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<span>Fibromyalgia</span>
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<span class="page-url print-only">URL of this page: https://medlineplus.gov/genetics/condition/fibromyalgia/</span>
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<h1>Fibromyalgia</h1>
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<div class="mp-exp exp-full" data-bookmark="description">
<h2>Description</h2>
<section><div class="mp-content"><p>Fibromyalgia is a common condition characterized by long-lasting (chronic) pain affecting many areas of the body. The pain is associated with tenderness that occurs with touch or pressure on the muscles, joints, or skin. Some affected individuals also report numbness, tingling, or a burning sensation (paresthesia) in the arms and legs.</p><p>Other signs and symptoms of fibromyalgia include excessive tiredness (exhaustion); sleep problems, such as waking up feeling unrefreshed; and problems with memory or thinking clearly. People with fibromyalgia often report additional types of pain, including headaches, back and neck pain, sore throat, pain or clicking in the jaw (<a class="image-modal" data-alt="Profile view of a face with the parts of the temporormandibular joint labeled." data-caption="" data-credit="National Institute of Dental and Craniofacial Research/National Institutes of Health" data-filepath="images/PX000004_PRESENTATION.jpeg" data-imgtype="genetics" data-pix="PX000004" data-sourceurl="https://www.nidcr.nih.gov" data-title="The temporomandibular joint" href="https://medlineplus.gov/images/PX000004_PRESENTATION.jpeg" id="PX000004_1" title="Show image">temporomandibular<img alt="" aria-hidden="true" class="image-modal-icon" src="https://medlineplus.gov/css/img/icon_camera_small.png"/></a> joint dysfunction), and stomach pain or digestive disorders such as irritable bowel syndrome. They have an increased likelihood of developing mood or psychiatric disorders including <a data-pid="16877" href="https://medlineplus.gov/genetics/condition/depression/">depression</a>, anxiety, and <a data-pid="16943" href="https://medlineplus.gov/genetics/condition/obsessive-compulsive-disorder/">obsessive-compulsive disorder</a>. However, many people with fibromyalgia do not have a mental health condition.</p><p>The major signs and symptoms of fibromyalgia can occur by themselves or together with another chronic pain condition such as <a data-pid="16837" href="https://medlineplus.gov/genetics/condition/osteoarthritis/">osteoarthritis</a>, <a data-pid="16181" href="https://medlineplus.gov/genetics/condition/rheumatoid-arthritis/">rheumatoid arthritis</a>, <a data-pid="14713" href="https://medlineplus.gov/genetics/condition/ankylosing-spondylitis/">ankylosing spondylitis</a>, or <a data-pid="16327" href="https://medlineplus.gov/genetics/condition/systemic-lupus-erythematosus/">systemic lupus erythematosus</a>.</p></div>
</section>
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<div class="mp-exp exp-full" data-bookmark="frequency">
<h2>Frequency</h2>
<section><div class="mp-content"><p>Fibromyalgia occurs in an estimated 2 to 8 percent of the general population worldwide. Because its signs and symptoms are nonspecific and overlap with those of many other conditions, it can be challenging to diagnose. The condition seems to affect women more than men, and its prevalence increases with age.</p></div>
</section>
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<div class="mp-exp exp-full" data-bookmark="causes">
<h2>Causes</h2>
<section><div class="mp-content"><p>Fibromyalgia is known to run in families, suggesting that genetic factors contribute to the risk of developing this disease. However, little is known for certain about the genetic basis of fibromyalgia. It is likely that variations in many genes, each with a small effect, combine to increase the risk of developing this condition.</p><p>The signs and symptoms of fibromyalgia are related to the way the brain recognizes and interprets pain signals. People with fibromyalgia have an increased sensitivity to pain; they feel pain more acutely than others would in response to a given stimulus. Researchers describe this phenomenon as the "volume" of pain sensations being turned up too high (pain amplification). Studies of the genetics of fibromyalgia have focused on genes with roles in the way the brain processes pain. For example, several genes that may influence the condition are involved in the production and breakdown of certain chemical messengers called <a class="image-modal" data-alt="Diagram showing parts of a neuron and structure of a typical chemical synapse. Neurotransmitters are shown packaged into synaptic vesicles and transmitting signals from a neuron to a target cell across the synapse." data-caption="" data-credit="Designua/Shutterstock.com" data-filepath="images/PX00011G_PRESENTATION.jpeg" data-imgtype="genetics" data-pix="PX00011G" data-sourceurl="" data-title="Release and uptake of neurotransmitters at a nerve cell synapse" href="https://medlineplus.gov/images/PX00011G_PRESENTATION.jpeg" id="PX00011G_1" title="Show image">neurotransmitters<img alt="" aria-hidden="true" class="image-modal-icon" src="https://medlineplus.gov/css/img/icon_camera_small.png"/></a>. These chemicals relay signals between nerve cells that can increase or decrease the sensation of pain, a process known as pain modulation.</p><p>Nongenetic (environmental) factors also play critical roles in a person's risk of developing fibromyalgia. The disorder can be triggered by infection or illness that would not otherwise cause chronic pain, injury, and other physical stress. Psychological and social factors such as a history of childhood abuse or neglect, exposure to war or other catastrophic events, and low job or life satisfaction have also been associated with an increased risk of fibromyalgia. Additionally, physical inactivity, obesity, and sleep disturbances seem to increase risk. However, many people who develop this condition do not have any recognized triggers or risk factors. It is likely that environmental conditions interact with genetic factors to determine the overall risk of developing this disorder.</p></div>
</section>
<section>
<div class="related-genes mp-exp exp-full">
<h3>Learn more about the gene associated with Fibromyalgia</h3>
<ul class="relatedmp">
<li><a href="https://medlineplus.gov/genetics/gene/comt/">COMT</a></li>
</ul>
<p><strong>Additional Information from NCBI Gene:</strong></p>
<ul class="relatedmp">
<li><a href="https://www.ncbi.nlm.nih.gov/gene/154" target="TheNewWin">ADRB2</a></li>
<li><a href="https://www.ncbi.nlm.nih.gov/gene/3356" target="TheNewWin">HTR2A</a></li>
<li><a href="https://www.ncbi.nlm.nih.gov/gene/6532" target="TheNewWin">SLC6A4</a></li>
<li><a href="https://www.ncbi.nlm.nih.gov/gene/134864" target="TheNewWin">TAAR1</a></li>
</ul>
</div>
</section>
</div>
<div class="mp-exp exp-full" data-bookmark="inheritance">
<h2>Inheritance</h2>
<section><div class="mp- mp-content"><p>Fibromyalgia does not have a clear pattern of inheritance in families. Overall, the risk of developing this condition is about eight times higher for <a class="image-modal" data-alt="Parents, siblings, and children are first-degree relatives." data-caption="An individual shares half his/her genes with each parent and each offspring. An individual shares an on average half his/her genes with each sibling" data-credit="GeneReviews, University of Washington, Seattle" data-filepath="images/PX0002I7_PRESENTATION.jpeg" data-imgtype="genetics" data-pix="PX0002I7" data-sourceurl="https://www.ncbi.nlm.nih.gov/books/NBK5191/box/further_illus-59/" data-title="First-degree relative" href="https://medlineplus.gov/images/PX0002I7_PRESENTATION.jpeg" id="PX0002I7_1" title="Show image">first-degree relatives<img alt="" aria-hidden="true" class="image-modal-icon" src="https://medlineplus.gov/css/img/icon_camera_small.png"/></a> of affected individuals (such as siblings or children) as compared to the general public. Many people with fibromyalgia also have relatives with headaches, irritable bowel syndrome, temporomandibular joint dysfunction, and other conditions that cause chronic pain. These disorders may cluster in families in part because they share some genetic risk factors with fibromyalgia.</p></div>
</section>
</div>
<div class="mp-exp exp-full" data-bookmark="synonyms">
<h2>Other Names for This Condition</h2>
<section>
<ul class="bulletlist">
<li>Diffuse myofascial pain syndrome</li> <li>Fibromyalgia syndrome</li> <li>Fibromyalgia-fibromyositis syndrome</li> <li>Fibromyositis</li> <li>Fibrositis</li> <li>FMS</li> <li>Myofascial pain syndrome</li>
</ul>
</section>
</div>
<div class="mp-exp exp-full" data-bookmark="resources">
<h2>Additional Information & Resources</h2>
<section>
<div class="mp-content">
<h2>Patient Support and Advocacy Resources</h2>
<ul>
<li><a href="https://rarediseases.org/" target="TheNewWin">National Organization for Rare Disorders (NORD)</a></li>
</ul>
</div>
</section>
<section>
<div class="mp-content">
<h2>Clinical Trials</h2>
<ul>
<li><a href="https://clinicaltrials.gov/search?cond=%22Fibromyalgia%22" target="TheNewWin">ClinicalTrials.gov</a> <span class="desc-text"><img alt="From the National Institutes of Health" title="From the National Institutes of Health" src="https://medlineplus.gov/images/nih.png" class="imgdesc" width="25" height="16"></span></li>
</ul>
</div>
</section>
<section>
<div class="mp-content">
<h2>Scientific Articles on PubMed</h2>
<ul>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/?term=%28Fibromyalgia%5BMAJR%5D%29+AND+%28fibromyalgia%5BTI%5D%29+AND+%28%28gene%5BTIAB%5D%29+OR+%28genes%5BTIAB%5D%29+OR+%28genetic*%5BTIAB%5D%29+OR+%28GWAS%5BTIAB%5D%29%29+AND+english%5Bla%5D+AND+human%5Bmh%5D" target="TheNewWin">PubMed</a> <span class="desc-text"><img alt="From the National Institutes of Health" title="From the National Institutes of Health" src="https://medlineplus.gov/images/nih.png" class="imgdesc" width="25" height="16"></span></li>
</ul>
</div>
</section>
</div>
<div class="mp-exp exp-full" data-bookmark="references">
<h2>References</h2>
<section>
<div class="mp-content">
<ul>
<li>Ablin JN, Buskila D. Update on the genetics of the fibromyalgia syndrome. Best
Pract Res Clin Rheumatol. 2015 Feb;29(1):20-8. doi: 10.1016/j.berh.2015.04.018.
