Fibromyalgia is a condition of pain which occurs on both sides of the body above and below the waist.  It is associated with significant fatigue and for some the term Fibromyalgia and Chronic Fatigue Syndrome are used very interchangeably.  In both cases it is found that more than 70% of people have the other complaint: in chronic fatigue patients, more than 70% have pain and amongst fibromyalgia patients, more than 70% have chronic fatigue. 

In the last few years the management of chronic fatigue and fibromyalgia has been much more evidence based. The underlying problems include disruption of sleep quality and it is well recognized that people who are chronically sleep deprived may develop pain related problems. Improving the quality of sleep both by physical behavior such as graded exercise as well as by pharmacological interventions have become the mainstay of treatment together with psychological approaches including cognitive and behavioral therapies. 

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