This literally means ‘muscle and connective tissue pain’. It is a complex disorder characterised by chronic widespread pain, fatigue, and heightened pain in response to direct tactile pressure. There is no know causes for the condition but some research suggests that patients suffering from Fibromyalgia are more sensitive to pain, due to an increase sensitivity of the brain to non receptive stimuli. Here Osteopaths are well aware of the limitations from their approach, and patients suffering from Fibromyalgia will often benefit from a multi-disciplinary approach, a mix of allopathic medicine, psychological support, exercising, diet and manual therapy. It is a very complex condition, and therapists need to remember that real people are suffering from this condition and need to be treated according to their particular requirements.