Epstein Barr Virus (EBV), Fibromyalgia (FMS) and Chronic Fatigue (CFS)

Disclaimer: I am not a health professional. Please seek the advice of your doctor before you change your diet, exercise program, or any other lifestyle changes.

Headaches and chronic pain in the joints are symptoms of Fibromyalgia.
Headaches and chronic pain in the joints are symptoms of Fibromyalgia. | Source

My Personal Story and Diagnosis of Fibromyalgia

Back in the 1990’s, I had two small children half of the time (I was divorced). I was taking one class at a time after work and working an additional part time job to help make ends meet. I continued this lifestyle for a couple of years. Three times I had to quit my second, part time job due to exhaustion and back or neck pain. I began risking my full time job because of absenteeism and tardiness. I was rapidly losing weight. I was so frustrated. At 30 years old, why couldn’t I keep up with other people who worked two or more jobs?

In 1997 when this syndrome was practically unheard of, I went to the doctor due to complete and utter exhaustion. I was so tired all the time, no matter how much I slept. It got to the point where I would come home from work on a Friday afternoon and sleep until Monday morning, with an occasional visit to the bathroom and kitchen for water. My body ached.My head ached. Light and sound of any kind were completely annoying and made the pain worse.

I realize this kind of sounds like a migraine, but it wasn’t. My doctor ran several tests and found the Epstein Barr Virus (EBV) in my blood work. Anyone who has had Mononucleosis has the EBV. It lies dormant at the base of the spine and can occasionally reactivate. However, it’s very rare for it to do so. I, however, had no idea I ever had Mononucleosis. It normally takes four to six weeks to recover from Mononucleosis. During that time, rest and liquids are essential. I always pushed along when I was tired, until I couldn’t push any longer. That is when I went to the doctor.

Some days were better than others, but my condition slowly and progressively got worse. I went back to the doctor and was diagnosed with Chronic Fatigue Syndrome (CFS). I was put on intermittent FMLA (Family Medical Leave Act) to protect my only job. I was given shots of B-12 on a regular basis, although that did not help the pain. Tylenol was my doctor’s recommendation for that. I finally saw a Rheumatologist to rule out any joint diseases, and this doctor diagnosed me with Fibromyalgia Syndrome (FMS). At this point I was prescribed a narcotic for the pain and an anti-depressant.

By the way, a syndrome is a condition that has several common symptoms, and no scientific cause.

Your life can become a downward spiral it you don't take the precautions your body needs to be as pain free as possible.
Your life can become a downward spiral it you don't take the precautions your body needs to be as pain free as possible. | Source

Signs and Symptoms

Although there are no laboratory tests that can prove or disprove a FMS diagnosis, the doctor will know if FMS is a possibility if eleven of eighteen specific pressure points are tender or painful to the touch. You can see where these points are located on the diagram to the left. In addition to the points shown, my wrists and thumbs are affected as well. Once the doctor has completed a series of tests like blood work and CT Scans or MRIs to rule out any other possible disease or injury, he or she can diagnose FMS with confidence.

There are several symptoms. You may experience all of them or just some of them. They change often, which makes this syndrome so difficult to treat. Listed below are some of the symptoms I have suffered with:

*dull achy muscles

*sharp joint pain


*disrupted sleeping patterns or lack of deep sleep

*limited amount of physical energy as if you have a small “reserve tank”

*depression and anxiety

*rapid weight gain and/or rapid weight loss

*memory loss

*headaches and migraines

*light and sound sensitivity

*constipation and/or digestive issues

Owned by Author
Owned by Author

Stigmas and Hypochondria

"Oh just force yourself to get up and move! Everyone has pain sometimes, and we take a Tylenol and just work through it."

“Something is mentally wrong with you. Go see a psychiatrist and get some of those anti-depressants so you can get over it.”

“You are just being lazy because you don’t feel like going to work. A lot of people don’t feel like going to work, but we get up and do it anyway.”

“It's all in your head. It’s a case of mind over matter.”

“You seem to be fine when you want to do something fun.”

These quotes are just a few statements I heard throughout my 15 years of suffering. It is difficult for those who haven’t experienced FMS, directly or indirectly, to understand that the pain and fatigue are not consistent. The pain moves to different areas of the body. The fatigue comes and goes. You may get a boost of energy and are able to conduct life as normal. Until your energy runs out and you crash so hard you cannot even lift your head up off of your pillow.

Unfortunately, you cannot just force yourself to “get up” when you are having an episode of CFS. I have tried many times. One of two things will happen. You will throw up because your body is rejecting the stress. Or, you will black out or pass out from lack of strength, or both. It is extremely important that you listen to your body and only do what you can.

At times, you may feel as though you are losing your mind. Especially when you are told that what you are experiencing is not real, or everybody has it. Those that don’t understand will not validate your symptoms, treating you as though you are a hypochondriac. Don’t let anyone say those things to you. These are the times you need support, not criticism.

Possible Contributors

In my research, I have found several possible contributors to Fibromyalgia Syndrome. You may fit some or all of the following criteria:

*FMS usually occurs in women, although men get it too

*It usually starts when the person is in their 30's

*A previous accident that has caused physical trauma seems to be a common factor

*A clinical depression diagnosis, from mild to severe due to an imbalance of mood controlling chemicals in the brain

*An Epstein Barr Virus (Mono) diagnosis

*A Chronic Fatigue Syndrome diagnosis

*Irritable Bowel Syndrome diagnosis

*Current or previous autoimmune disease

More recently, the pain transmitters sending messages to the brain have been found to be exacerbated in the FMS patient. There is also a possibility that this syndrome is genetic.

