It is a syndrome of widespread chronic muscular pain and tender joints without any definable musculoskeletal pathology.Patient may complain with a pain either axial pain with severe pain in the axial spine and in atleast two contralateral sides or a chronic pain for atleast 3 months duration with tender points(patient may have physical humps which are in the size of a grain upto the size of an apple) of more than 11 out of 18 total tender points.Associated symptoms are fatigue,disturbed sleep,depression,anxiety.There are other associations with this disease like irritable bowel syndrome and chronic fatigue.
The etiology of this disease is unknown.It is defined in psychiatry as an abnormal sensitivity to pain.Cognitive therapy and therapy with analgesics like diclofenac sodium are often advised.
There is no specific treatment for this condition.The treatment will not be beneficial for the patient.The patient need not find any improvement in his condition.The patient may be counseled instead,advising him to live with it and avoiding unnecessary further drug treatment and investigations.
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