Wide-Spread Body Pain / Fibromyalgia

Why Specialist Treatment for Wide Spread Pain Matters

Wide spread pain can be complex because symptoms are not always linked to one structure or one injury. In fibromyalgia and other sensitisation based pain patterns the nervous system may become over responsive meaning pain signals are amplified and normal sensations can feel uncomfortable. This can lead to a cycle of poor sleep reduced activity flare ups and increasing sensitivity over time.

Specialist assessment helps identify whether your symptoms fit a fibromyalgia pattern a neuropathic pattern or a mixed picture where muscles joints and nerve sensitivity are all contributing. Consultant led care supports a clear plan focused on realistic goals such as improved sleep better pacing reduced flare ups and improved day to day function.

Consultant Led Assessment and Diagnosis

Your care begins with a detailed consultation that focuses on both symptoms and function. This may include:
• Review of symptom history onset triggers and flare up pattern
• Discussion of sleep fatigue concentration and daily activity tolerance
• Review of current medications and previous treatments
• Examination of tender areas muscle tension and movement patterns
• Review of any relevant tests or imaging already completed
• Consideration of other conditions that can mimic wide spread pain patterns

If needed your consultant may recommend further investigations or liaise with other specialists to ensure there is a clear understanding of your overall health picture before recommending infusion based or injection based treatments.

Targeted Evidence Based Supportive Options

Wide spread pain often responds best to a combination approach. Depending on your symptom pattern your consultant may recommend:

IV Lidocaine Infusion
This option may be considered when nerve sensitivity and pain amplification are prominent. It aims to calm overactive nerve signalling and may help reduce pain intensity in selected patients.

Ketamine Infusion
This option may be considered when symptoms suggest central sensitisation or persistent neuropathic pain features. It is delivered under close monitoring and may help reduce pain amplification pathways in selected patients.

Trigger Point Injection
This option may be useful when muscle knots and myofascial pain contribute to symptoms. By reducing local muscle driven pain it may improve movement tolerance and reduce secondary pain triggers.

Alongside procedures your consultant may also discuss medication optimisation pacing strategies sleep support and referral to physiotherapy or multidisciplinary support where appropriate. The aim is to use the least invasive options that may provide meaningful benefit and support longer term progress.

Focused on Long Term Relief and Function

Managing fibromyalgia and wide spread pain is not only about reducing pain levels. The goal is to improve function confidence and daily stability. Your plan may include:
• A flare up plan with pacing and activity guidance
• Sleep focused strategies to reduce fatigue and sensitivity
• Gradual return to activity with realistic progression
• Medication review where appropriate
• Follow up monitoring to assess benefit and adjust the approach

Many people do best with a combined plan that supports both symptom relief and long term conditioning rather than short term fixes alone.

When to Seek Urgent Medical Advice

Wide spread pain is usually long term and non emergency but you should seek urgent medical advice if you develop new severe weakness loss of bladder or bowel control sudden unexplained weight loss fever with severe pain or rapidly worsening symptoms that feel different from your usual pattern.

Book a consultation to discuss personalised options for wide spread body pain and fibromyalgia and whether IV lidocaine ketamine infusion or trigger point injections may be suitable for you.