Fibromyalgia is a disorder classified by the presence of chronic widespread pain and a heightened and painful response to gentle touch. Other core features of the disorder include debilitating fatigue, sleep disturbance, and joint stiffness. In addition, persons affected by the disorder frequently experience a range of other symptoms that involve multiple body systems, including difficulty with swallowing, functional bowel and bladder abnormalities, difficulty breathing, diffuse sensations of numbness and tingling, abnormal motor activity, and cognitive dysfunction.

Signs and Symptoms

  • widespread pain and painful response to touch
  • moderate to severe fatigue
  • needle-like tingling of the skin
  • muscle aches
  • prolonged muscle spasms
  • weakness in limbs
  • nerve pain
  • bowel disturbances
  • chronic sleep disturbances

Although fibromyalgia is classified based on the presence of chronic widespread pain, pain may also be localized in areas such as the shoulders, neck, low back, hips, tmj, and other areas.

The difficulty with diagnosing fibromyalgia lies in the fact that, in most cases, laboratory testing appears normal and that many of the symptoms mimic those of other disorders. A definite diagnosis of fibromyalgia syndrome should only be made when no other medical disease can explain the symptoms. This is to say, fibromyalgia is a diagnosis of exclusion.

  • Hormonal imbalance
  • Anemia
  • Infection
  • Muscle disease
  • Bone disease
  • Nerve disease
  • Joint disease
  • Cancer
  • Rheumatoid arthritis
  • Hypothyroidism (including primary hypothyroidism, secondary hypothyroidism, Hashimoto’s thyroiditis, iodine deficiency goiter, and genetic thyroid enzyme defects). Thyroid-stimulating hormone levels should be checked routinely because this condition can mimic many of the symptoms of fibromyalgia
  • Polymyalgia rheumatica

Electrical nerve and muscle testing, known as electromyography (EMG) or nerve conduction velocity (NCV), may also be done to check the muscles and nerves.

Treatment

Physical Therapy

  • Electrical Stimulation
  • Ultra Sound
  • Light Massage
  • Stretching
  • Hydrotherapy
  • Hot pack therapy

Analgesics

Antidepressants

Anti-seizure medications

Western Ave. / I-640

4307 Ball Camp Pike
Knoxville, TN 37921
Office: (865) 524-1234
Fax: (865) 524-2169

Monday: 8am - 5:30pm
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Wednesday: 7am - 11:30am
Thursday: 7am - 5:30pm
Friday: 7am - 5:30pm
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Sunday: Closed

Cedar Bluff

312 Prosperity Drive
Suite 101
Knoxville, TN 37923
Office: (865) 691-3155
Fax: (865) 694-8093

Monday: 8am - 5:30pm
Tuesday: 7am - 5:30pm
Wednesday: 2pm - 5:30pm
Thursday: 8am - 5:30pm
Friday: 7am - 5:30pm 312 Prosperity Drive
Suite 101
Knoxville, TN 37923
Office: (865) 691-3155
Fax: (865) 694-8093