Fibromyalgia affects the way the brain processes pain signals, amplifying pain sensations throughout the body. It is often misdiagnosed or dismissed — patients typically see multiple specialists before receiving the correct diagnosis. While fibromyalgia is not an inflammatory or destructive condition, it causes significant disability and affects quality of life. It frequently co-exists with other conditions such as irritable bowel syndrome, headache disorders, and anxiety or depression. A multidisciplinary approach — combining medical treatment, graded exercise, pain education, and psychological support — produces the best long-term outcomes.
About This Service
What is fibromyalgia & chronic pain?
Symptoms & Signs
When should you seek care?
Widespread pain lasting more than 3 months
Tenderness at specific body points
Persistent fatigue despite adequate sleep
Non-restorative sleep and morning stiffness
Cognitive difficulties — brain fog, poor concentration
Headaches and jaw pain
Sensitivity to temperature, light, or sound
Irritable bowel symptoms
Clinical Approach
How Dr. Kakar approaches treatment.
Dr. Kakar's approach begins with thorough exclusion of inflammatory arthritis and other treatable causes of widespread pain. Once fibromyalgia is confirmed, a personalised management plan is developed — combining low-dose medications (duloxetine, pregabalin, amitriptyline), graded aerobic exercise, sleep hygiene guidance, and pain education. Psychological support referral is made when anxiety or depression co-exists. Regular review adjusts treatment as the patient's needs evolve.
When to Seek Help
When to see a specialist.
Clinical Guidance
Seek specialist review if you have widespread pain for more than 3 months that has not responded to simple analgesia, if investigations are normal but symptoms are severe, or if you want to confirm whether fibromyalgia or an inflammatory arthritis is responsible for your symptoms.