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Infection as One Possible Cause of Fibromyalgia

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Excerpted from Chapter 10 of Dr. Pellegrino’s very popular book, Fibromyalgia: Up Close and Personal.* Dr. Pellegrino has seen more than 20,000 FM patients in his practice at
the Ohio Rehab Center, and has been a fibromyalgia patient himself since childhood. Though Dr. Pellegrino published these observations before discovery of the XMRV virus, the questions they raise are if anything more relevant today.


All of us involved with Fibromyalgia, either by treating it or having it, have come to appreciate how complicated this condition is.

Fibromyalgia has different types and subsets.(1) More than one factor may be involved in causing it. Causes may be recognized, but the exact mechanism of how Fibromyalgia develops from this cause is not fully known. Most importantly, there is more than one way to get Fibromyalgia; it is an “end point” condition with multiple ways leading to it.

I have compiled a list of probable causes of fibromyalgia. This list is based on my experiences and understanding of the current literature. My opinions on these probable causes may not be shared by everyone. My list of probable causes is as follows:

1. Genetics,
2. Trauma(2),
3. Connective tissue disease,
4. Infection,
5. Catastrophic stress,
6. Chemical exposure.

Like trauma, infection is one of those causes of fibromyalgia that just screams for common sense.

I’ve seen hundreds and hundreds of people whose basic story goes like this: “I was fine, I got a virus, I developed fatigue and pain, and I’ve never been the same since.”

The logical thinking in this scenario is that fibromyalgia was not present before the viral infection. There may have been a hereditary predisposition or a vulnerability, but fibromyalgia was not present. The virus caused the condition to develop and it has been present since the virus and continues to be present. This is a straightforward infectious cause.

Not all infections are as straightforward.

Many people who have fibromyalgia get a viral infection and find it worsens the fibromyalgia. People with active viral infections are at risk for additional infections, particularly bacterial infections which can create additional problems.

Some people with fibromyalgia are more vulnerable to any type of infection because the fibromyalgia renders them more immunocompromised or more at risk for infection. The physician needs to sort out the various possibilities to determine whether an infection is the cause, a consequence, or an aggravator of the fibromyalgia.

The mechanism by which an infection leads to fibromyalgia is probably related to inflammatory or autoimmune changes caused by the infection that starts the fibromyalgia cascade. The actual clinical infection resolves and is long gone, yet fibromyalgia symptoms continue.

• Sometimes, the infecting virus or bacteria may hang around and create a persistent low grade infection which activates the autoimmune responses, thereby “triggering” the fibromyalgia.

• Many times, though, the infection has long disappeared, but permanent changes occurred in the body, and these changes caused fibromyalgia to develop.

Various viral infections can cause fibromyalgia.

• The Epstein-Barr virus which causes infectious mononucleosis is one.

• Cytomegalovirus causes a syndrome similar to infectious mononucleosis.

• Different strains of the influenza virus can also result in fibromyalglia.

• The adenoviruses, especially Type II, cause common colds, bronchitis, and various upper respiratory infections, and may lead to fibromyalgia.

• Human Herpes Virus 6 has also been implicated.

• Reactive fibromyalgia has been described in patients with AIDS and hepatitis.

Sometimes viral titers can be directly measured to demonstrate that an acute infection has occurred. This concentration can be correlated with the clinical development of fibromyalgia. Many times, though, the exact offending virus is not known, but we can still categorize the fibromyalgia as one that was caused by an infection, probably a viral infection, if it fits clinically.

Bacterial infections can also cause fibromyalgia.

I have seen patients who have developed fibromyalgia after sepsis (blood infection) and salmonella infections, and one who, I felt, has gotten it from a Listeria infection. Some research studies found Mycoplasma incognitos and Chlamydia pneumoniae(3) in patients with fibromyalgia and chronic fatigue syndrome.(4) These infectious organisms may be causing some of the symptoms.

Indeed, some of the patients improve with antibiotic therapy. Gulf War Syndrome, in part, may have been related to infections from one of these bacteria. Symptoms of Gulf War Syndrome include fatigue, headaches, depression, joint and muscle pain, sleep disorders, and poor memory (sound familiar?). [Note: As of November 2008, a research panel reported their finding that Gulf War illness is real, and “is the result of neurotoxic exposures,” as discussed in Chapter 10 under Chemical Exposure as a probable cause of FM.]

Fibromyalgia can be caused by yeast and parasite infections.

