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  • Fibromyalgia is the second most common condition affecting your bones and muscles. Yet it’s often misdiagnosed and misunderstood. Its classic symptoms are widespread muscle and joint pain and fatigue.

    But a combination of medication, exercise, managing your stress, and healthy habits may ease your symptoms enough that you can live a normal, active life.

    Clinical features

    • Muscle pain, burning, twitching, or tightness
    • Low pain threshold or tender points
    • Draining fatigue
    • Trouble concentrating and remembering, called “fibro fog”
    • Insomnia or not sleeping well
    • Feeling nervous, worried, or depressed

    Treatment

    Depending on your symptoms, your doctor may prescribe pain relievers, anti depressants, muscle relaxers, and drugs that help you sleep.

    • Milnacipran
    • Pregabalin
    • Duloxetine

    Regular moderate exercise is key to controlling fibromyalgia. You will want to do low-impact activities that build your endurance, stretch and strengthen your muscles, and improve your ability to move easily
    — like yoga, tai chi, Pilates, and even walking.

    Exercise also releases endorphins, which fight pain, stress, and feeling down. And it can help you sleep better.