It can occur alone or secondary to a condition like Lupus, Sjogren's Syndrome or Arthritis. The pain often feels overwhelming and all over the body. However, there are tender points in certain areas of the body which help the doctor make the diagnosis. These tender points are uncomfortable in most of us or may give rise to local conditions like tennis elbow. But in fibromyalgia there is a change in the threshold at which pressure causes pain, and many of these points can be exquisitely tender.
Fatigue can be the most debilitating aspect of fibromyalgia.
There may be overall tiredness and lack of energy, or muscular fatigue and lack of endurance. Either way, it can be difficult to climb the stairs, do the household chores, or go shopping, let alone go to work. Getting unfit makes matters worse. Much recent research into fibromyalgia was stimulated by the finding of specific tender points and the discovery of sleep disturbance. Deep, non-dreaming sleep is repeatedly and excessively disturbed by lighter, dreaming sleep.