I have seen some patients who developed it following a severe Candida yeast infection, and others following parasite infections such as Giardia. Most of the time, yeast or parasite infections occur in patients after the fibromyalgia has already developed. These infections may aggravate the preexisting fibromyalgia or cause it to flare up.

Fibromyalgia may predispose us to these infections by interfering with our immune function. On the other hand, these infections can sometimes cause the fibromyalgia by “triggering” the fibromyalgia cascade. Many of the symptoms of a chronic Candida yeast infection(5) – such as fatigue, irritable bowel syndrome, bloating, allergies, altered immune response, and skin conditions – overlap with fibromyalgia symptoms. This can make it difficult to “separate” the two conditions and determine cause and effect relationships.

As I’ve mentioned, some infections come in, do their damage and disappear. The infectious agent is no longer present in the body and thus can’t be detected at a later point in time. Other infectious agents may hang around in the body and establish a chronic infection; one that perhaps can be detected with blood tests.

What remains to be seen is whether these chronic infections can be eradicated with antibiotic treatment and, if so, will the fibromyalgia symptoms disappear? Or has the fibromyalgia already established itself as a separate entity which does not disappear with the antibiotic treatment?

Hopefully we will have these answers in the near future. [But]… one thing is certain: We will continue to learn more about fibromyalgia and understand it better.

1. See also Dr. Pellegrino’s articles on:
“The Fibromyalgia Spectrum – Part of the Big Picture in Understanding Fibromyalgia” and
“Fibromyalgia – Ultimately a Disease of Amplified Pain.”

2. See also Dr. Pellegrino’s article on:
“Fibromyalgia as a Complication of Injuries”

3. For more on this subject, see
“Chlamydia Pneumoniae in Chronic Fatigue Syndrome and Fibromyalgia – An Opinion,” by Patient Advocate James Kepner, from the Chlamydia pneumoniae Help website.

4. See
“Evidence for bacterial (mycoplasma, Chlamydia) and viral (HHV-6) co-infections in chronic fatigue syndrome patients,” by Dr. Garth Nicolson and Dr. Darryl See.

5. See also Dr. Pellegrino’s article on:
“Candidiasis – Yeast Infection and Nutritional Repair.”

* This article is excerpted with kind permission from Dr. Pellegrino’s very popular book Fibromyalgia: Up Close & Personal, © Anadem Publishing, Inc. and Mark Pellegrino, MD, 2005, all rights reserved. This book may be ordered in the ProHealth.com store
(see new products).

Note: This information has not been reviewed by the FDA. It is generic and is not intended to prevent, diagnose, treat or cure any illness, condition, or disease. It is very important that you make no change in your healthcare plan or health support regimen without researching and discussing it in collaboration with your professional healthcare team.

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18 thoughts on “Infection as One Possible Cause of Fibromyalgia”

  1. maggieh says:

    I developed Fibro after an infection

  2. Pam1183 says:

    As someone who has experienced fibromyalgia and recovered, I disagree with the infection theory. I believe it is a process of systems breaking down within the body that begins with stress; emotional and functional. Address the stress issues by educating, supporting and encouraging lifestyle changes without the use of pharmaceuticals! Support with tools to assist them to take control of their health not become powerless slaves to medication. Educate them on nutrition, detoxification, supplementation and empower them with encouragement!! No one need suffer with this chronic illness if they are willing to make a committment to actively participate in their own journey back to health!

    1. Keybard says:

      I am happy to see this intelligent and apt article on infection as a possible cause of FMS.

