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Fibromyalgia is a syndrome characterised by widespread pain throughout the body with tender points at specific anatomical sites. 
cause of fibromyalgia is unknown.

''Epidemiology''
    women are 10 times more likely to be affected
    typically presents between 30-50 years old

''Features''
    pain: at multiple site, sometimes 'pain all over'
    lethargy
    sleep disturbance, headaches, dizziness are common

''Diagnosis'' is clinical - refers to 9 pairs of tender points on the body. If patient is tender in at least 11 of these 18 points it makes a diagnosis of fibromyalgia more likely

''management'' is often difficult and needs to be tailored to the individual patient. 
psychosocial and multidisciplinary approach is helpful. also
    explanation
    aerobic exercise: has the strongest evidence base
    cognitive behavioural therapy
    medication: pregabalin, duloxetine, amitriptyline