Dear Ask The Doctor: Does the pain Fibromyalgia make you feel like your bones are breaking?
Dear Esi: Fibromyalgia is a neurosensory disorder in which there is a defect in the processing of pain signals by the central nervous system. Fibromyalgia is characterised by widespread pain, stiffness, generalised weakness, fatigue, decreased sleep, anxiety that effect a person's day to day activity.
The main complaint of a patient suffering from fibromyalgia is pain. The pain may be described as a aching or soreness that is present all over the body (not the bone breaking pain you have mentioned). The pain is usually felt in the muscles and joints. The pain may be triggered by stress, infections, medicines, decreased sleep and trauma. There are a lot of medical condition that may be associated with fibromyalgia. Patient with fibromyalgia may also have anxiety disorders, IBS, thyroid disease, systemic inflammatory disease, cardiac disease.
It is important for a thorough physical examination and bloodwork to determine the cause of pain. Bloodwork for complete blood count, ESR, creatinine phosphokinase, rheumatoid factor, ANA and thyroid hormones may be helpful in determining a underlying cause. Treatment includes medical therapy, physical and psychological therapy, and preventive measures like proper rest, sleep and exercise.