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Pain Solutions -  - Pain Management Physician

Pain Solutions


Fibromyalgia affects up to 12 million Americans today. After months or years of constant bodywide pain, you might feel frustrated with treatments that just don’t work. At Pain Solutions, pain management physicians James Mirazita, MD, and PK Suchdev, MD, offer a wide range of complementary treatments that can work together to end your pain. Call any of the three locations in Nashua, Gilford, and Concord, New Hampshire, or book a consultation using the online appointment maker now.

Fibromyalgia Q & A

What is fibromyalgia?

Fibromyalgia is a serious illness that causes chronic bodywide pain. If you have fibromyalgia, you likely have many tender or painful points all over your body. Most fibromyalgia sufferers also experience significant accompanying symptoms, including poor sleep, headaches, chronic fatigue, irritable bowels, concentration difficulties, depression, and anxiety. 


What causes fibromyalgia?

The cause is uncertain, but current research indicates that fibromyalgia may have multiple contributing factors, including genetics, presence of infections, and physical or psychological trauma. Research to determine the causes of fibromyalgia is ongoing.

Although the cause isn’t known, certain risk factors may help to explain some of the factors contributing to the disease. The possible risk factors are:

Increasing age

Diagnosis is usually in middle age, and your risk goes up with age. 

Autoimmune disease

If you already have lupus or rheumatoid arthritis, your risk for fibromyalgia is higher.


Fibromyalgia is twice as likely to affect women as men.

Other factors that may contribute include repetitive injuries, infections, obesity, and family history of fibromyalgia.


How do you diagnose fibromyalgia?

At this time, there's no single test for fibromyalgia, and experts estimate that it takes the average fibromyalgia patient five years to get a diagnosis. But, the Pain Solutions specialists are diagnostic experts who can perform a full workup by evaluating your symptoms and ruling out other possible causes of pain. It's important to get an accurate diagnosis now so you can begin tailored treatment right away. 


How does fibromyalgia treatment work?

Fibromyalgia isn't curable, but it's very manageable if you receive the right treatment. The Pain Solutions team often recommends a multipronged approach that's tailored specifically to your needs. 

Your treatment may include:

  • Medication, including antidepressants, anti-seizure, and pain drugs
  • Exercise
  • Relaxation techniques
  • Physical therapy
  • Psychotherapy

Trigger point injections are another helpful treatment for many fibromyalgia sufferers. In a trigger point injection, your Pain Solutions specialist places an anesthetic, corticosteroid, or blend of the two directly in your most sensitive spots. These injections often yield long-lasting relief.

The compassionate pain management team at Pain Solutions understands the frustrations and pain associated with fibromyalgia, and they’re here to help you drastically improve your well-being. Reach out to the office nearest you by phone, or book through online appointment scheduling anytime.