{"id":2581,"date":"2025-06-26T23:42:37","date_gmt":"2025-06-26T22:42:37","guid":{"rendered":"https:\/\/neuropsiquiatria.pt\/?p=2581"},"modified":"2025-07-16T16:05:27","modified_gmt":"2025-07-16T15:05:27","slug":"fibromialgia-o-guia-completo-2025","status":"publish","type":"post","link":"https:\/\/neuropsiquiatria.pt\/en\/fibromialgia-o-guia-completo-2025\/","title":{"rendered":"Fibromyalgia: The Complete Guide (2025)"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"2581\" class=\"elementor elementor-2581\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6e7fab4 e-flex e-con-boxed e-con e-parent\" data-id=\"6e7fab4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-56a615c elementor-widget elementor-widget-text-editor\" data-id=\"56a615c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">The Complete Guide to Understanding, Diagnosing and Treating<\/h2>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ce9b6b7 elementor-widget elementor-widget-text-editor\" data-id=\"ce9b6b7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>80% of Fibromyalgia diagnoses are women (4 out of 5) and 3 out of 4 sufferers of the condition develop depression or anxiety throughout their lives. But what is Fibromyalgia anyway? Is it just a psychological condition? Is it a mixture of psychological and physical pain? Let's find out!<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-65a71a5 elementor-widget elementor-widget-post-info\" data-id=\"65a71a5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"post-info.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-inline-items elementor-icon-list-items elementor-post-info\">\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-repeater-item-87d2c88 elementor-inline-item\" itemprop=\"datePublished\">\n\t\t\t\t\t\t<a href=\"https:\/\/neuropsiquiatria.pt\/en\/2025\/06\/26\/\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-calendar\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12 192h424c6.6 0 12 5.4 12 12v260c0 26.5-21.5 48-48 48H48c-26.5 0-48-21.5-48-48V204c0-6.6 5.4-12 12-12zm436-44v-36c0-26.5-21.5-48-48-48h-48V12c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v52H160V12c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v52H48C21.5 64 0 85.5 0 112v36c0 6.6 5.4 12 12 12h424c6.6 0 12-5.4 12-12z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text elementor-post-info__item elementor-post-info__item--type-date\">\n\t\t\t\t\t\t\t\t\t\t<time>June 26, 2025<\/time>\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8e883a2 elementor-widget elementor-widget-text-editor\" data-id=\"8e883a2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-2586 size-full\" title=\"Fibromyalgia - Common Pain Points and Symptoms\" src=\"https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/ChatGPT-Image-16_06_2025-03_37_29.png\" alt=\"Ilustra\u00e7\u00e3o educativa sobre fibromialgia, que mostra uma mulher com express\u00e3o de desconforto e pontos vermelhos destacados em v\u00e1rias partes do corpo (cabe\u00e7a, pesco\u00e7o, ombros e bra\u00e7os) para indicar algumas das \u00e1reas comuns de dor desta condi\u00e7\u00e3o m\u00e9dica\" width=\"1536\" height=\"1024\" srcset=\"https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/ChatGPT-Image-16_06_2025-03_37_29.png 1536w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/ChatGPT-Image-16_06_2025-03_37_29-300x200.png 300w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/ChatGPT-Image-16_06_2025-03_37_29-1024x683.png 1024w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/ChatGPT-Image-16_06_2025-03_37_29-768x512.png 768w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/ChatGPT-Image-16_06_2025-03_37_29-18x12.png 18w\" sizes=\"(max-width: 1536px) 100vw, 1536px\" \/><\/div><div><p><strong>Have you ever heard a description of what it's like to have Fibromyalgia? Anyone who has come into contact with this disease knows how disabling it can be.<\/strong><\/p><div><div><p>Immediately on waking up, pains break through the body <strong>heavy, persistent<\/strong>. With these, a feeling of <strong>extreme tiredness<\/strong>I find it difficult to complete tasks or concentrate on anything. In addition to these symptoms, which are already extremely disabling, at the end of the day, when it's time for <strong>rest<\/strong>Sleep doesn't come, or it's very superficial, agitated from moment to moment by the pain.<\/p><\/div><\/div><div><p><strong>What do we know today about Fibromyalgia?<\/strong> What can we do, inside and outside the office, to alleviate the suffering brought on by this reality?<\/p><\/div><\/div><div><div><p><img decoding=\"async\" class=\"alignnone wp-image-2620\" title=\"Fibromyalgia Statistics - 80% of Diagnoses in Women\" src=\"https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/DOS-DIAGNOSTICOS-DE-FIBROMIALGIA-SAO-EM-MULHERES.png\" alt=\"Infogr\u00e1fico sobre fibromialgia mostrando que 80% dos diagn\u00f3sticos s\u00e3o em mulheres, ilustrado com desenhos de dez mulheres diversas com express\u00f5es de desconforto, representando diferentes etnias e idades\" width=\"999\" height=\"666\" srcset=\"https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/DOS-DIAGNOSTICOS-DE-FIBROMIALGIA-SAO-EM-MULHERES.png 1536w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/DOS-DIAGNOSTICOS-DE-FIBROMIALGIA-SAO-EM-MULHERES-300x200.png 300w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/DOS-DIAGNOSTICOS-DE-FIBROMIALGIA-SAO-EM-MULHERES-1024x683.png 1024w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/DOS-DIAGNOSTICOS-DE-FIBROMIALGIA-SAO-EM-MULHERES-768x512.png 768w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/DOS-DIAGNOSTICOS-DE-FIBROMIALGIA-SAO-EM-MULHERES-18x12.png 18w\" sizes=\"(max-width: 999px) 100vw, 999px\" \/><\/p><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f600409 elementor-widget elementor-widget-html\" data-id=\"f600409\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"toc-manual\">\r\n  <h3>\ud83e\udded Table of Contents<\/h3>\r\n  <ul>\r\n    <li><a href=\"#o-que-e-a-fibromialgia\">1. \ud83e\udd14 What is Fibromyalgia?