This is a disorder that mainly affects women. They complain of constant, often incapacitating, pain, mainly in the trunk (thoracic and lumbar regions) and also feel generally unwell. There is usually sleep disturbance and patients wake up feeling tired. It seems to be a part of a group of disorders that include chronic fatigue syndrome.
Neck trauma has been reported to increase the risk of developing fibromyalgia. A history of widespread pain lasting more than three months affecting all four quadrants of the body both sides, and above and below the waist. Tender points there are 18 designated possible tender points (although a person with the disorder may feel pain in other areas as well). The patient no longer must feel pain at 11 or more of these points for fibromyalgia to be considered. Developments in the understanding of the pathophysiology of the disorder have led to improvements in treatment, which include, exercise, and alternative and complementary medicine.