Fibromyalgia is a disorder associated with joint and body pain and tenderness as well as nonrestorative sleep. 1 Fibromyalgia is not technically a sleep disorder, but is characterized by affected individuals’ extreme difficulty with insomnia and problems waking up. Those with fibromyalgia report being woken up by pain and sleep deprivation making their pain worse. Also, those affected tend to feel exhausted from day to day due to waking up throughout the night. While the cause and prevention methods for fibromyalgia are still relatively unknown, treatment is possible and can be successful in controlling fibromyalgia-related pain and complications.
The most disturbing aspect of fibromyalgia is the nonrestorative sleep that results in a nearly constant feeling of exhaustion. 1 Fatigue is brought on because the body and mind rarely have the ability to heal as they would during deep sleep. This exhaustion can lead to severe depression and inability to do simply daily tasks.
The best way to combat fibromyalgia is through improving quality of sleep. Sleep recommendations for those suffering from fibromyalgia are similar to those for insomnia. They include things like making the bedroom conducive to rest and avoiding alcohol and caffeine in the afternoon. It is also recommended to keep the bedroom cool at night as hotter temperatures tend to interrupt the sleep cycle. 2 Developing a sleep routine is the best way to insure better and longer sleep. Additionally, regular activity and exercise helps to relax the body when bedtime comes. Exercises proven to help with join problems are low intensity such as walking and underwater aerobics. 3 It has also been recommended that those with fibromyalgia buy a latex or memory foam mattress in order to reduce pressure points causing tossing and turning and joint pain. Additionally, mattresses and pillows that tend to release heat will help with continuous sleep throughout the night.
It is also recommended that individuals with fibromyalgia keep a sleep diary based on what actions they take to fall asleep, how often they wake up and overall tiredness during the day. It may also be helpful to become a part of a support group where they can share success and effective treatments in a positive environment. 2
There are certain medication prescribed to help with the symptoms of fibromyalgia; however, many are not entirely successful on their own. Muscle relaxants and pain killers have been used to combat joint pain. Antidepressants have also been used to improve sleep quality and overall mood. Overall, fibromyalgia weighs heavily on the sleeper whom it affects and can cause major disruptions in his or her life; however, with an effective combination of treatments, the individual can achieve optimal sleep.
1. Carskadon, Mary A. Encyclopedia of Sleep and Dreaming. New York: Macmillan Pub., 1993.
2. National Sleep Foundation—https://www.cdc.gov/arthritis/basics/fibromyalgia.htm
3. WebMD—Fibromyalgia and Sleep; http://www.webmd.com/fibromyalgia/ss/slideshow-fibro-coping-tips