Brief Answer:
Seems to be due to fibromyalgia; needs thorough evaluation though !!!

Detailed Answer:
Welcome to the best online interactive health portal where we care for your health issues and try our best to resolve them in line with the best possible clinical practices.

I have carefully worked through your case and can well realize the sensitivity of the issues you have. You are actually having multiple symptoms involving the musculoskeletal system and the predominant symptom is exaggerated and enhanced pain sensation all over multiple points. This really is bothersome at this age to have this issues but is very common in females of this age group.

It seems to be all due to a disease we name Fibromyalgia, physical examination confirms though. You should consult your Physician to have a thorough evaluation via physical examination and if needed some diagnostic tests too. In fibromyalgia there is no obvious sign of the disease or tissue inflammation that can be seen so widespread but there definitely is oversensitive appreciation of pain signals at the brain and spinal cord levels (Central sensitization). Usually in clinical practice, related to fibromyalgia, there is nothing found on physical examination and Lab tests, but definitely we can rule out other causes.


Fibromyalgia has no specific cause and there are multiple reasons for this disease and there is no specific treatment too that can pinpoint and focus on any single issue. It is a multitude of symptoms and there is an abnormal increase in the sensitivity of perception the way our brain feel pain signals.

Your Psychiatric issues, may also a part of Fibromyalgia. Pain and other symptoms are enhanced many folds with Osteoarthritis, Gout and Sleep apnoea. Depression, Restless leg syndrome, sleep that is of no use in terms of proper rest to the body, Obstructive Sleep apnoea, foggy thoughts and deprivation of doing daily tasks with attention and on fast pace is part of the disease in about 30-50 percent of the Fibromyalgia patients.


Regarding the treatment, I want to add that it's you who is going to treat it. Mostly there isn’t a specific management option available. You need to understand that it is a different disease unlike sore throat that can be treated with simply adding antibiotics to the regimen.

Cardio-exercises like treadmill (at a pace your body can cope with), relaxation, stretch and yoga exercises, Physical therapy have been promising in many of my patients. You should try that too. Brisk walk, swimming, biking (low-impact aerobic exercises) are also best I can suggest for you.

In medications you are already may be taking antidepressants that helps in many. We can add PREGABALIN that helps in Fibromyalgia.

Hope it helps. Please feel free to consult me here for more assistance if you need. I will be happy to be with you. Pleaae take care of yourself.


Regards!
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