Fibromyalgia and Chronic Fatigue Syndrome: Similarities and Differences

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Fibromyalgia and Chronic Fatigue Syndrome: Similarities and Differences
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Both these chronic conditions can cause difficulty in carrying out daily activities. They can be difficult to diagnose due to the lack of diagnostic tests, requiring monitoring of a patient’s symptoms for a long period before determining a diagnosis.

By Marzia KhanReviewed by Danielle Ellis, B.Sc. Symptoms and clinical presentation: Fibromyalgia vs Chronic Fatigue SyndromeTreatment and management strategies Fibromyalgia consists of a chronic pain syndrome, which is characterized by pain in many parts of the body, including the skin, muscles, and joints.1

Other symptoms can include trouble sleeping resulting in restlessness, tiredness, difficulty thinking and finding words, as well as problems with concentration known as “brain fog”.1 However, differences between FM and CFS include rest having no impact on CFS and pain being experienced in many different locations at the same time for a long period in fibromyalgia patients.1,2

There are some challenges with diagnosing fibromyalgia and CFS, including a lack of diagnostic tests, which can delay a diagnosis.1 The etiology of CFS is also not fully understood by scientists and is controversial and complex, with theories about single versus multiple causes of the disorder, as well as the involvement of infections, the immune system, and genetic factors.2

Pain-relieving medications, including acetaminophen, ibuprofen, and naproxen sodium, can alleviate pain and improve sleep. These medications, along with antidepressants, would be helpful for pain and depression treatment for fibromyalgia and CFS.3,4 Other approaches may include avoiding caffeine or having a stable bedtime routine to aid with sleep problems, while sleep apnea machines can also be used to improve sleep.3

Coping strategies often include counseling, which may help to strengthen mental resilience with approaches to managing stressful situations.4 Additionally, support from family can be helpful as depending on the severity of these disorders, it may require substantial caregiving responsibilities, as everyday tasks may not be possible for the patients.6

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