      As to the comment below it, I wonder, what is a lay person like this one doing countering the opinion of this FM expert as if her opinion could be equally valid just because she has had one experience with this illness? The narrow judgmental approach taken by the “recoveree” is not constructive and is also not logical. One example doth not make an adequate scientific sample. We need to get people out of the mindset of anecdotes and testimonials which has dominated thinking in FMS and CFS for so long, due to past lack of leadership from the medical and scientific communities. Proper scientific design trumps observation, and therefore it is the answer to this problem of every layperson having his or her own triumphant theory of the cause and cure for FMS or CFS. WE know that some recover; we also know that some people, no matter how conscientious, diligent and mentally “together”, will not recover as she did, because FMS and CFS are not mental problems, but also, because these illnesses come in many subtypes, levels of severity, and from many triggers, as the author was pointing out. It behooves us to read the FMS research to date, and to help fund and insist on more biomedical research. Yes, all (healthy) humans can benefit from stress management, good diet, good sleep, etc – and it is great if this person’s case was straight forward enough or caught soon enough that she was able to realign what went wrong in her individual body, and keep it on the rails. But what we need here is an inclusive and open attitude – a commitment to massive amounts of broad- spectrum research which also takes into account the people like her who got better, without allowing poisonous assumptions that those who cannot recover are simply lazy or otherwise inadequate. This is not to deny the recovered person her experience, only to deny the validity of conclusions based on one example. Let us pledge to keep an open mind as research findings accumulate, so as to prevent poor public attitudes of the past 25 years which have seeped insidiously into the political, social and medical arenas of western society re: FMS and ME/CFS. Curiosity, not criticism and false pride, will help immensely to honour the experiences of all people suffering from these terrible illnesses. This person is looking for congratulations but the attitude of our society needs to be adjusted. It is not just those who inexplicably made it back onto their feet who are deserving of dignity, hope, and applause for their resilient spirits and bodies.

      Subtyping based on gene impairments and a thorough look at proposed root causes including infection, will some day illuminate the path to preferred individual treatments, but we are still quite far away from that goal: research has not yet finished with identifying underlying causes and subtypes, so how can anyone make a claim to know best-practice and recovery procedures which best fit the individual or the subtype in question? It is unscientific (an unconscionable) to conclude as laypeople that we know what keeps some people sick and what makes some people with FMS well, before the science has been done. I read the layperson’s comment, sadly, as her need to feel superior to others simply for recovering.

      Someone who survives cancer is “better” than someone who does not. What is the difference here, except that cancer is being actively researched to the tune of billions annually? We need to develop the mindset in the FMS and CFS communities that FMS and ME/CFS warrant the same time, attention and scientific investigation as cancer, MS and AIDS(this would mean a thousand times more research than is currently being done.) We must demand equal research funding and attention for these illnesses.

      Ultimately, the 2 cents’ worth of We the Laypeople, cured or not, informed or not, is going to give way to scientific and medical research – and I welcome that day. Only in this area of medicine at this late date can rank speculation and abnormal neuroimmune cascades, complex gene, protein and immune impairments get trumped by laypeople’s experiences and individual unscientific interpretations. I await the day when all persons with FMS or ME/CFS or MCS will be granted the dignity of having adequate medical science – not laypeople – have the last (or at least the loudest) word about FMS and CFS. Then medical doctors will act on the science, applying it to clinical practice with integrity, concern and intelligence. FMS and ME/CFS need to be taken on by scientists and research clinicians, as is done for other severely disabling conditions.

    2. ironspine says:

      I had severe scoliosis as a teenager, which warranted surgery to correct the curvature with a Harrington Rod. I was never without some pain afterward; now when I’ve reached my forties I’ve developed fibromyalgia. I think it’s gradually gotten worse over time, as has my back pain (the 2 are different). I had to quit working because of the severity. I’ve talked with others who have had the same surgery and also have fibromyalgia. I’ve always believed such a drastic surgery must have a bad affect on the body, since there are so many nerves that are affected by this.
      I’d like to know what others think.

    3. rt207 says:

      Regarding the comments by “Pam”, I would be seriously wondering if she had been accurately diagnosed in the first place, with Fibromyalgia. There is no “cure” for it at this time, and no one that I have ever heard of has “recovered” from it………and the people who go around preaching to others about how they shouldn’t be “slaves” to medication, etc., I highly doubt have ever really been diagnosed properly with Fibro either!

      Do you not think that we have tried all the things that you have? Do you really think that we just lay around all day, pop our pills, and wallow in our misery?? No, we don’t! I would venture to say that the majority of us who have had this disease for several years have tried (more than once!) just about anything sugggessted by anyone, grasped at any straw, jumped through any hoop, for any slight chance at getting better! After a time, though, you have to learn to accept what reality you have been given, and then learn ways to live with it. I, for one, refuse to be a martyr, and suffer without pain medication, just because it’s looked down upon by a certain few like the previous poster. I have a wonderful doctor who understands the disease of FM, and prescribes medications as they were meant to be used, to relieve suffering. Nothing will ever take it away completely, but it does help a little, it takes the edge off, and makes the day somewhat bearable.
      What makes my days UNbearable, is being talked down to, and being told that if I just “Try harder” or just dedicate myself to getting better, then I would! I don’t need that type of person in my life…..and to me, anyone who speaks that kind of foolishness has never really had Fibro to begin with! That’s my humble opinion, anyway. 🙂
      Roni 🙂

