Dr Muhammad Usama Hayyan Rana, Dr Asfan Akram,Dr Sara Fatima
The second most effecting condition to the bone, soft tissues and muscles is known as fibromyalgia. It is a chronic pain syndrome which is characterized by combination of muscle pain at touch, all over body pain and other symptoms such as morning stiffness, fatigue, uncomfortable sleep and emotional changes. The classification of fibromyalgia has based on the presence of widespread pain, plus pain upon palpation in at least 11 of 18 predefined points (tender points). This criterion was defined by the American College of Rheumatology (ACR) in 1990. Pain in upper and lower segments as well as in both right and left sides of the body is known as widespread pain also called axial pain. The study has concluded that there is a high prevalence of obesity with indication of bariatric surgery. Depression was shown to be important factor in regarding the association between fibromyalgia and obesity. Fibromyalgia has more impacts on the quality of life in obese patients such as making their daily life more difficult and their treatment extra challenge which surely need multidisciplinary approach.