For years now, in my medical practice, I’ve believed that Fibromyalgia results from recurrent micro-sprains and strains of myofacial junctions in patients with weak biomechanics and hyper mobility associated with obesity or being overweight. And whoever put into practice, my advice to reduce their weight, their symptoms of fibromyalgia significantly resolved. Please read on the abstract of a yet to be published study, which now confirms my deep rooted belief (by experience, of course).


To determine the prevalence of fibromyalgia in diabetes mellitus and obesity, 121 consecutive patients have been observed: 27 with obesity (6 males and 21 females; mean age 57 years, range 20-57; mean body mass index [BMI] 34); 88 with type 2 diabetes mellitus (T2DM; 40 males and 48 females; mean age 63 years, range 44-78; mean BMI 28.8; mean glycated haemoglobin [HbA1c] in the last year 8.3%); 6 with type 1 diabetes mellitus (T1DM; 2 males and 4 females; mean age 52 years, range 26-76; mean BMI 24.5; mean HbA1c < 7%). An original questionnaire has been proposed (answer yes/not) as follows:

1. chronic (more than 3 months) and diffuse musculoskeletal pain

2. sleep disturbances

3. generalized fatigue

4. paresthesias at the extremities

5. swollen impression at hands and feet

6. symptoms referred to irritable bowel syndrome

7. headache

8. symptoms change related with environmental climatic variations and/or exercise.

A chronic and diffuse musculoskeletal pain has been reported by 62% of patients as well as in 9% of patients 11/18 positive tender points have been documented. In the patients with a BMI less that 26 the diagnosis of fibromyalgia was negative. Our data seem to reveal the presence of a significant clinical association between obesity, diabetes mellitus and fibromyalgia.

PMID: 12677786 [PubMed – indexed for MEDLINE]