![]() In addition to restless, unrefreshing sleep and insomnia, people with fibromyalgia are more likely to suffer other sleep disorders. One study found that 99 percent of fibromyalgia patients suffered poor sleep quality that influenced how severely they experienced physical pain, fatigue, and difficulty with social functioning. Their poor sleep contributes to a whole range of challenges with mental and physical health and daily functioning, including its ability to exacerbate other fibromyalgia symptoms. Nearly all people with fibromyalgia experience some form of sleep problem. The presence of disrupted sleep and insomnia, as well as lack of restorative sleep and daytime fatigue are used as markers to diagnose the disorder, alongside physical pain, issues with mood, and cognitive symptoms. It wasn’t always the case, but today, sleep problems are recognized as central characteristics of fibromyalgia. Sleep problems are a key component of fibromyalgia Without a diagnostic test, physicians diagnose fibromyalgia based on a person’s symptoms, while at the same time ruling out other conditions with similar symptoms and characteristics, including hypothyroidism, rheumatoid arthritis, and lupus. There appears also to be a genetic component to fibromyalgia that makes people more vulnerable to developing the syndrome. The stress can also be emotional, whether an acute response to an event, or the cumulative effect of chronic stress and overwhelm. That stress may be physical, such as an injury, an infection, or the onset of another condition, such as arthritis. There often appears to be a stress-related trigger that launches the condition. ![]() Many scientists think heightened activity of the central nervous system is involved, particularly related to how the brain processes information about pain and pain perception. The confusion likely comes from the similarities of fibromyalgia symptoms with several autoimmune disorders, including rheumatoid arthritis and thyroid disorders. Many people think of fibromyalgia as an autoimmune disorder. Sleep problems, including insomnia, restless, poor quality and unrefreshing sleep, all commonly occur among people with fibromyalgia.
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