Fibromyalgia
1 medicine
Fibromyalgia is a chronic condition causing widespread musculoskeletal pain, fatigue and disrupted sleep. It is managed with medicines such as milnacipran alongside exercise and lifestyle changes.
Key facts
- Fibromyalgia causes widespread pain throughout the muscles and soft tissues, often with persistent fatigue, disrupted sleep, and heightened sensitivity to pressure.
- It does not cause measurable inflammation or joint damage, which is why it often goes undiagnosed for years. It affects roughly 2-4% of people globally, with higher rates among women.
- There is no single cure, so treatment focuses on reducing pain and improving daily function using medicines such as milnacipran from the antidepressants group.
- A doctor can confirm the diagnosis and build a combined plan if symptoms feel severe or are disrupting work and relationships.
What fibromyalgia is
Fibromyalgia is a long-term condition marked by widespread pain throughout the muscles and soft tissues, often accompanied by persistent fatigue, disrupted sleep, and heightened sensitivity to pressure. It does not cause measurable inflammation or joint damage, which is why it often goes undiagnosed for years. The condition affects roughly 2-4% of people globally, with higher rates among women.
Managing the pain
There is no single cure, so treatment focuses on reducing pain intensity and improving daily function. Medicines in the antidepressants group, including milnacipran, are commonly used because they act on pain-processing pathways in the brain and spinal cord rather than targeting tissue damage directly. Low-impact exercise, paced activity, and cognitive behavioural therapy are consistently shown to help alongside any medicine.
Lifestyle changes that help
Poor sleep tends to worsen pain, so addressing sleep quality is a practical early step. Pacing daily activity to avoid boom-and-bust cycles of overexertion and rest also reduces flare-ups over time.
When to see a doctor
If symptoms feel severe or are disrupting work and relationships, a doctor can help confirm the diagnosis and put together a combined treatment plan.
This page is educational and does not replace advice from a doctor or pharmacist who knows your health history.