    4. LauraLeigh says:

      I agree that stress has to be handled. Definately. But I don’t agree that taking care of your life’s stress will relieve you of this devastating illness. I have had this condition for 12 years plus. 12 years ago, when the pain was so bad I was thrown off my feet is when I was diagnosed. Until then, I thought the pain was from being a career waitress. I have tried hypnosis, acupuncture, glycemic diets, magnetics, herbs, medications, exercise, and spent thousands of dollars on these and other things. When I get stressed, I am alot worse. There is always stress in our lives no matter how simple we make our lives. I am now researching the idea of infection. I was told by someone that I have lyme desease not fibro. This person claims that even though I have been tested for lyme, I need more than the titer test. He claims I need the western blot test which is available online for approx. $150 through in independent lab. I’m not sold on the idea but am willing to try it. The treatment for lyme is large amounts of antibiotics, so this relates to the idea that infection can cause fibro. Some of the things that I have tried, I am still using because they help. Not cure or fix, but help. I stay active. Although I’m not able to handle the workforce, I do yard work, swim, exercise, hunt and fish with my husband and anything else that I enjoy. There are times I cry myself to sleep from pushing myself, but I will not let this illness take everything from me. So my opinion is to stay as stress free as possible, exercise as able, stay active doing what makes you happy, use whatever aid you can find that relieves the symptoms, use your energy wisely and rest when you need to, always monitor your own health and never, never give in to this illness by letting it consume all of you. Keep fighting. I plan to one day be able to live my life without pain, I just don’t know yet when that day will be.

  3. munch1958 says:

    How come the author doesn’t mention Borrelia as a pathogen? It’s the most obvious one but since there is no accurate test for it we will continue to suffer.

    80% of people were misdiagnosed with CFS and FM on Lymenet BEFORE finding out they had Lyme disease. After 2 years of long term Abx therapy I no longer have any FM or CFS symptoms.

  4. MarleneAllen65 says:

    I went though a bad divorce 1992 to 1994 which took a toll on my health. I had back fusion in 1996 and 6 months later I was diagnosed with fibromylgia. I think all the stress I was under and then the surgery was the reason I developed the fibro. It is still with me and has been in my left neck and shoulder for over 3 months. My inside knee muscles always hurt and flare up to really in pain with changes in the weather. On bad days, I find myself on the couch most of the day because it hurts to stand up or hold up my head. I take 8 Ultram and 3 neurontin for the pain. When it becomes unbearable, I take Hydrocod a couple times a day. I hate this stuff and hope that someone finds a cure soon. I am 69.

  5. DianneGATR says:

    I developed Fibro after a routine flu shot about 5 years ago. My doctors and my husband have said I’m crazy and there is no connection. I stand by my belief, especially now after reading about a possible connection between viruses and Fibro.

  6. pearls says:

    Thank you to Dr. Pellegrino for this very interesting article. The word, “cascade” was used in describing the development of fibromyalgia, and I believe that happened to me. I think my fibromyalgia was developing over a long period of time. I experienced repeated upper respiratory infections and even several bouts of pneumonia. It was thought for a time that I had asthma, and I was getting allergy shots, which seemed to be doing me no good, even after two years. To be honest, I think I was over treated with those injections and with prednisone and other medications for my recurring infections and other health problems. Then came a particular bout of sinusitis that lasted a long time. When the infection finally cleared,I was left with full-blown fibromyalgia. The cascade of fibromyalgia, of course, meant that one thing lead to another. The result for me was crushing myofascial chest pain, malaise, debilitating fatigue, rashes, digestive problems, vague but nagging pain in one ear, massive sleep deficits, “fibro fog”, numbness and pain in my arms and hands, and hands and legs that often felt very cold. The good news is that I’m much better now, even though the fibromyalgia is still with me.

  7. katdancer says:

    You might as well just say a cold or hick-up causes FMS! I realize to find a cure one needs to know how it starts but I really wish we could skip the disclosure and get to the resolution and “cure”.

  8. cfs_info says:

    If it starts with an infection, what will the impact of H1N1 infections have on people? How many new cases are predicted to appear after infection? If we don’t know, can a study be done follow H1N1 patients overtime to see how many end up with FM/CFS? One of the problems with FM and CFS is the time it takes to get a diagnosis after being ill. The faster ones gets a diagnosis the better their long term outcome. Is this an opportunity promote FM/CFS awareness and to forewarn people to watch for prolonged illness once they catch H1N1 to be proactive in getting medical help?

