Fibromyalgia
Fibromyalgia is a chronic pain disorder characterized by widespread musculoskeletal discomfort, fatigue, non-restorative sleep, and cognitive symptoms often described as “fibro fog.” The condition is real and treatable, and it frequently co-exists with other rheumatic or autoimmune diseases.
At The Medical Group of New Jersey, our rheumatologists take a compassionate, evidence-based approach to diagnosis and management, focusing on improving daily function and overall well-being.
Symptom Onset & Initial Evaluation
Patients with fibromyalgia commonly report:
- Aching, throbbing, or burning pain in multiple areas of the body
- Significant fatigue that worsens after activity
- Poor or unrefreshing sleep
- Headaches, irritable bowel symptoms, or increased pain sensitivity
- Difficulty with focus, memory, or concentration (“fibro fog”)
Your rheumatologist will conduct a comprehensive evaluation to rule out inflammatory, endocrine, or neurologic disorders before confirming the diagnosis.
Diagnosis
Diagnosis is primarily clinical and based on the pattern, duration, and distribution of symptoms.
- Clinical criteria: Widespread pain and associated symptoms lasting at least three months
- Laboratory testing: Basic labs may be ordered to exclude other causes such as thyroid disease, vitamin deficiencies, or inflammatory arthritis
Treatment & Ongoing Management
Successful management of fibromyalgia relies on a multimodal, individualized plan that addresses both physical and emotional health:
- Graded exercise and stretching programs to improve strength and reduce stiffness
- Sleep hygiene strategies to promote restorative rest
- Cognitive behavioral therapy (CBT) or mind-body techniques for coping and stress reduction
- Medications such as duloxetine, milnacipran, or pregabalin when appropriate
- Patient education on identifying triggers and pacing daily activities
Our multidisciplinary team at The Medical Group of New Jersey works closely with physical therapy, behavioral health, and pain management specialists to provide coordinated, comprehensive care.
Follow-Up & Outlook
Although fibromyalgia is a chronic condition, most patients achieve meaningful improvements in pain control, function, and quality of life with the right combination of therapy, lifestyle changes, and ongoing support. Regular follow-up helps track progress and adjust treatment plans as needed.