr. Anatoly Pisman, MD

What is Fibromyalgia?

Fibromyalgia is a chronic pain condition that causes widespread musculoskeletal discomfort along with fatigue, sleep disturbances, and cognitive symptoms. Unlike conditions caused by structural damage, fibromyalgia is related to how the nervous system processes pain signals, making the body more sensitive to stimuli.

It is commonly associated with chronic back pain and may coexist with other conditions that affect muscles, joints, and overall well-being.

Common Causes

The exact cause of fibromyalgia is not fully understood, but several contributing factors have been identified:

Key contributors:

• Abnormal pain processing in the central nervous system
• Physical or emotional stress triggers
• Sleep disturbances affecting recovery
• Genetic predisposition

These factors can increase pain sensitivity and lead to persistent symptoms over time.

Symptoms of Fibromyalgia

Symptoms often vary in intensity and may come and go over time. Recognizing patterns in symptoms can help guide effective management.

Typical signs:

• Widespread muscle pain and tenderness
• Fatigue and low energy levels
• Sleep disturbances or non-restorative sleep
• Difficulty concentrating (“fibro fog”)

These symptoms can affect daily function, mood, and overall quality of life if not properly managed.

When to See a Doctor

Medical evaluation is recommended if you experience persistent widespread pain, fatigue, or sleep issues that interfere with daily life. Symptoms that last for several weeks or worsen over time should be assessed. Early diagnosis can help improve symptom control and quality of life.

Diagnosis & Testing

Diagnosis is based on a review of symptoms, medical history, and physical examination. There is no single test for fibromyalgia, but testing may be used to rule out other conditions. Blood tests and imaging studies may be performed if needed.

Non-Surgical Treatment Options

Fibromyalgia is best managed with a comprehensive approach focused on symptom control and lifestyle adjustments. Treatment often includes physical therapy, gentle exercise, and strategies to improve sleep quality.

In some cases, supportive treatments such as trigger point injections may help relieve localized areas of muscle tension. A personalized treatment plan focuses on reducing pain, improving energy levels, and enhancing daily function.

What to Expect at Your Visit

During your visit, your symptoms, lifestyle, and medical history will be carefully reviewed. A physical examination will assess areas of tenderness and overall function. Based on your evaluation, a customized treatment plan will be developed to help manage symptoms and improve your quality of life.