  9. balletdancer74 says:

    Dr. Jay A. Goldstein, who, unfortunately, retired many years ago, sometimes used the antibiotic Biaxin (XL) for the treatment of FM and/or M.E./CFIDS. In rudimentary terms, he felt that the composition of Biaxin, in particular, fought off many of the symptoms of M.E. and even FM. Before seeing him I noticed that every time I went on Biaxin for upper respiratory infections, I’d feel a drastic improvement with my ubiquitous pain. I also felt less “weak.” I mentioned this phenomena to him which led to his theory.

    I still think that FM and M.E./CFIDS are a cocktail of issues: toxin (s), viral and even bacterial…

    To better days,

  10. farmlass says:

    I came down with Fibromyalgia in my 30’s and thought my life was over. I was in so much pain but I still had to work. I managed to work 25 years but some days were pure hell. I did notice that when I was on antibiotics, my pain went away for awhile. There must be something to it. I wish they would find a cure for it but I guess finding out what causes it is a step in the right direction. One of the worst parts for me was people saying things like, “It’s all in your head.” or “Thats what they say you have when they don’t know what you have.” To be in such pain and have people disbelieve you is so hurtful. I have often wished those people could feel like I felt just for one day. Please keep trying to find a cure.

  11. TrudyBird says:

    Possibly. Trauma is more likely. Trauma of prolonged stress or physical injury. I was raised in a home where I was fearful all the time of my alcoholic father. The stress as a child was unbelieveable. I was a tired, sick little girl with circles under my eyes all the time. I believe my fybro started when I was very young. The shock and stress to my body due to emotional fear is what I believe triggered my fybro, complete with fybro fog and pain. Surgeries and illness as an adult didn’t help. I’ve dealt with this all my life and I believe it started with being subjected to emotional trauma. Combined with infections, surgeries and major injuries. I believe it is a major, prolonged shock that contributes to getting fybro.

  12. Mishque says:

    I totally agree with this!

    When I take antibiotics i.e Doxycycline etc., all my symptoms and pain disappear including my IC. I feel 100% better. In fact I feel myself again. Everything works as it used to. However the antibiotics stop working after one or two months and they have to be changed otherwise I am back down on the ground again.

    I have tried Gabapentin and Lyrica, and am now trying Duloxetine, but none of them work as well as being on antibiotics. In fact most of the time all the other tablets do is either make me more sleepy or make me so numb all over my body that it causes other problems.

    I have always said that Fibromyalgia and ME are caused by a number of unknown viruses which have attacked the body. Its just finding out what they are!!!

    Mishque (UK)

  13. malihe112001 says:

    I have had f.m.s for 26 years now.And i have seen many different
    doctors.And followed different kind of supplements . I was diagnose as soon as i felt the pain .at that time it was called fibrositis. B unfortunately even the doctors did not know what is
    fibromyalgia , nor did they know it,s symptoms , except the muscle
    pain & depression .And i was given antidepressant as muscle relaxant . Then later i started having all these symptoms,like all over pain & exhaustion . I felt awful & felt more tired in the morning than the night before.And because i was in medical field
    l keep going to the library after work , with exhaustion that i had & the all over pain,trying to find out what is wrong with me.
    Because from the way my doctor explained ,i thought what he describe is not that important & that pain on my upper back is going away.So i kept working with this for 11 years . Then one day
    at work i could not do it any more. My body could not handle it.
    so i went to my doctor, crying so hard , that he thought something very bad has happened probably to my son. Now make the
    story short.When i was 12 9 was in a very bad car accident, which all of us got badly injured, and my aunt,s husband a big tall man, died. I

  14. malihe112001 says:

