This is a chronic condition that produces musculo-skeletal pain. Predominant symptoms include widespread musculo-skeletal pain, lethargy and fatigue. Other characteristic features include a non-refreshing sleep pattern in which the patient experiences interrupted sleep, and wakes feeling exhausted and more tired than later in the day.

Other recognised symptoms include early morning stiffness, pins and needles sensation, unexplained headaches, poor concentration, memory loss, low mood, urinary frequency, abdominal pain, irritable bowel syndrome. Anxiety and depression are also common.

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