Ms Lin Xiao Yan has provided an excellent answer already and I’ll try to add to this.
Fibromyalgia is certainly a complex condition and we are uncertain what triggers it. There were some thoughts that a viral infection could be the trigger but it’s probably more complex than this alone.
Often outwardly you seem completely “normal” but I can assure you that your symptoms are not a figment of your imagination. As Ms Lin mentions, one’s pain threshold can be altered in FM and as a result things that were not previously so serious can become much more significant.
In this regard, one of the important things to consider is the psychological impact of FM. Having pain on a regular basis can lead to low mood and difficulty managing this - even if you have never experienced it before.
Thus while it is important to seek methods of managing the physical pain, through exercise/TCM/medication and other methods, it is essential that this other area is not ignored. Engaging a psychologist or psychotherapist is a good option in the overall treatment of FM.
Exercise is very important in FM and while it sounds counter intuitive, getting out and walking even for a few minutes is important. You can then gradually build up on the time that’s achieved - but do note that some days you might it be able to do as much as others. This is ok too.
FM is usually diagnosed after other medical issues are excluded, such as inflammatory arthritis, vitamin D deficiency and so forth. Clinicians need to have patience when helping those with FM as often the symptoms can be subtle.
Good luck with your symptoms and I hope this adds to the advice from Ms Lim.
Bw
Dr Dinesh