    I have had f.m.s for 26 years now.And i have seen many different
    doctors.And followed different kind of supplements . I was diagnose as soon as i felt the pain .at that time it was called fibrositis. B unfortunately even the doctors did not know what is fibromyalgia , nor did they know it,s symptoms , except the muscle pain & depression .And i was given antidepressant as muscle relaxant . Then later i started having all these symptoms,like all over pain & exhaustion . I felt awful & felt more tired in the morning than the night before.And because i was working in medical field ,l keep going to the library after work , with exhaustion that i had & the all over pain,trying to find out what is wrong with me.
    Because from the way my doctor explained ,i thought what he describe is not that important & that pain on my upper back is going away.So i kept working with this for 11 years . Then one day
    at work i could not do it any more. My body could not handle it.
    so i went to my doctor, crying so hard , that he thought something very bad has happened probably to my son. Now make the
    story short.When i was 12 9 was in a very bad car accident, which all of us got badly injured, and my aunt,s husband a big tall man, died. I got a big cut on my head , which blood had been springing of of it.Any way i think that might have been the
    start of it, And i have been diagnosed with major depression also in the us.And have had a very tough life, getting married to man that i did not know, the borne in the same county ,but
    he had been here for 7 years, studying medicine, and had come back home to get married, and unfortunately i was the one. He was 15 years older than i was.And from the time that we got married i became increasingly depressed.And 9 month later he suggested separation.Then 9 month later i found out i was
    pregnant. This added to more stress & depression.Eventually
    we got divorce when my son was 18 month old, and we went back home.But we came back after a year.Because my son was born here
    and , i wanted him to grow up here. And at that time there were
    A lot was going on in my country.Any way i went through a lot
    in divorcing process , and eventually my son had to go and live with his father when he was 10, after that i got full blown f.m.s . And like most of you no one understand what i am going through . And they tell me is all in my head, which i do tell them yes it is in my head, it is lack of chemical in my brain.
    But i am very disappointed after all these years still is not taken seriously even by most doctors . And there are not much
    research done or being don on it . Just because we don,t look sick. to other people , there is no sympathy for us.Because
    it does not kill you like cancer, But i wish it did. I personally am ready to die any minute. This is not life, i feel
    i am committed to life in prison with touchier.
    And as if pain and fatigue & IBS and all the other good symptoms
    like short memory impairment and confusion, and wight gain was not enough i have this sever sensitivity to cold all year around.I cant go out in the summer because of AC, even it kills me going to the store to get food .while outside is warm that i
    sweat profusely , and by the time i get to the store my clothe are wet .And then i start freezing in the store.And the same in the winter, with heat pump, which blows cold air.
    I feel as if i am buried in ice all year long.And this is the worst part of f.m.s for me. it has prisoned me in my house.
    I have gone to doctors who treat f.m.s & cfs, and had my thyroid
    checked ,and one said it is a little low, put me on medication,
    And did not feel any difference the i was told my adrenaline
    in stage 3 stress, which i believe that.But my thyroid is not that low for me to feel this kind of cold ,that i feel like 1000,s of sharp & big pieces of ice is hitting me all the time.
    since i take Tramadol, ( generic ulteracet)for pain, and symbalta & PRISTIQ for depression and still other medicines for sleep, which does not work that well, still waking up tired.
    This not life. until 2 years ago i still had hopeof getting better by reading books that doctors had written. But i tried
    & realized is not working, plus one doctor himself, when i asked him in my first visit, very exited to see him , how long does it take for me to feel i am getting better , something on these lines. And he said there is no cure for fibromyalgia. As if some one hit me hard on my belly. I wanted to ask, then why do you have this office, that said on it,s door , FIBROMYALGIA & CHORONIC FATIGUE SYNDROME.And he was the nicest doctor i had been too.But i am still hopeful that eating healthy might help me. Because since i got f.m.s , that means for 25 years i have been too tired to cook.So not only i am not eating healthy, i am not eating anything that has any nutritional value . I think i am depleted of any nutrient .But i know my cold does not come from that. And i don,t think i have infection, mine started very slowly with the stress, long before the pain started . as long as i remember i have been a very light sleeper. I think my accident was the starting point.
    But i think like any other illness that, they have charities ,
    there should be charity for f.m.s & c.f.s too.Because having
    chronic pain and all other stuff that comes with these illnesses is the most difficult of illnesses to deal with.
    I have seen cancer patients do anything to stay alive no matter
    how old the are.But we don,t even have energy to want to live much less to fight. And unfortunately no body seem to notice or care. And most of the time , they think we are depressed or too lonely, and that,s why we feel this way.specially if one is single or does not have family.I just hope the higher power can
    see our misery & send us a cur. Because i don,t see how with
    such complicated &insidious illness, that has different cause
    one can finally come up with a cure. But one never knows what the future holds. So please don,t lose hope.I think eating
    healthy is the answer, despite of what the origin of it is.
    I hope this coming new year brings us much closer to our getting
    our life back.

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