The greatest physical effect of fibromyalgia is the presence of myofascial trigger points. They are perpetual peripheral pain generators to the symptoms caused by the disruption in the brain of fibromyalgia patients, called centralization. You can read more about this at my blog,
Unveiling Myofascial Trigger Points in Fibromyalgia
My letter to the editor of the American Academy of Pain Management which will be published in July, gives much of the same information for our physicians.
“Looking back ten years, knowing how I feel today, I appreciate the now because in ten years I will look back and remember these days as the good days.” Celeste Cooper, Author
Tips for coping can be found in our book http://store.innertraditions.com/isbn/978-1-59477-323-5