<\/a>\r\n      <ul>\r\n        <li><a href=\"#definicao-medica\">1.1 \ud83d\udcdd Medical definition<\/a><\/li>\r\n        <li><a href=\"#reconhecimento-em-portugal\">1.2 \ud83c\uddf5\ud83c\uddf9 Recognition of status in Portugal<\/a><\/li>\r\n      <\/ul>\r\n    <\/li>\r\n    <li><a href=\"#diferenca-fibromialgia-dor-comum\">2. \u2194\ufe0f Difference Between Fibromyalgia and Common Pain<\/a><\/li>\r\n    <li><a href=\"#sintomas-comuns\">3. \ud83d\udccb Most common symptoms of Fibromyalgia<\/a><\/li>\r\n    <li><a href=\"#causas-fatores-risco\">4. Causes and risk factors<\/a><\/li>\r\n    <li><a href=\"#diagnostico-fibromialgia\">5. The Diagnosis of Fibromyalgia<\/a>\r\n      <ul>\r\n        <li><a href=\"#criterios-diagnosticos\">5.1 \u2705 Updated diagnostic criteria<\/a><\/li>\r\n      <\/ul>\r\n    <\/li>\r\n    <li><a href=\"#fibromialgia-outras-patologias\">6. Fibromyalgia and other pathologies<\/a><\/li>\r\n    <li><a href=\"#fibromialgia-criancas-adolescentes\">7. \ud83d\udc67\ud83d\udc66 Fibromyalgia in children and adolescents<\/a><\/li>\r\n    <li><a href=\"#impacto-fibromialgia-vida-diaria\">8. \ud83d\udcc9 Impact of Fibromyalgia on daily life<\/a><\/li>\r\n    <li><a href=\"#tratamento-fibromialgia\">9. \ud83d\udc8a How is Fibromyalgia treated?<\/a>\r\n      <ul>\r\n        <li><a href=\"#psicoterapia-fibromialgia\">9.1 \ud83d\udecb\ufe0f Role of psychotherapy in treatment<\/a><\/li>\r\n        <li><a href=\"#medicamentos-fibromialgia\">9.2 \ud83d\udc89 Medicines used for treatment<\/a><\/li>\r\n      <\/ul>\r\n    <\/li>\r\n    <li><a href=\"#quando-procurar-ajuda\">10. When to seek professional help<\/a><\/li>\r\n    <li><a href=\"#lidar-condicao-dia-a-dia\">11. \ud83e\udd1d How do you deal with the condition on a day-to-day basis?<\/a><\/li>\r\n    <li><a href=\"#alimentacao-fibromialgia\">12. \ud83c\udf4e Eating with Fibromyalgia<\/a><\/li>\r\n    <li><a href=\"#mitos-e-verdades\">13. \u2753 Myths and Truths about Fibromyalgia<\/a><\/li>\r\n    <li><a href=\"#direitos-e-contexto-laboral\">14. \ud83d\udcbc Rights and the labour context<\/a>\r\n      <ul>\r\n        <li><a href=\"#direitos-fibromialgicos\">14.1 \u2696\ufe0f Fibromyalgia sufferers' rights<\/a><\/li>\r\n        <li><a href=\"#baixa-medica-protecao-emprego\">14.2 \ud83c\udfe5 Sick leave and job protection<\/a><\/li>\r\n        <li><a href=\"#adaptacao-posto-trabalho\">14.3 \ud83d\udd27 Adapting the workplace<\/a><\/li>\r\n      <\/ul>\r\n    <\/li>\r\n    <li><a href=\"#avancos-investigacao-cientifica\">15. \ud83d\udd2c Advances in scientific research<\/a>\r\n      <ul>\r\n        <li><a href=\"#novos-tratamentos-estudo\">15.1 \ud83e\uddea New treatments under study<\/a><\/li>\r\n      <\/ul>\r\n    <\/li>\r\n    <li><a href=\"#recursos-apoio-portugal\">16. \ud83c\uddf5\ud83c\uddf9 Resources and support available in Portugal<\/a><\/li>\r\n    <li><a href=\"#conclusao\">17. Conclusion<\/a><\/li>\r\n    <li><a href=\"#faqs\">18. FAQ's (Frequently Asked Questions)<\/a><\/li>\r\n  <\/ul>\r\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-72b5261 elementor-widget elementor-widget-text-editor\" data-id=\"72b5261\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2 id=\"o-que-e-a-fibromialgia\"><strong>What is Fibromyalgia?<\/strong><\/h2><div><div><p>Fibromyalgia is a condition of <strong>chronic generalised pain<\/strong> which affects the muscles, tendons and ligaments. It goes far beyond physical pain: it is accompanied by intense fatigue, sleep disturbances, cognitive difficulties, and anxious and depressive symptoms.<\/p><\/div><div><p>Although it does not cause visible deformities or inflammation, <strong>severely impacts quality of life<\/strong>This makes the most basic day-to-day tasks difficult.<\/p><\/div><div><h3 id=\"definicao-medica\">Medical definition<\/h3><\/div><div><p>According to <a href=\"https:\/\/icd.who.int\/browse\/2025-01\/mms\/pt#849253504\">World Health Organisation<\/a>Fibromyalgia is classified as a generalised chronic pain syndrome. It is also an \"idiopathic\" disease - with no known cause. It is not an autoimmune or inflammatory disease, but it does involve the <strong>central nervous system, altering the perception of pain<\/strong>.<\/p><\/div><div><h3 id=\"reconhecimento-em-portugal\">Recognition of status in Portugal<\/h3><\/div><div><p>In Portugal, fibromyalgia is now officially recognised as a chronic condition, although many sufferers still face<strong> challenges in accessing appropriate diagnosis and treatment<\/strong>. Awareness is growing, but stigma persists.<\/p><\/div><\/div><div><h2 id=\"diferenca-fibromialgia-dor-comum\"><strong>Difference Between Fibromyalgia and Common Pain<\/strong><\/h2><\/div><div><div><div><p>To understand the difference between Common Pain and Fibromyalgia, it's important to realise <strong>what pain is<\/strong>and its purpose in the functioning of the human body.<\/p><\/div><div><p>Pain is a <strong>defence mechanism, embedded in the nervous system<\/strong>The nervous system's function is to alarm the brain into correcting something that is threatening the body's well-being - it's a reaction to a stimulus that the body considers negative or dangerous. The nervous system, <strong>through the nerves spread throughout the body<\/strong>In this way, the brain is able to localise the focus of the pain, alerting the brain where the problem is so that it can be corrected. In addition, the brain registers different <strong>pain intensities<\/strong>indicating the urgency of stopping\/ending the threat.<\/p><\/div><div><p><span style=\"text-decoration: underline;\"><strong>Pain is therefore a universal experience.<\/strong><\/span><\/p><\/div><div><p>But fibromyalgia represents something very different from the common pain we all know.<\/p><p><img decoding=\"async\" class=\"alignleft wp-image-2651\" title=\"Comparison: Common Pain vs Fibromyalgia - Differences in Pain Localisation\" src=\"https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/ChatGPT-Image-26_06_2025-17_56_09.png\" alt=\"Infogr\u00e1fico comparativo mostrando a diferen\u00e7a entre dor comum e fibromialgia. \u00c0 esquerda, figura feminina tocando o ombro com \u00e1rea vermelha localizada indicando dor comum pontual. \u00c0 direita, a mesma figura com m\u00faltiplos pontos vermelhos espalhados pelo corpo inteiro, mostrando a dor difusa, generalizada, caracter\u00edstica da fibromialgia.\" width=\"821\" height=\"547\" srcset=\"https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/ChatGPT-Image-26_06_2025-17_56_09.png 1536w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/ChatGPT-Image-26_06_2025-17_56_09-300x200.png 300w\" sizes=\"(max-width: 821px) 100vw, 821px\" \/><\/p><\/div><div><p>A <strong>Common pain<\/strong> arises for a specific reason - an injury, inflammation or identifiable problem. It's a signal from the body that something needs attention. Generally, when the cause is treated, the pain disappears.