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      • John M. Keggi, MD
      • Robert Edward Kennon, MD
      • James T. Prado, DC
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      • - Hip
        Hip Arthritis
        Non-Operative Hip Treatment
        Hip Replacement & Hip Resurfacing

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        Knee Arthritis
        Non-Operative Knee Treatment
        Knee Arthroscopy
        Knee Replacement

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        Evolution of Chiropractic
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    • What to Expect
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    MENUMENU
    • Home
    • About Us
    • Meet Our Providers
      • John M. Keggi, MD
      • Robert Edward Kennon, MD
      • James T. Prado, DC
    • Services & Specialties
      • - Hip
        Hip Arthritis
        Non-Operative Hip Treatment
        Hip Replacement & Hip Resurfacing

        - Knee
        Knee Arthritis
        Non-Operative Knee Treatment
        Knee Arthroscopy
        Knee Replacement

        - Revision Joint Replacement Surgery

        - Chiropractic
        Chiropractic Services
        Evolution of Chiropractic
        Holistic Philosophy

    • What to Expect
      • Day of Surgery
      • Post Surgery
    • Patient Information
    • Contact & Locations

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    Fibromyalgia

    Back to Patient Education
    • Introduction
    • Anatomy
    • Causes
    • Symptoms
    • Diagnosis
    • Treatment
    • Am I at Risk

    Introduction

    Fibromyalgia is a chronic condition that causes widespread pain and tender points on muscles.  Although the exact cause of fibromyalgia is unknown, there appear to be several factors that may contribute to it.  In addition to lifestyle changes and physical therapy, recently FDA approved medications appear to ease the symptoms of fibromyalgia for some people.

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    Anatomy

    Fibromyalgia is distinguished by pain and tender points on both sides and the upper and lower portions of the body.  There are 18 tender point locations including areas at the back of the head, upper back and shoulders, neck and upper chest, elbows, hips, and knees.  When pressure is applied to the muscles and tissues at these locations, pain is felt. 
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    Causes

    The exact cause of fibromyalgia is unknown.  Researchers have many theories including hereditary factors, physical and emotional stress, sleep quality, nervous system sensitivity, brain functioning, infection, and a combination of factors.  Although weather changes and physical activity appear to influence fibromyalgia, there are no known triggering causes.
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    Symptoms

    Fibromyalgia causes widespread pain that seems to originate from muscles.  The pain may be deep, dull, shooting, or burning.  The degree of pain may range from minor to severe.  For some people, the pain is more bothersome in the evening than it is during the day.  Stress, physical activity, and weather changes may cause an increase in fibromyalgia symptoms.
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    Diagnosis

    There is no specific test for fibromyalgia.  It is considered a "diagnosis of exclusion," meaning all other causes of the symptoms should be ruled out.  A doctor can diagnose fibromyalgia by reviewing your medical history, examining you, and considering your list of symptoms.  It is helpful to bring a written list of symptoms to your appointment. 

    Your doctor may conduct blood tests to rule out other conditions with similar symptoms.  A diagnosis of fibromyalgia requires pain or tenderness reported at a minimum of 11 tender point locations with symptoms that have lasted for 3 months or longer.
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    Treatment

    Relaxation and lifestyles changes can make symptoms of mild fibromyalgia better.  Your doctor may recommend physical therapy, patient education, support groups, and counseling.  Regular exercise, pacing activities throughout the day, eating a balanced diet, and good sleep habits can help as well.

    In recent years, researchers have made several breakthroughs with prescription medications to ease symptoms of fibromyalgia.  Low doses of certain antidepressant medications and anti-inflammatory medications appear to help certain people.  Since 2007, the Federal Drug Administration (FDA) has approved the prescription medications Lyrica, Cymbalta, and Savella for the treatment of fibromyalgia, and more studies are underway.
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    Am I at Risk

    Fibromyalgia develops most frequently in people between the ages of 20 and 50, although it can occur at any age, including during childhood.  The risk of developing fibromyalgia appears to increase with age.  Fibromyalgia occurs more often in women than in men.  People with fibromyalgia have a tendency to have other conditions as well, such as chronic fatigue syndrome, depression, endometriosis, headaches, irritable bowel syndrome (IBS), lupus, osteoarthritis, post-traumatic stress disorder (PTSD), restless leg syndrome, sleep apnea, and rheumatoid arthritis.

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    Copyright ©  - iHealthSpot Interactive - www.iHealthSpot.com

    This information is intended for educational and informational purposes only. It should not be used in place of an individual consultation or examination or replace the advice of your health care professional and should not be relied upon to determine diagnosis or course of treatment.

    The iHealthSpot patient education library was written collaboratively by the iHealthSpot editorial team which includes Senior Medical Authors Dr. Mary Car-Blanchard, OTD/OTR/L and Valerie K. Clark, and the following editorial advisors: Steve Meadows, MD, Ernie F. Soto, DDS, Ronald J. Glatzer, MD, Jonathan Rosenberg, MD, Christopher M. Nolte, MD, David Applebaum, MD, Jonathan M. Tarrash, MD, and Paula Soto, RN/BSN. This content complies with the HONcode standard for trustworthy health information. The library commenced development on September 1, 2005 with the latest update/addition on February 16, 2022. For information on iHealthSpot’s other services including medical website design, visit www.iHealthSpot.com.

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    Orthopaedics New England provides orthopedic care to residents of Waterbury, Middlebury, New Milford, Farmington, and surrounding communities in western Connecticut. Our orthopedic surgeons, Dr. John Keggi and Dr. Robert Kennon specialize in hip replacement and resurfacing, knee replacement, revision of failed joint replacements, hip and knee arthroscopy, and adult fracture care.