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Dr Hitesh Patel is Consultant – Pain Management & Palliative Care he recieved his M.D. from B.J. Medical College Ahmedabad, Asia’s largest hospital, Civil Hospital, Ahmedabad. He earned his F.I.P.M. (Fellow In Pain Management) at Daradia Pain Hospital in Kolkata, which is affiliated with the Aesculap Academy in Germany. He received his C.C.P.P.M. (Certificate Course in Pain and Palliative Medicine) from Gujarat Cancer Research Institute Ahmedabad, the state’s largest cancer hospital.

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What is Fibromyalgia?

Fibromyalgia (FM) is a disorder characterized by widespread pain accompanied by fatigue, sleep, memory and mood issues. Fibromyalgia amplifies painful sensations by affecting the way your brain processes pain signals. That is, areas in the brain that process pain interpret painful sensations as being more intense than seems to occur in people who do not have Fibromyalgia.

What are Causes of Fibromyalgia?

The risk factors for the development of Fibromyalgia include:

  • Poor/Less Sleep
  • Mental Stress
  • Overweight/Low Physical activity
  • Smoking
  • Physical trauma
  • Significant Psychological Stress (sexual abuse, accident, maternal death, and financial need)

Symptoms of Fibromyalgia

Fibromyalgia is not dangerous or life threatening. Nonetheless, persistent symptoms can be very disruptive. Most people feel widespread musculoskeletal pain and stiffness that has lasted for at least three months. To be considered widespread, the pain must occur on both sides of your body and above and below your waist. Any soft tissue (muscles, tendons and ligaments) may be affected. But soft tissue of the neck, upper shoulders, chest, rib cage, lower back, thighs, arms, and areas around certain joints are especially likely to be painful. Symptoms may occur periodically or can be present in most of the time. Pain may be intense, often described as a constant dull ache. Specific areas of muscle may be tender (tender points) and spasms may occur. Many affected people do not sleep well and feel tired, anxious and depressed, with inability to focus, pay attention and concentrate on mental tasks. They may also have headaches, bladder or bowel dysfunction, and rheumatologic or endocrine disorders.

How Fibromyalgia is diagnosed?

The diagnosis is based on the symptoms, pattern and location of the pain. Some parts of the body have tender points. To detect tender points, doctors firmly press specific areas of the body to determine whether the person feels pain in one spot. However, the number of tender points is not considered as important as the presence of typical symptoms, especially widespread pain. FM is a diagnosis of exclusion. So, doctors will want to be sure that another disorder (such as hypothyroidism, muscle or joint disorders) is not causing the symptoms, often by doing blood tests. But none of the tests can confirm the diagnosis of FM.

Treatment Fibromyalgia

Non-Pharmacological therapies:

  • Reduce stress: avoid or limit overexertion and emotional stress; try stress management techniques, such as deep-breathing exercises, yoga or meditation; do something that you find enjoyable and fulfilling every day;
  • Improve sleep: practice good sleep habits, such as going to bed and getting up at the same time each day and limiting daytime napping; limit your caffeine intake;
  • Exercise regularly and gradually: appropriate exercises may include walking, swimming, biking and water aerobics;
  • Apply heat: hot baths or shower or dry heat can be useful for body pain and stiffness. It can help in relaxing the muscles, facilitate exercise and improve sense of well being.

Pharmacological therapies

  • Anticonvulsants: they reduce pain and fatigue in fibromyalgia patients.
  • Different kind of antidepressants: they are specific chosen to treat the pain, improve sleep and/or to relieve depression.
  • Painkillers, such as Paracetamol or Tramadol, can be used.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) and steroids are generally of limited benefit.

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Service Recipient Says


I have Fibromyalgia and it was hard to do simple tasks like laundry I found Healthy Life Pain Management and they've helped me get my life back on track. They've taught me how to self-manage my symptoms better so that I can live a more fulfilling, pain-free life.


Healthy Life Pain Management came along and blessed me with relief. I am finally back to my old self again with this medication!


I'm a runner and Healthy Life Pain Management provides me with the relief I need to run without pain. It has also helped my healing process after surgery. The foot and ankle pain is totally gone now and I can walk in complete comfort again.