<\/p><\/div><div><p>A <strong>Fibromyalgia<\/strong> It's like an alarm system that has become hypersensitive. An alarm that goes off all the time, with no apparent cause. The base level of pain is increased permanently, not temporarily, and even normal stimuli that wouldn't cause pain become painful, with the pain persisting even for no identifiable reason. In addition, the pain is not localised, reserved for one place - it is spread throughout the body. We call this pain \"nociplastic pain\".<\/p><\/div><div><p>Fibromyalgia <strong>it's not just \"severe pain\"<\/strong>This is a fundamental change at the root of the nervous system's pain perception mechanisms - in the way the nervous system perceives pain. <strong>process\/receive<\/strong> sensations.<\/p><p>In other words, the brain interprets <strong>normal as well as dangerous signals<\/strong>, e <strong>natural and painful stimuli<\/strong>This creates an experience of constant, generalised pain.<\/p><\/div><\/div><\/div><div><p><strong>Here's a simple comparison:<\/strong><\/p><table><tbody><tr><td>Characteristics<\/td><td>Common pain (non-fibromyalgia)<\/td><td>Fibromyalgia.<\/td><\/tr><tr><td><strong>Location<\/strong><\/td><td>Localised<\/td><td>Generalised<\/td><\/tr><tr><td><strong>Cause<\/strong><\/td><td>Identifiable<\/td><td>Often with no visible organic cause<\/td><\/tr><tr><td><strong>Sleep<\/strong><\/td><td>Restorer<\/td><td>Not restorative<\/td><\/tr><tr><td><strong>Fatigue<\/strong><\/td><td>Absent or mild<\/td><td>Constant, intense<\/td><\/tr><tr><td><strong>Memory<\/strong><\/td><td>Intact (variable)<\/td><td>Common \"mental fog\"<\/td><\/tr><tr><td><strong>Duration<\/strong><\/td><td>Hours\/days<\/td><td>Months or years<\/td><\/tr><\/tbody><\/table><h2 id=\"sintomas-comuns\"><strong>Fibromyalgia's most common symptoms<\/strong><\/h2><\/div><div><p>Fibromyalgia manifests itself widely and varies from person to person, which can make it difficult to recognise clinically. However, there are <strong>striking symptoms<\/strong> shared by many patients:<\/p><\/div><ul><li data-start=\"2838\" data-end=\"2901\"><p data-start=\"2840\" data-end=\"2901\"><strong data-start=\"2840\" data-end=\"2873\">Diffuse musculoskeletal pain<\/strong>on both sides of the body<\/p><\/li><li data-start=\"2902\" data-end=\"2942\"><p data-start=\"2904\" data-end=\"2942\"><strong data-start=\"2904\" data-end=\"2922\">Intense fatigue<\/strong>even after resting<\/p><\/li><li data-start=\"2943\" data-end=\"2967\"><p data-start=\"2945\" data-end=\"2967\"><strong data-start=\"2945\" data-end=\"2967\">Non-restorative sleep<\/strong><\/p><\/li><li data-start=\"2968\" data-end=\"3026\"><p data-start=\"2970\" data-end=\"3026\"><strong data-start=\"2970\" data-end=\"2986\">Mental fog<\/strong> (difficulty concentrating and remembering)<\/p><\/li><li data-start=\"3027\" data-end=\"3048\"><p data-start=\"3029\" data-end=\"3048\"><strong data-start=\"3029\" data-end=\"3048\">Morning stiffness<\/strong><\/p><\/li><li data-start=\"3049\" data-end=\"3075\"><p data-start=\"3051\" data-end=\"3075\"><strong data-start=\"3051\" data-end=\"3075\">Frequent headaches<\/strong><\/p><\/li><li data-start=\"3076\" data-end=\"3109\"><p data-start=\"3078\" data-end=\"3109\"><strong data-start=\"3078\" data-end=\"3109\">Irritable bowel syndrome<\/strong><\/p><\/li><li data-start=\"3110\" data-end=\"3144\"><p data-start=\"3112\" data-end=\"3144\"><strong data-start=\"3112\" data-end=\"3144\">Tingling in the hands or feet<\/strong><\/p><\/li><li data-start=\"3145\" data-end=\"3193\"><p data-start=\"3147\" data-end=\"3193\"><strong data-start=\"3147\" data-end=\"3170\">Mood swings<\/strong> (anxiety, depression)<\/p><\/li><\/ul><div><h2 id=\"causas-fatores-risco\"><strong>What are the causes and risk factors?<\/strong><\/h2><div><div><p>There is no <strong>single cause<\/strong> identified for the onset of fibromyalgia, but there are several factors that can contribute to it.<\/p><\/div><div><h3>Genetics and family predisposition<\/h3><\/div><div><p>There is evidence that the condition may have a <strong>hereditary inclination<\/strong>and affects several members of the same family.<\/p><\/div><div><h3>Physical or emotional stress<\/h3><\/div><div><p>Events <strong>traumatic<\/strong>Fibromyalgia, such as accidents or significant losses, can trigger the onset of fibromyalgia in predisposed people.<\/p><\/div><div><h3>Traumas and infections<\/h3><\/div><div><p><strong>Infections<\/strong> viral or bacterial, as well as <strong>injuries<\/strong> severe physical illnesses are associated with some cases (e.g. Epstein-Barr virus)<\/p><\/div><div><p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-42\" title=\"Psychiatric Consultation - Health Professional Attending Patient\" src=\"https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2023\/11\/consultation-with-psychiatrist.jpg\" alt=\"Consulta m\u00e9dica em ambiente profissional com m\u00e9dica de \u00f3culos e fato, a segurar uma prancheta, em conversa com um paciente masculino de \u00f3culos, em consult\u00f3rio moderno e bem iluminado.\" width=\"698\" height=\"466\" srcset=\"https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2023\/11\/consultation-with-psychiatrist.jpg 2000w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2023\/11\/consultation-with-psychiatrist-300x200.jpg 300w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2023\/11\/consultation-with-psychiatrist-1024x684.jpg 1024w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2023\/11\/consultation-with-psychiatrist-768x513.jpg 768w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2023\/11\/consultation-with-psychiatrist-1536x1025.jpg 1536w\" sizes=\"(max-width: 698px) 100vw, 698px\" \/><\/p><\/div><\/div><\/div><div><h2 id=\"diagnostico-fibromialgia\"><strong>The Diagnosis of Fibromyalgia<\/strong><\/h2><\/div><div><div><div><p>The diagnosis of fibromyalgia is <strong>clinical<\/strong>not based on laboratory tests.<\/p><\/div><div><p>One of the great difficulties faced by people with this condition is the <strong>feeling of mistrust<\/strong> which, unfortunately, still surrounds it, because it doesn't always present manifestations <strong>visible<\/strong> for those who witness it, or <strong>registrable<\/strong> in procedures such as medical examinations.<\/p><\/div><div><p>Fibromyalgia is diagnosed by <strong>exclusion<\/strong>often after months or years of research.<\/p><\/div><div><h3 id=\"criterios-diagnosticos\"><strong>Updated diagnostic criteria (<a href=\"https:\/\/rheumatology.org\/patients\/fibromyalgia\">ACR<\/a>)<\/strong><\/h3><\/div><ul><li>Chronic generalised pain for more than 3 months<\/li><li>Functional impact assessed with <a href=\"https:\/\/www.fpmx.com.au\/resources\/office\/New_Clinical_Fibromyalgia_Diagnostic_Criteria.pdf\">specific scales<\/a>:<ul><li><strong>Widespread Pain Index (WPI)<\/strong>score that assesses the number of areas of the body where the patient has felt pain in recent weeks - at least 11 out of 19 points on the body assessed<\/li><li><strong>Symptom Severity Scale (SS scale)<\/strong>score that assesses the severity of fatigue, non-restorative sleep, cognitive symptoms and other general symptoms<\/li><\/ul><\/li><li>Exclusion of other conditions (e.g. arthritis, lupus, hypothyroidism)<\/li><\/ul><div><h3>The importance of early diagnosis<\/h3><\/div><div><p>A timely diagnosis allows appropriate interventions to be initiated, preventing the patient's physical and psychological condition from worsening.<\/p><\/div><div><p>It is therefore important to look for <strong>specialised professionals<\/strong>in order to minimise the impact of the condition as soon as possible.<\/p><\/div><\/div><div><h2 id=\"fibromialgia-outras-patologias\"><strong>Fibromyalgia and other pathologies<\/strong><\/h2><\/div><div><div><div><p>Here are some conditions that are often diagnosed with fibromyalgia:<\/p><\/div><ul><li><strong>Irritable bowel syndrome<\/strong><\/li><li><strong>Depression<\/strong><\/li><li><strong>Anxiety<\/strong><\/li><li><strong>Migraines<\/strong><\/li><li><strong>Chronic fatigue<\/strong><\/li><li><strong>Multiple chemical sensitivity<\/strong><\/li><\/ul><div><p>The presence of parallel pathologies requires a multidisciplinary approach to treatment.<\/p><h2 id=\"fibromialgia-criancas-adolescentes\"><strong>Fibromyalgia in children and adolescents<\/strong><\/h2><\/div><\/div><\/div><\/div><div><p data-start=\"4377\" data-end=\"4431\">Although <strong>less common<\/strong>Fibromyalgia can affect young people. Here are some of the frequent reports:<\/p><ul data-start=\"4433\" data-end=\"4549\"><li data-start=\"4433\" data-end=\"4462\"><p data-start=\"4435\" data-end=\"4462\"><strong>Persistent complaints of pain<\/strong><\/p><\/li><li data-start=\"4463\" data-end=\"4484\"><p data-start=\"4465\" data-end=\"4484\"><strong>Unexplained fatigue<\/strong><\/p><\/li><li data-start=\"4485\" data-end=\"4513\"><p data-start=\"4487\" data-end=\"4513\"><strong>Frequent absence from school<\/strong><\/p><\/li><li data-start=\"4514\" data-end=\"4549\"><p data-start=\"4516\" data-end=\"4549\"><strong>Sudden changes in behaviour<\/strong><\/p><\/li><\/ul><p data-start=\"4551\" data-end=\"4619\">In these cases, early diagnosis and family support are crucial.<\/p><p data-start=\"4551\" data-end=\"4619\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-479\" title=\"Artistic Portrait in Black and White - Dramatic Expression\" src=\"https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2024\/03\/artigo-8-imagem-3.webp\" alt=\"Retrato dram\u00e1tico, a preto e branco, de mulher jovem com express\u00e3o triste, intensa, cabelo preso, a olhar diretamente para a c\u00e2mera, num fundo escuro\" width=\"698\" height=\"466\" srcset=\"https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2024\/03\/artigo-8-imagem-3.webp 1000w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2024\/03\/artigo-8-imagem-3-300x200.webp 300w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2024\/03\/artigo-8-imagem-3-768x513.webp 768w\" sizes=\"(max-width: 698px) 100vw, 698px\" \/><\/p><\/div><div><h2 id=\"impacto-fibromialgia-vida-diaria\"><strong>Fibromyalgia's impact on daily life<\/strong><\/h2><\/div><div><div><p>The limitations caused by fibromyalgia are <strong>real<\/strong> and often <strong>invisible<\/strong>:<\/p><\/div><ul><li><strong>Professional<\/strong>: absences from work, reduced productivity<\/li><li><strong>Family<\/strong>lack of understanding, feelings of isolation<\/li><li><strong>Personal \/ Spiritual<\/strong>low self-esteem, frustration, emotional distress<ul><li><strong>Fibromyalgia affects personal appearance, overall movement capacity, mobility...<\/strong><\/li><li><strong>Around <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/2012\/486590?\">75% patients<\/a>3 out of 4 develop depression or anxiety in their lifetime<\/strong><\/li><\/ul><\/li><li><strong>Cognitive<\/strong>: mental confusion, loss of agility, memory<\/li><\/ul><h3>Special focus on women<\/h3><p><strong>Does fibromyalgia affect women more?<\/strong><\/p><p data-start=\"2501\" data-end=\"2566\">Studies indicate that around 80% of those diagnosed are women.<\/p><p><strong>Gender differences in diagnosis<\/strong><\/p><p data-start=\"2613\" data-end=\"2726\">Women tend to report more pain and seek more medical support, which may influence the statistics.<\/p><p><strong>Hormones and pain sensitivity<\/strong><\/p><p data-start=\"2768\" data-end=\"2873\">Female hormonal fluctuations, especially during periods such as the menopause, can intensify the symptoms.<\/p><\/div><div><h2 id=\"tratamento-fibromialgia\"><strong>How is Fibromyalgia treated?<\/strong><\/h2><\/div><div><div><p>Fibromyalgia is treatable through an approach of <strong>multidisciplinary<\/strong> - integrated between specialities - which <strong>combines different therapies<\/strong>. Here are some of the most commonly used:<\/p><\/div><div><p><strong>Pharmacological treatment<\/strong>:<\/p><\/div><ul><li>Antidepressants (duloxetine, milnacipran) to regulate neurotransmitters<\/li><li>Anticonvulsants (pregabalin, gabapentin) to modulate pain perception<\/li><li>Muscle relaxants in specific cases<\/li><li>Conventional painkillers - limited efficacy<\/li><\/ul><div><p><strong>Psychotherapy<\/strong>:<\/p><\/div><ul><li>Cognitive Behavioural Therapy (CBT) for chronic pain management<\/li><li>Mindfulness and acceptance techniques<\/li><li>Group therapy to share experiences<\/li><\/ul><div><p><strong>Therapeutic exercise<\/strong>:<\/p><\/div><ul><li>Gradual and adapted physical activity<\/li><li>Hydrotherapy and aquatic exercises<\/li><li>Relaxation and stretching techniques<\/li><\/ul><div><p><strong>Neurotherapy<\/strong>:<\/p><\/div><ul><li><a href=\"https:\/\/neuropsiquiatria.pt\/en\/neuropsicologia\/\">Transcranial Magnetic Stimulation<\/a> (TMS) to modulate pain perception<\/li><li><a href=\"https:\/\/neuropsiquiatria.pt\/en\/neurofeedback-e-qeeg\/\">Neurofeedback<\/a> to train the brain to better process pain signals<\/li><\/ul><div><p>In <strong>NeuroPsyque<\/strong>we used an <strong>integrated<\/strong> matching <strong>psychotherapy specialising in chronic pain<\/strong> with <strong>advanced neurotherapy<\/strong>It is customised to the specific needs of each patient. <strong>On a case-by-case basis, physiotherapy can be a great help in treatment.<\/strong><\/p><p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-36\" title=\"Therapy Session - Psychological Support and Professional Counselling\" src=\"https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2023\/11\/mental-health-3.jpg\" alt=\"Sess\u00e3o de terapia ou aconselhamento em ambiente acolhedor, com uma terapeuta a segurar um bloco de apontamentos, sentada numa cadeira de madeira, em conversa com a paciente no sof\u00e1, numa sala clara e moderna.\" width=\"816\" height=\"544\" srcset=\"https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2023\/11\/mental-health-3.jpg 2000w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2023\/11\/mental-health-3-300x200.jpg 300w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2023\/11\/mental-health-3-1024x682.jpg 1024w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2023\/11\/mental-health-3-768x512.jpg 768w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2023\/11\/mental-health-3-1536x1024.jpg 1536w\" sizes=\"(max-width: 816px) 100vw, 816px\" \/><\/p><\/div><div><h3 id=\"psicoterapia-fibromialgia\">The role of psychotherapy in treatment<\/h3><\/div><div><p>Psychotherapy plays an important <strong>central role<\/strong> in the treatment of fibromyalgia, helping patients to <strong>developing effective strategies for dealing with chronic pain<\/strong>.<\/p><\/div><div><p><strong>Cognitive Behavioural Therapy (CBT)<\/strong>:<\/p><\/div><ul><li>Identifying and modifying thought patterns that amplify pain<\/li><li>Development of adaptive coping strategies<\/li><li>Management of stress and anxiety associated with the condition<\/li><\/ul><div><p><strong>Acceptance and Commitment Therapy (ACT)<\/strong>:<\/p><\/div><ul><li>Acceptance of the condition without resignation<\/li><li>Focus on personal values and quality of life<\/li><li>Reducing the internal struggle against pain<\/li><\/ul><div><p><strong>Pain education<\/strong>:<\/p><\/div><ul><li>Understanding the mechanisms of chronic pain<\/li><li>Demystifying limiting beliefs<\/li><li>Empowerment through knowledge<\/li><\/ul><div><p>A <strong>solid therapeutic relationship<\/strong>based on <strong>trust and proximity<\/strong>is fundamental to the success of the treatment.<\/p><\/div><div><h3 id=\"medicamentos-fibromialgia\">Medicines used for treatment<\/h3><\/div><div><p><strong>Pain perception modulators<\/strong>:<\/p><\/div><ul><li>Pregabalin: effective in reducing pain and improving sleep<\/li><li>Gabapentin: alternative to pregabalin with a similar profile<\/li><\/ul><div><p><strong>Antidepressants<\/strong>:<\/p><\/div><ul><li>Duloxetine: acts on pain and associated depressive symptoms<\/li><li>Milnacipran: specific for fibromyalgia in some countries<\/li><li>Amitriptyline: can help with sleep and pain in low doses<\/li><\/ul><div><p><strong>Other medicines<\/strong>:<\/p><\/div><ul><li>Cyclobenzaprine: muscle relaxant for stiffness<\/li><li>Tramadol: analgesic in selected cases<\/li><\/ul><div class=\"aviso-importante\"><p><span class=\"titulo-aviso\">Important Note:<\/span>The <strong>conventional anti-inflammatory drugs <\/strong> (ibuprofen, diclofenac) have limited efficacy in fibromyalgia, as there is no typical inflammation. <br \/>Pharmacological treatment should always be <strong>individualised and closely monitored<\/strong> by a specialised doctor.<\/p><\/div><\/div><div><h2 id=\"quando-procurar-ajuda\"><strong>When to seek professional help<\/strong><\/h2><\/div><div><div><div><p><strong>Seek support when:<\/strong><\/p><\/div><ul><li>Pain interferes with work, social life or sleep<\/li><li>Constant feeling of \"flu that won't go away\"<\/li><li>Unrefreshing sleep even with many hours of sleep<\/li><li>Persistent physical and emotional exhaustion<\/li><li>Symptoms persist for more than 3 months<\/li><li>Quality of life is seriously compromised<\/li><\/ul><\/div><\/div><div><h2 id=\"lidar-condicao-dia-a-dia\"><strong>How to deal with Fibromyalgia in everyday life?<\/strong><\/h2><\/div><div><div><div><p>In addition to specialised medical care, there are practical strategies that can improve <strong>significantly<\/strong> quality of life:<\/p><\/div><div><p><strong>Energy management<\/strong>:<\/p><\/div><ul><li>Plan activities during periods of high energy<\/li><li>Alternate demanding tasks with moments of rest<\/li><li>Learning to say \"no\" when necessary<\/li><\/ul><div><p><strong>Sleep hygiene<\/strong>:<\/p><\/div><ul><li>Keeping regular bedtimes and getting up times<\/li><li>Create an environment conducive to rest<\/li><li>Avoid screens before bed<\/li><li>Relaxation techniques to help you fall asleep<\/li><\/ul><div><p><strong>Adapted physical activity<\/strong>:<\/p><\/div><ul><li>Start gradually with low-impact exercises (ideally physiotherapy with specialised professionals)<\/li><li>Short walks, swimming or yoga<\/li><li>Listen to your body and adjust the intensity as necessary<\/li><\/ul><div><p><strong>Stress management<\/strong>:<\/p><\/div><ul><li>Deep breathing techniques<\/li><li>Meditation or mindfulness<\/li><li>Pleasurable activities and relaxing hobbies<\/li><li>Learn about Fibromyalgia and its manifestations, and about mental health practices<\/li><\/ul><div><p><strong>Social support<\/strong>:<\/p><\/div><ul><li>Maintaining genuine contact with family and friends<\/li><li>Participate in support groups<\/li><li>Communicate your needs clearly and sincerely<\/li><\/ul><\/div><\/div><div><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2663 size-full\" title=\"Healthy Eating - Balanced Meals with Fruit and Vegetables\" src=\"https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/image-9.png\" alt=\"Mulher a desfrutar de refei\u00e7\u00e3o saud\u00e1vel e colorida, com uma grande variedade de frutas frescas, saladas e alimentos nutritivos, dispostos numa mesa de madeira, num ambiente acolhedor\" width=\"1408\" height=\"768\" srcset=\"https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/image-9.png 1408w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/image-9-300x164.png 300w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/image-9-1024x559.png 1024w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/image-9-768x419.png 768w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/image-9-18x10.png 18w\" sizes=\"(max-width: 1408px) 100vw, 1408px\" \/><\/div><div><h2 id=\"alimentacao-fibromialgia\"><strong data-start=\"1401\" data-end=\"1431\">Food and Fibromyalgia<\/strong><\/h2><div><div><p>Diet can play an important role in managing symptoms.<\/p><\/div><div><h3>Foods that relieve symptoms<\/h3><\/div><div><p>A diet rich in fruit, vegetables, oily fish and whole grains can help reduce inflammation and improve general well-being.<\/p><\/div><div><h3>Avoid inflammatory foods<\/h3><\/div><div><p>Avoid inflammatories such as <strong>sugar<\/strong>, o <strong>gluten<\/strong>, o <strong>alcohol<\/strong>, a <strong>lactose<\/strong>, and the <strong>omega-6<\/strong> present in highly processed vegetable oils.<\/p><\/div><div><h3>Supplementation<\/h3><\/div><div><p>Supplements such as magnesium, vitamin D-3 and omega-3 can be beneficial, always with medical advice.<\/p><\/div><\/div><h2 id=\"mitos-e-verdades\"><strong>Myths and Truths about Fibromyalgia<\/strong><\/h2><\/div><div><div><div><p>The mysticism associated with Fibromyalgia gives rise to <strong>misconceptions<\/strong> of what it's like to live with the condition, and it's essential <strong>spread knowledge to stimulate understanding<\/strong>. Here are some common myths:<\/p><\/div><\/div><\/div><div><table><tbody><tr><td><div><p><strong>Myth<\/strong><\/p><\/div><\/td><td><div><p><strong>Truth<\/strong><\/p><\/div><\/td><\/tr><tr><td><strong>\"Fibromyalgia is just an excuse for people who are lazy\"<\/strong><\/td><td><div><p>Fibromyalgia is a serious condition - it's not a \"way of being\". This condition can bring a lot of suffering, especially if those around us don't know how to deal with it.<\/p><\/div><\/td><\/tr><tr><td><div><p><strong>\"Fibromyalgia is a psychological illness\"<\/strong><\/p><\/div><\/td><td>Fibromyalgia involves real changes in pain processing in the central nervous system. The psychological component can aggravate symptoms, but does not explain the origin of the condition.<\/td><\/tr><tr><td><div><p><strong>\"Fibromyalgia only affects women\"<\/strong><\/p><\/div><\/td><td>Although it is more prevalent in women, it can also affect men and children.<\/td><\/tr><tr><td><strong>\"Fibromyalgia has no treatment\"<\/strong><\/td><td>Although there is no cure, there are effective treatments that help control symptoms and significantly improve quality of life.<\/td><\/tr><\/tbody><\/table><\/div><div><h2 id=\"direitos-e-contexto-laboral\"><strong data-start=\"3467\" data-end=\"3503\">Fibromyalgia - Rights and labour context<\/strong><\/h2><div><div><h3 id=\"direitos-fibromialgicos\">Fibromyalgia rights in Portugal<\/h3><\/div><div><p>Although fibromyalgia is not explicitly listed in isolation in the <strong>National Table of Disabilities <a href=\"https:\/\/www.seg-social.pt\/documents\/10152\/156161\/Tabela_nacional_incapacidades\/1c4c8d4d-610c-42dc-917b-714f21065e56\">(TNI)<\/a><\/strong>This can be recognised as a disabling condition if its effects are proven to be limiting.<\/p><\/div><div><p><strong>Recognition of disability equal to or greater than 60% gives access to<\/strong>:<\/p><\/div><ul><li>Exemption from user charges<\/li><li>Priority in booking appointments<\/li><li>Tax benefits (e.g. IUC exemption, IRS reduction)<\/li><li>Social support as a dependency supplement<\/li><\/ul><div><p>This degree is awarded for <strong>Social Security Medical Boards<\/strong>by means of a medical report and functional assessment.<\/p><\/div><div><h3 id=\"baixa-medica-protecao-emprego\">Sick leave and job protection<\/h3><\/div><div><p><strong>People with fibromyalgia are entitled to<\/strong>:<\/p><\/div><ul><li>Medical leave (long-term illness) issued by the family doctor<\/li><li>Protection against dismissal due to illness (<a href=\"https:\/\/diariodarepublica.pt\/dr\/legislacao-consolidada\/lei\/2009-34546475-46761675\">Article 351 of the Labour Code<\/a>)<\/li><li>Possibility of job reassessment in the event of partial incapacity for work<\/li><\/ul><div><p>In the event of prolonged sick leave, the employee <strong>can't be sacked,<\/strong> for this reason, without an opinion from the occupational doctor.<\/p><\/div><div><h3 id=\"adaptacao-posto-trabalho\">Workplace adaptation (<a href=\"https:\/\/diariodarepublica.pt\/dr\/detalhe\/lei\/38-2004-480708\">Law no. 38\/2004<\/a>)<\/h3><\/div><div><p>This law establishes the <strong>rights of people with disabilities<\/strong>including:<\/p><\/div><ul><li>Adapting the workplace<\/li><li>Flexible working hours<\/li><li>Reduced working hours (when justified)<\/li><li>More frequent breaks for rest or pain relief<\/li><li>Reorganisation of tasks (avoid prolonged or repetitive physical effort)<\/li><\/ul><div><p>These adaptations should be discussed with the <strong>labour doctor<\/strong> and appear in the <strong>Occupational Health and Safety Plan<\/strong>.<\/p><p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2661 size-full\" title=\"Medical Research - Scientific Team Studying Neuroimaging\" src=\"https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/image-8.png\" alt=\"Equipa de investigadores m\u00e9dicos em laborat\u00f3rio moderno a analisar neuroimagem, imagens cerebrais em monitores, com microsc\u00f3pio e equipamentos cient\u00edficos, incluindo profissionais de diferentes idades a trabalhar em colabora\u00e7\u00e3o.