Though it was practically unheard of 30 years ago, today approximately 5 million Americans face a fibromyalgia diagnosis [Source: CDC]. Fibromyalgia is defined as pain that distributes throughout the body and affects many muscles [Source: CDC]. The American College of Rheumatology developed a list of several areas, often labeled trigger or pressure points, affected by fibromyalgia. If an individual experiences pain in 11 out of 18 of these areas over a certain amount of time (approximately 3 months), the diagnosis of fibromyalgia is considered. Examples of these trigger points include:

  • Occiput. Near the base of the skull.
  • Low cervical. The lower vertebra of the neck.
  • Trapezius. The neck, midback and upper back muscles between the shoulder blades. 
  • Supraspinatus. Above the scapula spine near the spinal border.
  • Second rib. The insertion of the second rib. 
  • Lateral epicondyle. The side of the elbow.
  • Gluteal. The upper and outer muscles of the buttocks. 
  • Greater trochanter. The upper part of the thigh.
  • Knee. The middle of the knee joint.

Many patients are relieved to get any answer at all to explain their mysterious, yet nagging discomfort. Unfortunately, a fibromyalgia diagnosis fails to answer two major questions: 1) How it originated and 2) How to manage it. These should be at the top of the list of priorities for both doctor and patient.

Researchers have not been able to isolate a specific cause of fibromyalgia. Instead, patients are better served by looking at fibromyalgia as a complex set of symptoms. The pain, fatigue and poor sleep associated with fibromyalgia are most likely a summation of several problems, meaning the muscle spasms and tightness are probably a consequence of many factors out of balance in the body. Fortunately, the patient has direct control over many of these and can improve them immediately.

Start by improving your diet. Intake of refined sugar, sweets, baked goods, crackers and white potatoes, should be minimized. Focus on more fruits, vegetables and healthy proteins. Start with a solid nutrition foundation. Fruit and vegetable intake is critical for the health of the bowels. Hydration is a must to combat muscle pain, which may mean replacing that extra cup of coffee or soft drink with water. Patients with significant pain should target approximately 60 ounces of fresh water a day, unless directed otherwise.

On the next page, learn how targeted nutrients can help control the symptoms of fibromyalgia.