Fibromyalgia is a condition that causes widespread pain, fatigue, and cognitive issues. Many people struggle for years with unexplained symptoms, only to be told it’s all in their head. At Dr. Jolandi Meyer’s practice, we recognise that fibromyalgia is real, and so are the challenges that come with it.
If you’ve been feeling exhausted, foggy, and in pain with no clear cause, fibromyalgia could be the missing piece of the puzzle. Let’s explore what this condition is, how it’s diagnosed, and what treatment options are available.
What is Fibromyalgia?
Fibromyalgia is a chronic disorder that affects how the brain and nervous system process pain signals. Instead of a physical injury or inflammation, the pain comes from a heightened sensitivity to pain stimuli, often described as the body’s pain sensors being stuck on high alert.
Although it doesn’t cause joint or muscle damage, fibromyalgia can be just as debilitating as many other chronic illnesses. It affects your quality of life, your mental health, and even your ability to work or perform daily tasks.
What Causes Fibromyalgia?
The exact cause of fibromyalgia is still unknown, but researchers believe it results from a combination of factors:
Genetics – it tends to run in families
Infections – some illnesses may trigger or worsen symptoms
Physical or emotional trauma – car accidents, injuries, or long-term stress can play a role
Abnormal pain processing – overactive nerves may exaggerate pain signals
Hormonal and chemical imbalances – particularly in serotonin, dopamine, and norepinephrine
It’s also more common in women than men, and it often coexists with other conditions like irritable bowel syndrome (IBS), chronic fatigue syndrome, and autoimmune disorders.
Common Symptoms of Fibromyalgia
The hallmark symptom of fibromyalgia is widespread musculoskeletal pain, but it doesn’t stop there. Patients often describe the pain as a deep, persistent ache that affects both sides of the body, above and below the waist.
Other key symptoms include:
Fatigue, even after a full night’s sleep
Cognitive difficulties (often called “fibro fog”), including memory lapses and poor concentration
Sleep disturbances, such as restless sleep or insomnia
Mood disorders, including depression and anxiety
Stiffness, particularly in the morning
Headaches or migraines
Tingling or numbness in hands and feet
Heightened sensitivity to light, sound, smell, or temperature
These symptoms can come and go or flare up after physical activity, stress, or changes in the weather.
How is Fibromyalgia Diagnosed?
There is no single test to diagnose fibromyalgia. Instead, doctors rely on a thorough review of your symptoms, medical history, and physical examination.
Diagnosis may involve:
Ruling out other conditions, such as rheumatoid arthritis, lupus, or thyroid disorders
Pain location check, typically involving 18 tender points across the body
Blood tests, to exclude infections or autoimmune diseases
Sleep assessment, to identify related disorders like sleep apnoea or restless leg syndrome
At Dr. Meyer’s practice, we take time to listen, ask the right questions, and conduct the necessary tests to reach an accurate diagnosis.
Is Fibromyalgia a Psychological Condition?
No, fibromyalgia is not just “in your head.” While stress and emotional well-being can affect symptoms, fibromyalgia is a recognised neurological condition. Advances in brain imaging have shown that people with fibromyalgia process pain differently, reinforcing that it is a real, physiological disorder.
Treatment Options for Fibromyalgia
There is no cure for fibromyalgia, but with the right treatment plan, many patients find significant relief from their symptoms. The goal is to reduce pain, improve sleep, and enhance your quality of life.
Treatment options may include:
Medications, such as low-dose antidepressants, pain relievers, or muscle relaxants
Physiotherapy, to improve strength and reduce stiffness
Occupational therapy, to adapt your daily routine for better energy management
Counselling or cognitive behavioural therapy (CBT), to address the emotional impact
Sleep support, including sleep hygiene strategies and possible medications
Supplements, such as magnesium, Vitamin D, or omega-3s
Regular low-impact exercise, like walking, swimming, or yoga
A personalised, multi-disciplinary approach often works best, which is exactly what we provide at Dr. Meyer’s practice.
Lifestyle Tips to Manage Fibromyalgia
Small daily changes can make a big difference in how you manage fibromyalgia.
1. Pace Yourself
Break tasks into smaller steps and rest frequently. Overdoing it can lead to flare-ups.
2. Keep Moving
Gentle exercise helps reduce pain and improve sleep and mood.
3. Reduce Stress
Incorporate relaxation techniques like deep breathing, meditation, or journaling.
4. Prioritise Sleep
Stick to a sleep schedule, avoid caffeine late in the day, and create a calming bedtime routine.
5. Track Your Symptoms
Keep a symptom diary to help identify your triggers and patterns.
When to Seek Help
If you’re experiencing persistent pain, fatigue, or brain fog with no clear explanation, don’t brush it off. Early intervention can prevent symptoms from getting worse. At Dr. Jolandi Meyer’s practice, we understand the frustration of not being heard or taken seriously, and we’re here to help you get the answers and care you deserve.
Fibromyalgia is a long-term condition, but it doesn’t have to define your life. With a clear diagnosis, compassionate care, and a well-rounded treatment plan, you can regain control and improve your daily functioning.
If you’re struggling with unexplained pain, tiredness, or mental fog, reach out today for a consultation. Dr. Jolandi Meyer is here to support you with expertise, empathy, and a path forward.
Common Ailments Treated by Dr. Jolandi Meyer
Dr. Jolandi Meyer’s expertise and comprehensive treatment options make her an exceptional General Practitioner for addressing all ailments. She provides personalised care, empowering patients to achieve optimal health. Her compassionate approach ensures patients receive the highest quality treatment. Her practice is located in Garsfontein, Pretoria on the same premises as The Way Recovery Centre.
With her support and guidance, patients can embark on a journey towards improved well-being and a healthier, happier life.