Fibromyalgia

The below information is purely for educational purposes and does not constitute medical advice. This content should not be used as a substitute for professional medical advice.

Fibromyalgia is a long-term condition that causes pain all over the body. In addition to pain, sufferers may also experience other symptoms, including but not limited to fatigue, sleep disruption, problems with memory and concentration, and irritable bowel syndrome.

 

Fibromyalgia Definition

Fibromyalgia is a painful condition that causes pain across large parts of the body. The pain is felt within the muscles and soft tissues and may be more severe in trigger points on the back, shoulders, or neck. The pain may also be more noticeable after long periods in the same position such as in the evenings or first thing of a morning.

What Causes Fibromyalgia?

The causes of fibromyalgia are currently unproven. It is believed to be related to abnormal levels of certain chemicals in the brain which affect how the brain, spinal cord and nerves process the pain messages carried around the body. There are also some studies suggesting that genetics may contribute to the development of fibromyalgia, but it isn’t the whole picture. The condition can be triggered by physically or mentally stressful events. However, for most people there is no clear cause. Known triggers include:

  • An injury or infection
  • Childbirth
  • Undergoing an operation
  • The breakdown of a relationship
  • The death of a loved one

Fibromyalgia Symptoms

The main symptom of fibromyalgia is widespread pain which feels like a constant dull ache, this pain is felt across large parts of the body. Unlike short-term ailments or viruses that can cause pain throughout the whole body, fibromyalgia-related pain is long term (chronic) and continues for a minimum of 3 months. Sufferers may also experience heightened sensitivity to pain, so what may cause pain with a 5 out of 10 severity for someone else would lead to pain of 10 out of 10 severity for an individual with fibromyalgia.

In addition to the feeling of pain throughout the whole body, other symptoms include:

  • Severe tiredness (fatigue)
  • Muscle stiffness
  • Sleep disruption such as difficulty sleeping
  • ‘Fibro-fog’ resulting in problems with memory and concentration
  • Headaches
  • Irritable bowel syndrome (IBS)
  • Some women are also affected by interstitial cystitis – a sensitive, painful bladder, with increased frequency of urination

How is Fibromyalgia Diagnosed?

There are no specific tests to detect the condition, most diagnoses are be made by taking a comprehensive medical history combined with a physical examination.

With varying symptoms, it can take a while to get a comprehensive diagnosis, especially as many symptoms can also be symptoms of other conditions. Your GP may wish to rule out other conditions first such as myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), rheumatoid arthritis, and multiple sclerosis which can be detected through urine or blood tests, x-rays, or scans. However, having one or more of the other conditions does not necessarily mean you don’t also have fibromyalgia.

Key criteria for a fibromyalgia diagnosis are:

  • Severe pain in in 3 to 6 different areas of the body or a dull ache/pain in 7 or more areas of the body
  • The pain and the additional symptoms as described have been ongoing for 3 months or longer
  • Other conditions with similar symptoms have been ruled out as the cause

Fibromyalgia Treatment

Treatment will vary from person to person depending upon their individual symptoms – there is no ‘one size fits all’ – a trained healthcare professional will be able to help advise on the best course of action. The current treatment options may improve symptoms however individuals can expect fluctuations in their severity even with optimal treatment. Research into fibromyalgia is ongoing to identify and develop even more therapeutic options.

As fibromyalgia affects different areas of the body, the sufferer may benefit from the advice and care of a few different healthcare professionals including rheumatologists, pain specialists and psychologists to provide a comprehensive treatment plan. Certain lifestyle changes, such as exercise, to improve a person’s quality of life may be suggested also.

Fibromyalgia and medicinal cannabis

Research into the effect of medicinal cannabis on pain associated with fibromyalgia is limited. However, following the legalisation of cannabis for medical purposes in 2018, there has been a rise in people looking towards medical cannabis. When first-line therapies have not proved effective at reducing symptoms, medical cannabis may be considered an option for fibromyalgia.

For further information and to find out more about medical cannabis, click here to discover more about our multi-award-winning Sapphire Access Scheme. Alternatively, complete an eligibility assessment now. Once complete, one of our clinicians will review your application and advise whether you are eligible for progression to an appointment.

Fibromyalgia FAQs

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There is no ‘one size fits all’ treatment. A GP or specialist healthcare professional can help form a treatment plan and different approaches and healthcare professionals may be needed to help ease specific symptoms.

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Fibromyalgia is a chronic condition, which often affects individuals for the rest of their lives following onset. However, with adherence to tailored treatment plans most people should expect to have improvement, given time. It is completely normal for the symptoms of fibromyalgia to fluctuate and improve or get worse over time, despite the initiation of the most appropriate treatment plan.

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You cannot test for fibromyalgia; it does not show up in scans or blood tests. However, it may be necessary to conduct further test to diagnose fibromyalgia by ruling out other common causes of similar symptoms.

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No, you cannot. There is no blood test for fibromyalgia. However, these may be necessary as part of the process of diagnosing fibromyalgia by helping to rule out other causes of an individual’s symptoms.

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The two most common symptoms are pain felt throughout the whole body that has lasted 3 months or longer and an increased sensitivity to pain, but fibromyalgia isn’t just a painful condition and individuals may be affected by a broad range of symptoms.

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Many triggers can cause the onset of fibromyalgia, these include physically or mentally stressful events. However, for most people there is no clear cause.

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The triggers for fibromyalgia vary between individuals. The most common causes of a fibromyalgia flare-up are physical and/or emotional stress, weather changes, hormonal fluctuations, diet, and poor sleep. It may be helpful for some people to keep a symptom diary to see if any individual triggers cause worsening of symptoms so they can be minimised if possible.

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Medical cannabis may be considered for fibromyalgia if first-line licensed treatments fail to provide sufficient clinical improvement.

Arrange an Appointment

If you are a patient or carer seeking an appointment to discuss treatment with medical cannabis, you can complete this form and we can assist you with this.

Eligible patients can provide us with their healthcare records or we can obtain these through your GP. This is to confirm that a patient’s condition has been fully assessed and all other treatment options have been attempted. We will ensure that the primary care provider receives all treatment communication to maintain the highest level of clinical governance.

We also accept referrals from healthcare professionals.

To refer a patient to us, please click here to fill and securely submit a referral form.

Pricing

Sapphire Access Scheme

Initial
Consultation

£ 50

Follow-up
Consultation

£ 50

Quarterly
Check-up

£ 50

Average Cost of Treatment

To help patients understand the likely cost of treatment, we have outlined the average cost to a patient with chronic pain. Cost of medication varies on an individual patient bases.

£135/month*

Inclusive Of Appointments And Medicine

£4.43/day*

Inclusive Of Appointments And Medicine
No repeat prescription fee

Average cost to a patient with chronic pain using dried cannabis flower

£127/month*

Inclusive Of Appointments And Medicine

£4.18/day*

Inclusive Of Appointments And Medicine
No repeat prescription fee
For more details including some exceptions, see full price list: