Although the patient presents with a number of different pain conditions, it can mostly be explained grouped under the single diagnosis of Fibromyalgia.  As reported in the CME Forum, vol 2, number 2, July 2003, although the cause of Fibromyalgia is not known, it is a chronic condition, whose symptoms wax and wane, and can be exacerbated by overexertion, changes is weather, cold or drafty environments, hormonal fluctuations (premenstrual and menopausal states), stress, depression, and anxiety. A number of chronic, debilitating symptoms characterize

Fibromyalgia syndrome, such as pain, fatigue, and inability to sleep. It is associated with other functional somatic syndromes such as irritable bowel syndrome, chronic headache, temporomandibular joint dysfunction syndrome, and multiple chemical sensitivity syndromes.

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