Common "Fibromyalgia" queries answered by top doctors | iCliniq


Fibromyalgia is a condition where there will be musculoskeletal pain in multiple regions associated with fatigue, weakness, and emotional disturbances. Genetic mutations, infections, physical and emotional disturbances, etc., are the causes of fibromyalgia. Diagnosis is made by checking the trigger points based on history, blood test, etc. Treatment of fibromyalgia includes medications such as pain killers, antidepressants, antiepileptics. And also with physiotherapy and counseling.

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Is there any pharmacological substitute for Duloxetine?

Query: Hello doctor, My mother is 53 years old, nondiabetic. She is hypertensive (150-100) and having all over body pain, fatigue and morning stiffness. We consulted a neurologist and she was diagnosed with fibromyalgia. She was going about daily activities by using painkiller every day (Innova-MR, Diclo...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to Regarding your concern, I would explain that morning stiffness is not a typical sign of fibromyalgia, but it could indicate a rheumatological disorder. Coming to this point, considering her slightly elevated erythrosedimentation, I would recommend performing other...  Read Full »

Are fibromyalgia and my musculoskeletal pain syndrome the same?

Query: Hi doctor. Are amplified musculoskeletal pain syndrome and fibromyalgia the same thing? If not, what are the differences between them? My current medications include Topamax, Neurontin, Cyproheptadine, Zyrtec, Peppermint oil capsules and Vitamin B2. Thank you.  Read Full »

Dr. Srivastava, Sumit

Answer: Hi, Welcome to Fibromyalgia is a chronic condition that causes pain, stiffness and tenderness of the muscles, tendons and joints. Fibromyalgia is also characterized by restless sleep, awakening, feeling tired, chronic fatigue, anxiety, depression and disturbances in bowel function. Fibr...  Read Full »

Can Duloxetine cause low sex drive?

Query: Hi doctor,My girlfriend has fibromyalgia and is currently on Cymbalta and a muscle relaxant. She said she has no desire for sex but it seems she is having sexual dreams. She does not know that she is doing it but it does not make sense to me. When she was on Tramadol, everything was fine unless she ...  Read Full »

Dr. Puri Divya Inder

Answer: Hello, Welcome to It is possible that she has no desire or she may be fatigued by the fibromyalgia. Drugs like Cymbalta (Duloxetine) act on neurotransmitters and there is a possibility that they affect a person's emotions and desires. Generally, once the drug goes on for some time, the ...  Read Full »

What could be the reason for excruciating pain in neck, back and shoulders?

Query: Hello doctor, I am 18 years old. My feet hurt like crazy sometimes even if I stand on them for five minutes (especially in the heel). After a while, the bottom of my feet would burn. I think something is wrong with my brain because I have got my vitals checked and everything seems to be fine. I get ...  Read Full »

Dr. Hardik Nareshbhai Rajyaguru

Answer: Hello, Welcome to I understand your symptoms. There are two possible conditions which can present this way. One is fibromyalgia, where there is a pain at multiple sites in the body, some other vague symptoms and when investigated, almost all the tests are fine. Second, a less likely p...  Read Full »

Do persistent body pain with intense pain in extremities symptoms of cancer?

Query: Hello doctor,I am a 33-year-old and weigh about 189 pounds. My whole body hurts. I got pain all over the body, pain in the legs and hands. Pain is persistent all the time mostly in the lower feet and hand. I am having pain for the past three months. I just had an appointment with my doctor. He order...  Read Full »

Dr. Naval Mendiratta

Answer: Hello, Welcome to Well, I have gone through your history and the reports attached.(attachment removed to protect patient identity). All the reports are normal. I could not find the reports of liver function tests there, but I suppose your doctor had already looked into it. Do not worr...  Read Full »

I have been experiencing bad muscle pain for a few years. Why?

Query: Hello doctor,I am experiencing a really bad muscle pain. I have been experiencing it for a few years but in the last year or so, it has been getting worse. My legs pain when I walk and if I knock myself gently by accident it is even more painful. I consulted an advanced practitioner, but she conside...  Read Full »

Dr. Vandana Andrews

Answer: Hello, Welcome to I appreciate the confidence that you place in me for your healthcare consultation. Muscle pain can have various causes, and it is important to rule out any underlying medical conditions. While some muscle pain is normal and expected, particularly after exercise, pe...  Read Full »

What can cause shooting pain all over the body?

Query: Hi doctor, My problem started with pain in my lower back and buttock, and then it moved to my lateral thigh on both sides. So, it is difficult to sleep on either side. I also started experiencing neck and shoulder pain. Now, I feel pain in my arms, back, neck, shoulder, etc. I do not know what could...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hi, Welcome to It appears that your condition resembles spondylosis, affecting both the cervical and lumbar regions of the spine. This condition involves pain and other symptoms stemming from nerve compression within the spine. The resulting symptoms are typically felt along the path o...  Read Full »

Why does ongoing back muscle pain occur after my running?

Query: Hi doctor,I ran 10 kilometers and when I arrived home, I had terrible back muscle pain. Next two days, I was better. So, I ran for another 10 kilometers but, this time when I arrived home, it was even worse. There was a shoulder pain, and dorsal muscle back pain when I was walking. Then, it was very...  Read Full »

Dr. Ashaq Hussain Parrey

Answer: Hello,Welcome to muscle necrosis is a known entity that occurs when the blood supply to the muscle is compromised during the exercise period. It is usually documented by demonstrating the high levels of LDH (lactic acid dehydrogenase) test and CPK (creatine phosphokinase)...  Read Full »

Could my persistent, unexplained body pain indicate cancer?

Query: Hello doctor, I have been experiencing persistent body pain for the past five months. I have undergone numerous tests, but no specific cause has been identified. I am now concerned that it might be related to cancer. Please help. Thank you.   Read Full »

Dr. Geetha Priyadarsini Kamminana

Answer: Hello, Welcome to I read your query and understand your concern. In order to better understand your condition, I have a few additional questions: Do you experience any tender points on your body? Are you feeling fatigued or excessively tired? Have you been having any sleep probl...  Read Full »

I have had fatigue, tremors, slurred speech, etc. Is it MS?

Query: Hello doctor, I am a 36-year-old mother of three BMI of 27, no ongoing medication, and had a history of bouts of thyroiditis but stable for the last six months. My question is, could the symptoms below be multiple sclerosis (MS), and should I get tested for this? I have been suffering from fatigue f...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to I understand your concern, and I think that your symptoms are not that of multiple sclerosis (MS). Anyway, both chronic fatigue and brain fogginess may be related to migraine. Depression and fibromyalgia can also cause a similar clinical situation. I suggest performi...  Read Full »

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