
Understanding Fibromyalgia: A multi-faceted condition
Fibromyalgia is a condition that often goes unrecognized, but which affects millions of people
worldwide. It manifests as widespread pain, chronic fatigue and increased sensitivity
in certain areas of the body. Because of its complexity, there are two
main types of fibromyalgia: primary and secondary. Here’s what you need to know
to better understand this disease and its impact.
What is fibromyalgia?
Fibromyalgia is a chronic syndrome characterized by :
- Diffuse pain throughout the body, often described as burning or stiffness.
- Persistent fatigue, even after a night’s sleep.
- Sleep disorders.
- Additional symptoms such as headaches, digestive problems or hypersensitivity to noise and light.
Although its exact causes remain unclear, researchers believe that an imbalance in the way the brain processes pain signals could be to blame.



Primary Fibromyalgia (PFM): When there is no identified cause
Primary fibromyalgia is considered idiopathic, i.e. it occurs without any identifiable underlying disease. Sufferers may experience
- Diffuse musculoskeletal pain.
- Chronic fatigue.
- Mood disorders, such as anxiety or depression.
This form of fibromyalgia is often associated with a complex psychological history, including
sometimes a history of stress, trauma or abuse. Dysfunction of the
vagal nervous system and inhibitory pain modulators are involved.
Non-drug treatments mainly include conservative approaches, such as
gentle physical exercise, behavioral therapies and EMDR stress management …
Secondary Fibromyalgia (FMS): When another disease is involved
Unlike the primary form, secondary fibromyalgia develops in conjunction with another underlying condition.
These conditions frequently include pain from chronic diseases such as rheumatoid arthritis or lupus, Ehler Danlos disease or hyperlaxity , MS, Parkinson’s disease … or refractory chronic pain that may arise after trauma or surgery.
In such cases, treatment must target both the underlying disease and the symptoms of
f
ibromyalgia. This may include specific medications to manage inflammation, combined with
interventions to reduce pain and improve quality of life.
Why consult us?
Fibromyalgia, whether primary or secondary, can profoundly affect quality of life. If you experience unexplained diffuse pain, persistent fatigue or mood disorders, it’s essential to consult a doctor. With early diagnosis and appropriate treatment, symptoms can be better managed and a more balanced life restored.
In conclusion
Fibromyalgia is a complex condition, but a better understanding of its different forms means it can be better recognized and treated. Whether you are directly affected or know someone who is, it’s important to raise public awareness of this often invisible but very real disease.
If you think you may be affected, don’t hesitate to talk to a healthcare professional. You’re not alone.
Dr Nabila
- Médecin anesthésiste - Spécialiste de la douleur
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