\" width=\"1408\" height=\"768\" srcset=\"https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/image-8.png 1408w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/image-8-300x164.png 300w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/image-8-1024x559.png 1024w\" sizes=\"(max-width: 1408px) 100vw, 1408px\" \/><\/p><\/div><\/div><h2 id=\"avancos-investigacao-cientifica\"><strong data-start=\"4230\" data-end=\"4268\">Advances in scientific research<\/strong><\/h2><\/div><div><p data-start=\"4270\" data-end=\"4363\">Science continues to study ways to improve the diagnosis and treatment of fibromyalgia.<\/p><h3 id=\"novos-tratamentos-estudo\">New treatments under study<\/h3><p data-start=\"602\" data-end=\"691\">Several clinical trials are exploring innovative therapies:<\/p><ul data-start=\"693\" data-end=\"1444\"><li data-start=\"693\" data-end=\"847\"><p data-start=\"695\" data-end=\"847\"><strong data-start=\"695\" data-end=\"715\">Neuromodulators<\/strong>Drugs that act on the neurotransmitter systems involved in chronic pain, such as serotonin, dopamine and glutamate. <strong><a href=\"https:\/\/clinicaltrials.gov\/study\/NCT05273749\">(study*)<\/a> <\/strong><a href=\"https:\/\/academic.oup.com\/painmedicine\/article\/24\/7\/775\/7023960?\"><strong>(study**)<\/strong><\/a><\/p><\/li><li data-start=\"848\" data-end=\"1045\"><p data-start=\"850\" data-end=\"1045\"><strong data-start=\"850\" data-end=\"871\">Digital therapies<\/strong>Applications and online platforms based on artificial intelligence and cognitive-behavioural therapy, which help patients manage symptoms such as pain, fatigue and insomnia. <strong><a href=\"https:\/\/www.jpain.org\/article\/S1526-5900%2823%2900231-6\/fulltext\">(study*)<\/a> <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC2972378\/\">(study**)<\/a><\/strong><\/p><\/li><li data-start=\"1046\" data-end=\"1266\"><p data-start=\"1048\" data-end=\"1266\"><strong data-start=\"1048\" data-end=\"1085\">Non-invasive brain stimulation<\/strong>Techniques such as <strong>Transcranial Magnetic Stimulation (TMS) <a href=\"https:\/\/www.hcplive.com\/view\/tms-reduces-pain-yields-functional-improvements-fibromyalgia\">(study*)<\/a> <a href=\"https:\/\/clinicaltrials.gov\/study\/NCT03658694\">(study**)<\/a><\/strong>\u00a0and <strong>Transcranial Direct Current Stimulation (tDCS) <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36774784\/\">(study*)<\/a> <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5777157\/\">(study**)<\/a><\/strong> show promising results in modulating pain and mood.<\/p><\/li><li data-start=\"1267\" data-end=\"1444\"><p data-start=\"1269\" data-end=\"1444\"><strong data-start=\"1269\" data-end=\"1297\">Medicinal cannabinoids<\/strong>The following have been studied for their potential to relieve pain, improve sleep and reduce anxiety, although the scientific evidence is still limited and controversial. <strong><a href=\"https:\/\/www.mdpi.com\/2077-0383\/13\/14\/4088\">(study*)<\/a><\/strong><\/p><\/li><\/ul><h3>Future prospects<\/h3><p data-start=\"4545\" data-end=\"4641\">With more recognition, more investment is going into research into the condition. The next few years could bring good news for fibromyalgia sufferers.<\/p><p data-start=\"4545\" data-end=\"4641\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-2667\" title=\"Neurological Diagnosis - Doctor Analysing Brain Scans\" src=\"https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/ChatGPT-Image-26_06_2025-18_55_36.png\" alt=\"Ilustra\u00e7\u00e3o de uma m\u00e9dica s\u00e9nior de cabelo grisalho com estetosc\u00f3pio a examinar radiografias cerebrais ou tomografias computorizadas num ambiente cl\u00ednico, representando diagn\u00f3stico neurol\u00f3gico.\" width=\"699\" height=\"466\" srcset=\"https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/ChatGPT-Image-26_06_2025-18_55_36.png 1536w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/ChatGPT-Image-26_06_2025-18_55_36-300x200.png 300w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/ChatGPT-Image-26_06_2025-18_55_36-1024x683.png 1024w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/ChatGPT-Image-26_06_2025-18_55_36-768x512.png 768w, https:\/\/neuropsiquiatria.pt\/wp-content\/uploads\/2025\/06\/ChatGPT-Image-26_06_2025-18_55_36-18x12.png 18w\" sizes=\"(max-width: 699px) 100vw, 699px\" \/><\/p><\/div><div><h2 id=\"recursos-apoio-portugal\"><strong>Resources and support available in Portugal<\/strong><\/h2><\/div><div><div><table><tbody><tr><td><div><p>Resource<\/p><\/div><\/td><td><div><p>Description<\/p><\/div><\/td><\/tr><tr><td><div><p><strong>SNS - National Health Service<\/strong><\/p><\/div><\/td><td><div><p>Rheumatology, neurology and psychology consultations<\/p><\/div><\/td><\/tr><tr><td><div><p><strong>SNS 24 line<\/strong><\/p><\/div><\/td><td><div><p>Telephone support: 808 24 24 24<\/p><\/div><\/td><\/tr><tr><td><div><p><strong><a href=\"https:\/\/myos.pt\">Myos - National Association against Fibromyalgia<\/a><\/strong><\/p><\/div><\/td><td><div><p>Support organisation for patients and families<\/p><\/div><\/td><\/tr><tr><td><div><p><strong><a href=\"https:\/\/apjof.weebly.com\">APJOF - Portuguese Fibromyalgia Association<\/a><\/strong><\/p><\/div><\/td><td><div><p>Resources and support groups<\/p><\/div><\/td><\/tr><tr><td><div><p><strong>University Hospital Pain Centres<\/strong><\/p><\/div><\/td><td><div><p>Specialised chronic pain consultations<\/p><\/div><\/td><\/tr><tr><td><div><p><strong><a href=\"https:\/\/www.lpcdr.org.pt\/nucleos\/nucleo-da-dor\/53-nucleo-da-dor\">Portuguese League Against Rheumatic Diseases<\/a><\/strong><\/p><\/div><\/td><td><div><p>Information and support on chronic pain<\/p><\/div><\/td><\/tr><\/tbody><\/table><p>In <strong>NeuroPsyque<\/strong> we treat patients with Fibromyalgia through a <strong>approach tailored to the individual, integrated between specialities<\/strong> such as <a href=\"https:\/\/neuropsiquiatria.pt\/en\/neurologia\/\">Neurology<\/a>, a <a href=\"https:\/\/neuropsiquiatria.pt\/en\/neuropsicologia\/\">Neuropsychology<\/a> and <a href=\"https:\/\/neuropsiquiatria.pt\/en\/fisioterapia\/\">Physiotherapy<\/a>that allow us to offer you <strong>the greater expectation of eliminating the suffering caused by this disorder<\/strong>.<\/p><\/div><div><p>We have the most specialised <strong>equipment and specialists<\/strong> in therapies such as <a href=\"https:\/\/neuropsiquiatria.pt\/en\/neurofeedback-e-qeeg\/\">NeuroFeedback<\/a>, a <a href=\"https:\/\/neuropsiquiatria.pt\/en\/estimulacao-magnetica-transcraniana\/\">Transcranial Magnetic Stimulation<\/a>, a <a href=\"https:\/\/neuropsiquiatria.pt\/en\/estimulacao-eletrica-transcraniana\/\">Transcranial Electrical Stimulation<\/a>, and the <a href=\"https:\/\/neuropsiquiatria.pt\/en\/fisioterapia\/\">Clinical Pilates<\/a>, <strong>which have proved important in the treatment of fibromyalgia. <a href=\"https:\/\/neuropsiquiatria.pt\/en\/contactoselocalizacao\/\">Book your appointment with us!