Explanation
Fibromyalgia is a chronic pain disorder that affects millions of people worldwide. However, it remains a rather mysterious condition with no known cure. The exact cause is still unknown, but researchers believe it is due to a combination of genetic, environmental, and psychological factors. Fibromyalgia involves generalized pain all over the body along with symptoms such as mood imbalances, sleep issues, fatigue, and cognitive difficulties. It is commonly seen in middle-aged women, however it can affect all ages.
Diagnosis 
Since the cause of this condition is unclear, diagnosing it is also difficult as there are no definitive diagnostic tests. It is often considered a diagnosis of exclusion meaning fibromyalgia is diagnosed after ruling out other possible causes for the symptoms. Therefore, doctors perform a comprehensive evaluation of the symptoms, take a thorough medical history, and take physical examinations. The primary criteria needed to make this diagnosis are widespread pain and tenderness in specific tender points.
Treatment
Since fibromyalgia has no cure, management strategies focus on improving quality of life. Treatment includes a combination of medications, physical therapy, and lifestyle modifications. Medications such as pain relievers, antidepressants, and anticonvulsants have been shown to help with pain and sleep. Physical therapy and exercise also help with muscle strength. Eating a healthy, balanced diet and lowering stress helps with overall health. Living with fibromyalgia is challenging, both physically and emotionally. Having a strong support system including family, friends, and medical professionals is key to coping with such a complex condition.
Dr. Mian Javaid, Internal Medicine Hospitalist