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      | SYMPTOMS AND ASSOCIATED SYNDROMES | 
     
    
      
  - PAIN
 The pain of FMS has no boundaries.
     People describe the pain as deep muscular aching, throbbing, shooting
    and stabbing.  Intense burning may also be present, which can feel as
    though there is acid running through your arteries. Quite often, the pain
    and stiffness are worse in the morning and you may hurt more in muscle
    groups that are used repetitively. 
   - FATIGUE
 This symptom can be mild in some
    patients and yet incapacitating in others.  The fatigue has been
    described as "brain fatigue" in which patients feel totally
    drained of energy.  Many patients depict this situation by saying that
    they feel as though their arms and legs are tied to concrete blocks, and
    they have difficulty concentrating, e.g., brain fog (also known as Fibro
    Fog). 
   - SLEEP DISORDER
 Most FMS patients have an
    associated sleep disorder called the alpha-EEG anomaly.  This condition
    was uncovered in a sleep lap with the aid of a machine which recorded the
    brain waves of patients during sleep.  Researchers found that most FMS
    patients could fall asleep without much trouble, but their deep level (or
    stage 4) sleep was constantly interrupted by bursts of awake-like brain
    activity.  Patients appeared to spend the night with one foot in sleep
    and other one out of it. 
     In most cases, a physician doesn't have to order sleep lab test to
    determine if you have disturbed sleep.  If you wake up feeling as
    though you have just been run over by a Mack truck-what doctors refer to as
    unrefreshing (or non-restorative) sleep-it is reasonable for your physician
    to assume that you have a sleep disorder.  It should be noted that most
    patients diagnosed with CFS have the same alpha-EEG sleep pattern and some
    FMS diagnosed patients have been found to have other sleep disorders, such
    as sleep apnea, sleep myclonus (night time jerking of the arms and legs),
    restless leg syndrome, and bruxism (teeth grinding).  The sleep pattern
    for clinically depressed patients is distinctly different from that found in
    FMS or CFS. 
   - IRRITABLE BOWEL SYNDROME
 Constipation,
    diarrhea, frequent abdominal pain, abdominal gas and nausea represent
    symptoms frequently found in roughly 40 to 70% of FMS patients. 
   - CHRONIC HEADACHES 
 Recurrent migraine or
    tension-type headaches are seen in about 50% of FMS patients and can pose as
    a major problem in coping for this patient. 
   - TEMPOROMANDIBULAR JOINT DYSFUNCTION SYNDROME
 This
    syndrome, sometimes referred to as TMJ or JMD, causes tremendous jaw-related
    face and head pain in one quarter of FMS patients.  However, a 1997
    published report indicated that close to 90% of FMs patients have a varying
    degree of jaw discomfort.  Most of the problems associated with this
    condition are thought to be related to the muscles and ligaments surrounding
    the jaw joint and not necessarily the joint itself. 
   - MULTIPLE CHEMICAL SENSITIVITIES
 Studies
    reveal that FMS patients are sensitive to odors (perfumes, exhaust fumes,
    cigarette smoke, etc.), loud noises, bright lights and sometimes even
    medications that are prescribed for treating FMS. 
   - OTHER COMMON SYMPTOMS
 Premenstrual
    syndrome and painful periods, chest pain, morning stiffness, cognitive or
    memory impairment, numbness and tingling sensations, muscle twitching,
    irritable bladder, the feeling of swollen extremities, skin sensitivities,
    dry eyes and mouth, frequent changes in eye prescription, dizziness, and
    impaired coordination can occur. 
   - AGGRAVATING FACTORS
 Changes in weather,
    cold or drafty environments, hormonal fluctuations (premenstrual and
    menopausal states), stress, depression, anxiety and over-exertion can all
    contribute to symptom flare-ups. 
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