<\/a><\/strong><\/p><\/div><\/div><div>\u00a0<\/div><div><h2 id=\"conclusao\"><strong>Conclusion<\/strong><\/h2><\/div><div><div><div><p>Fibromyalgia is a complex condition that ranges from <strong>far beyond physical pain<\/strong>It's a serious problem, affecting multiple dimensions of the life of those who experience it. Although there is no definitive cure, there is <strong>real hope<\/strong> through effective treatments that can significantly transform quality of life.<\/p><\/div><div><p>The growing recognition of this condition by the medical community and society represents a <strong>important step<\/strong> to reduce the stigma associated with it, and enables <strong>promoting access to appropriate solutions<\/strong>. With a combination <strong>right<\/strong> e <strong>aligned<\/strong> with medical treatment, psychological support, lifestyle changes and social support, it is possible to live well with fibromyalgia.<\/p><\/div><div><p><strong>It's vital not to give up<\/strong>. Each person is unique, and finding the ideal therapeutic combination <strong>can take time and require failures<\/strong>But it's worth persevering. <strong>Fibromyalgia is not a final judgement!<\/strong><\/p><\/div><div><p>In <strong>NeuroPsyque<\/strong>we work to give <strong>best possible expectation of improvement<\/strong> to our patients, utilising all the resources at our disposal in a truly comprehensive approach. <strong>integrated<\/strong> e <strong>designed for those who come to us<\/strong>. <strong><a href=\"https:\/\/neuropsiquiatria.pt\/en\/contactoselocalizacao\/\">Book your appointment with us!<\/a><\/strong><\/p><\/div><\/div><\/div><div><h2 id=\"faqs\"><strong>FAQ's about Fibromyalgia<\/strong><\/h2><\/div><div><div><p><strong>1. Is Fibromyalgia curable?<\/strong><\/p><\/div><div><p>There is no definitive cure, but the symptoms can be very well controlled with appropriate treatment, allowing for a normal and fulfilling life.<\/p><\/div><div><p><strong>2. Can Fibromyalgia get worse over time?<\/strong><\/p><\/div><div><p>Without treatment, symptoms can intensify. With proper monitoring, many people experience significant improvement.<\/p><\/div><div><p><strong>3. What causes Fibromyalgia?<\/strong><\/p><\/div><div><p>The exact cause is unknown, but it involves genetic factors, alterations in pain processing by the nervous system and environmental factors such as stress or trauma.<\/p><\/div><div><p><strong>4. Does cold make the symptoms worse?<\/strong><\/p><\/div><div><p>Yes, many people report increased pain and stiffness with low temperatures and humidity.<\/p><\/div><div><p><strong>5. Can it affect men?<\/strong><\/p><\/div><div><p>Yes, although it's more common in women (around 80% of cases).<\/p><\/div><div><p><strong>6. Is it possible to work with fibromyalgia?<\/strong><\/p><\/div><div><p>Yes, with appropriate adaptations in the workplace and effective treatment, it is perfectly possible to work with the condition.<\/p><\/div><div><p><strong>7. Can children get fibromyalgia?<\/strong><\/p><\/div><div><p>Yes, it can manifest itself in adolescence and early diagnosis is important to prevent any impact on development.<\/p><\/div><div><p><strong>8. Does exercise help or harm?<\/strong><\/p><\/div><div><p>Adapted and gradual exercise is beneficial, but it must be designed for each person's individual condition.<\/p><\/div><div><p><strong>9. Does food influence symptoms?<\/strong><\/p><\/div><div><p>Yes, an anti-inflammatory diet can help reduce symptoms, while processed foods can aggravate the condition.<\/p><\/div><div><p><strong>10. Is neurotherapy effective in treating fibromyalgia?<\/strong><\/p><\/div><div><p>Yes, therapies such as Transcranial Magnetic Stimulation have shown promising results in modulating pain perception.<\/p><\/div><div><p><strong>11. Are there any support groups in Portugal?<\/strong><\/p><\/div><div><p>Yes, there are online associations and groups that offer support and share experiences.<\/p><\/div><div><p><strong>12. How do I explain fibromyalgia to others?<\/strong><\/p><\/div><div><p>It's important to educate family and friends about the reality of the condition, emphasising that the pain is real even without visible external signs.<\/p><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>O Guia Completo para Compreender, Diagnosticar e Tratar 80% dos diagn\u00f3sticos de Fibromialgia s\u00e3o mulheres (4 em cada 5) e 3 em cada 4 portadores da condi\u00e7\u00e3o desenvolvem ao longo da vida depress\u00e3o ou ansiedade. Mas o que \u00e9 afinal a Fibromialgia? Ser\u00e1 uma condi\u00e7\u00e3o psicol\u00f3gica apenas? Ser\u00e1 um misto entre dor psicol\u00f3gica e f\u00edsica? [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2586,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2581","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-geral"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/neuropsiquiatria.pt\/en\/wp-json\/wp\/v2\/posts\/2581","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neuropsiquiatria.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neuropsiquiatria.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neuropsiquiatria.pt\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neuropsiquiatria.pt\/en\/wp-json\/wp\/v2\/comments?post=2581"}],"version-history":[{"count":125,"href":"https:\/\/neuropsiquiatria.pt\/en\/wp-json\/wp\/v2\/posts\/2581\/revisions"}],"predecessor-version":[{"id":3137,"href":"https:\/\/neuropsiquiatria.pt\/en\/wp-json\/wp\/v2\/posts\/2581\/revisions\/3137"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/neuropsiquiatria.pt\/en\/wp-json\/wp\/v2\/media\/2586"}],"wp:attachment":[{"href":"https:\/\/neuropsiquiatria.pt\/en\/wp-json\/wp\/v2\/media?parent=2581"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neuropsiquiatria.pt\/en\/wp-json\/wp\/v2\/categories?post=2581"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neuropsiquiatria.pt\/en\/wp-json\/wp\/v2\/tags?post=2581"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}