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[quote=Anonymous][quote=Anonymous]fibromyalgia is considered a catch all for things that can't be detected. This is also why it is controversial as something that is either all in the mind or fake.[/quote]

It is something of a garbage pail diagnosis:  patient complains of pain, a few tests are done that find nothing, so the label of fibromyalgia is slapped on.

The problem with this is that FM is very hard to treat, and in some cases that is because the patient actually has something else that doctors failed to diagnose.

The usual is to recommend physical therapy, perhaps a nutritionist, and maybe cognitive behavior therapy coupled with antidepressants.  The latter will be couched as helping the patient find a way to deal with chronic pain, but often it is prescribed on the theory that the patient has a somatoform disorder that can only be addressed through psychological treatment.  You might also be given neurontin or Lyrica but the side effects can be very difficult for many to handle.

Here is an article on a research study that found half of the patients with FM actually had another illness:

http://www.sciencedaily.com/releases/2013/07/130730163138.htm

That said, patients who actually do have FM seem to have something very peculiar going on with neurochemical balances in their central nervous systems that is not well understood.

http://www.ncbi.nlm.nih.gov/pubmed/21878603
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