Fibromyalgia

Fibromyalgia Treatment at IRIS
Chronic Widespread Pain Syndrome

Understanding Fibromyalgia: Symptoms, Diagnosis & Advanced Care

Fibromyalgia is a chronic disorder characterized by widespread musculoskeletal pain, fatigue, sleep disturbances, and cognitive difficulties. Unlike inflammatory arthritides, fibromyalgia involves abnormal pain processing in the central nervous system, leading to amplified pain perception. Early diagnosis and multidisciplinary treatment are crucial to managing symptoms, improving function, and enhancing quality of life. At IRIS Centre for Rheumatology, we offer world-class, patient-centric care for fibromyalgia using the latest advances in pain management and rheumatology.

Fibromyalgia affects approximately 2-4% of the population, with women being affected more frequently than men. It can occur at any age, including childhood, but most commonly presents in middle adulthood. The condition often coexists with other rheumatic diseases such as rheumatoid arthritis and lupus. At IRIS, our multidisciplinary team ensures comprehensive management from early diagnosis to long-term symptom control strategies.

With our state-of-the-art diagnostic approach, pain management protocols, and personalized treatment plans — including medication, physiotherapy, cognitive behavioral therapy, and lifestyle modifications — we aim to reduce pain, improve sleep, restore function, and enhance quality of life. Healing begins with expert care and compassion.

Fibromyalgia Symptoms

Common Symptoms of Fibromyalgia

Fibromyalgia symptoms can vary in severity. Early recognition leads to better outcomes.

  • Widespread musculoskeletal pain (both sides of body, above and below waist)
  • Chronic fatigue and reduced energy levels
  • Sleep disturbances (non-restorative sleep, insomnia)
  • Cognitive difficulties ("fibro fog": memory and concentration problems)
  • Tenderness to touch at specific tender points
  • Headaches, irritable bowel syndrome, and mood disturbances

Diagnosis at IRIS

Fibromyalgia is diagnosed based on clinical criteria. Our diagnostic approach includes:

  • Comprehensive clinical examination and pain assessment
  • Widespread Pain Index (WPI) and Symptom Severity Scale
  • Exclusion of other rheumatic conditions through blood tests
  • Assessment of sleep quality and psychological factors
  • Evaluation of associated conditions (IBS, headaches, etc.)

Advanced Treatment Options

We tailor treatments to achieve symptom control and improve life quality.

  • Pharmacotherapy: Duloxetine, Milnacipran, Pregabalin, Gabapentin
  • Low-dose antidepressants (Amitriptyline) for pain and sleep
  • Cognitive Behavioral Therapy (CBT) for pain management
  • Graded exercise therapy and physiotherapy
  • Mindfulness, stress reduction, and relaxation techniques
  • Patient education and lifestyle modifications

Why Choose IRIS for Fibromyalgia Care?

  • Expert rheumatologists with 13+ years experience
  • Multidisciplinary pain management approach
  • Comprehensive diagnostic evaluation
  • Personalized medication and therapy plans
  • Integrated physiotherapy and psychology support
  • Compassionate, patient-centric approach
  • Over 2000+ patients successfully treated
  • Ongoing support and lifestyle guidance


IRIS Centre for Rheumatology Kollam