Epub 2015 May 18. <a href="https://pubmed.ncbi.nlm.nih.gov/26266996" target="TheNewWin">Citation on PubMed</a></li>
<li>Clauw DJ. Fibromyalgia: a clinical review. JAMA. 2014 Apr 16;311(15):1547-55.
doi: 10.1001/jama.2014.3266. <a href="https://pubmed.ncbi.nlm.nih.gov/24737367" target="TheNewWin">Citation on PubMed</a></li>
<li>Docampo E, Escaramis G, Gratacos M, Villatoro S, Puig A, Kogevinas M, Collado
A, Carbonell J, Rivera J, Vidal J, Alegre J, Estivill X, Rabionet R. Genome-wide
analysis of single nucleotide polymorphisms and copy number variants in
fibromyalgia suggest a role for the central nervous system. Pain. 2014
Jun;155(6):1102-1109. doi: 10.1016/j.pain.2014.02.016. Epub 2014 Feb 26. <a href="https://pubmed.ncbi.nlm.nih.gov/24582949" target="TheNewWin">Citation on PubMed</a></li>
<li>Hauser W, Ablin J, Fitzcharles MA, Littlejohn G, Luciano JV, Usui C, Walitt B.
Fibromyalgia. Nat Rev Dis Primers. 2015 Aug 13;1:15022. doi:
10.1038/nrdp.2015.22. <a href="https://pubmed.ncbi.nlm.nih.gov/27189527" target="TheNewWin">Citation on PubMed</a></li>
<li>Hauser W, Ablin J, Perrot S, Fitzcharles MA. Management of fibromyalgia:
practical guides from recent evidence-based guidelines. Pol Arch Intern Med. 2017
Jan 4;127(1):47-56. doi: 10.20452/pamw.3877. Epub 2017 Jan 4. <a href="https://pubmed.ncbi.nlm.nih.gov/28075425" target="TheNewWin">Citation on PubMed</a></li>
<li>Lee YH, Choi SJ, Ji JD, Song GG. Candidate gene studies of fibromyalgia: a
systematic review and meta-analysis. Rheumatol Int. 2012 Feb;32(2):417-26. doi:
10.1007/s00296-010-1678-9. Epub 2010 Dec 1. <a href="https://pubmed.ncbi.nlm.nih.gov/21120487" target="TheNewWin">Citation on PubMed</a></li>
<li>Park DJ, Lee SS. New insights into the genetics of fibromyalgia. Korean J
Intern Med. 2017 Nov;32(6):984-995. doi: 10.3904/kjim.2016.207. Epub 2017 Oct 23. <a href="https://pubmed.ncbi.nlm.nih.gov/29056037" target="TheNewWin">Citation on PubMed</a> or <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5668398/" target="TheNewWin">Free article on PubMed Central</a></li>
<li>Wolfe F, Clauw DJ, Fitzcharles MA, Goldenberg DL, Hauser W, Katz RL, Mease PJ,
Russell AS, Russell IJ, Walitt B. 2016 Revisions to the 2010/2011 fibromyalgia
diagnostic criteria. Semin Arthritis Rheum. 2016 Dec;46(3):319-329. doi:
10.1016/j.semarthrit.2016.08.012. Epub 2016 Aug 30. <a href="https://pubmed.ncbi.nlm.nih.gov/27916278" target="TheNewWin">Citation on PubMed</a></li>
</ul>
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<li><a href="https://medlineplus.gov/genetics/understanding/inheritance/runsinfamily/">What does it mean if a disorder seems to run in my family?</a></li>
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