Fibromyalgia is a disorder of chronic, widespread musculoskeletal pain associated with fatigue, cognitive dysfunction, mood disorders, and sleep disturbances. Fibromyalgia is a controversial disease entity because there is disagreement about what causes it, how to diagnose it, and how to treat it. Indeed, fibromyalgia cannot be established with an objective laboratory test or imaging.
Many of the presenting symptoms are suggestive of psychological overlay, including ubiquitous pain with a lack of objective signs, allodynia (pain with tactile stimuli that would normally not be painful, such as brushing the skin) and symptoms of depression and anxiety. Regardless, quality of life for patients with fibromyalgia can be severely diminished.
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