Fibromyalgia
Expert diagnosis and personalized treatment at Arthritis Care of Los Angeles.
What is Fibromyalgia?
Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain, fatigue, and cognitive difficulties. It affects how the brain and spinal cord process pain signals, amplifying painful sensations. Fibromyalgia often coexists with other conditions such as irritable bowel syndrome, headaches, anxiety, and depression. While the exact cause is not fully understood, it is believed to involve changes in how the nervous system processes pain. Fibromyalgia is not a form of arthritis, but rheumatologists commonly diagnose and manage it because of its overlap with rheumatic conditions.
Common Symptoms
- Widespread pain throughout the body lasting at least three months
- Deep fatigue and unrefreshing sleep
- Cognitive difficulties ('fibro fog') — trouble concentrating and remembering
- Heightened sensitivity to pain (even light touch can be painful)
- Sleep disturbances
- Headaches and migraines
- Tingling or numbness in hands and feet
- Abdominal pain and bloating
- Jaw pain (TMJ symptoms)
- Sensitivity to temperature, light, and noise
Experiencing these symptoms? Get expert care today.
How is Fibromyalgia Diagnosed?
Fibromyalgia is diagnosed based on a history of widespread pain lasting at least three months, associated symptoms like fatigue and cognitive problems, and the exclusion of other conditions that could explain the symptoms. There is no blood test or imaging study that confirms fibromyalgia, but these tests are used to rule out other conditions. Dr. Forouzesh takes the time to carefully evaluate each patient and ensure that fibromyalgia is the correct diagnosis.
Treatment Options
Medications
FDA-approved medications including duloxetine, milnacipran, and pregabalin can help reduce pain and improve sleep.
Exercise
Regular aerobic exercise (walking, swimming, cycling) is one of the most effective treatments. It reduces pain, improves sleep, and boosts mood over time.
Cognitive Behavioral Therapy
CBT helps patients develop coping strategies, manage stress, and change thought patterns that can worsen pain perception.
Sleep Optimization
Improving sleep hygiene and treating sleep disorders is essential, as poor sleep worsens fibromyalgia symptoms significantly.
Complementary Therapies
Mindfulness meditation, gentle yoga, tai chi, and acupuncture may provide additional relief for some patients.
Key Statistics
4 Million
U.S. adults affected by fibromyalgia
Source: CDC
80-90%
Of fibromyalgia patients are women
Source: NIH/NIAMS
2%
Of the adult population has fibromyalgia
Source: American College of Rheumatology
Frequently Asked Questions
Ready to Get Expert Care?
Schedule your appointment with Dr. Solomon Forouzesh, MD, FACP, FACR — a board-certified rheumatologist with 50++ years of expertise in arthritis and autoimmune diseases.