Should I see a doctor?

Pain Relieving Techniques

Of course a sensible diet and moderate exercise are always beneficial whether you are healthy or not. As a general rule, try to stay away from anything white. White bread, potatoes, rice, pasta, flour and sugars tend to cause more pain in the joints. Whole wheat products are best.

Exercise moderately, but often, to build strength. Meaning, walk, stretch, bend, lift light weights, dancing, and swimming. However, ALWAYS listen to your body. When you begin to tire, push a little more (maybe another ten seconds or so), then rest. It is important that you move every day, even if it’s just lifting your legs and arms in your bed.

Yoga, stretching, and breathing exercises are beneficial and help the body fight the fatigue and pain. Warm herbal baths sometimes help ease joint and muscular pain as well. You may try soothing music and aromatherapy to help you relax.

Light massage can provide comfort for the muscular aches. I have found from experience that even the softest touch on joints will cause excruciating pain, so be very careful and very specific if you choose to try massage.

Sometimes, heating pads and ice packs can be helpful depending on where the pain is and what type of pain you are experiencing.

Herbal remedies may be researched and used. However, please be sure your doctor is well aware of the therapies you are trying and how they are working for you.

Anti depressants and Ibuprofen with aspirin may provide some relief. It is sometimes recommended to use narcotics or medical marijuana in legally approved states. Please only use these as a last resort, and again, be sure you are closely monitored by your doctor.

There is Hope

There is Help and Support

There are many people who are going through what you are going through. Seek out counseling or FMS support groups. Listed below are a couple of websites you can access for local assistance. However, your doctor is the first person you should ask for help.

FMS and CFS can be overcome. By following your doctor's instructions, you may return to a "normal" life. However, these syndromes can return at any time, especially if you are ever injured.

As always, I certainly hope this was helpful and you are soon feeling your best.

"Be kind to one another" ~ Ellen

God Bless You ~ Margaret Sullivan

Comments 14 comments

Susan Trump profile image

Susan Trump 18 months ago from San Diego, California

Keep talking about it. I write about it too and believe the search is for the cause and the cure will follow. It can be cured.

Mmargie1966 profile image

Mmargie1966 2 years ago from Gainesville, GA Author

You are not alone, Shell! Just keep your head up, do the best you can, and take care of yourself. You'll learn to manage it. (((Hugs)))

shellcaseb 2 years ago

Thank you so much for writing this. The things that were said to you have been said to midday of us.If not said out loud then they were deeply implied. I am in no way suicidal, I don't want anyone thinking that when I say what I'm about to say. I really think that suicide is something that seems like a way to not only relieve the pain but also the ridicule from paramedics on to doctors. I've seen and heard Fibromyalgia jokes with eye rolls from both. Fibro patients are considered a waste of time, Fibro patients only fake pain to get narcotics. Fibro patients were clogging up our emergency room. My husband is wonderful but he still doesn't get it. No one does unless they are living it. Your best friend wont get it, they will get aggravated and think you are lying about being tired. Sorry for being a Debbie Downer, this is the only place I can say how I really feel. Thank you for listening.

Mmargie1966 profile image

Mmargie1966 3 years ago from Gainesville, GA Author

Thank you so much for your kind words and advice, Jodes! I wish you well.

Jodes 3 years ago

This was one of the more helpful, accurate and positive hub that I have found - and I've read a lot. My neck/migraine headaches that sometimes travel to my shoulders are there nearly every day. However just recently I've been relieved from them with a drug called Endep 10mg. It doesn't take all the body and joint pain away or the headaches but mostly does and it does wear off towards the end of the day. But it really has slight side effects so I will take anything that helps! I have Ross River Virus too and therefore have been diagnosed with fibromyalgia so my symptoms are a little garbled. My thoughts are don't give in or give up. Listen to your body. Be kind to yourself. Mother yourself. Rest and find a good trained listening doctor. Try something until it works or at least helps. Lots of fruit and veg and protein. Look at spirulina, taking heavy foods out of your diet - anything fried. Too much red meat. Definitely no to alcohol. Don't drive or work if you aren't capable and accept this is me for now - until I get better or find a healthier me. Stay positive and keep the positive supportive people around you. :)

Darla Bethea 3 years ago

One of the best books that helped me "through" was by Devin Starlanyl, a doctor who has studied fibromyalgia and chronic pain syndrome on the cellular level, "Fibromyalgia & Chronic Myofascial Pain A Survival Manual". It is written to easily understand, not a "dr manual" and has so many helps you would never be able to try them all. But sometimes what works for one, doesn't for another. For some yoga is too repetitious and causes more pain, but the gentle stretching is very good for me.

Mmargie1966 profile image

Mmargie1966 4 years ago from Gainesville, GA Author

I hope you find some relief, Christy! Thank you for your comment :)

CC 4 years ago

Thanks Margie, this was very helpful. LOL Christy

Mmargie1966 profile image

Mmargie1966 4 years ago from Gainesville, GA Author

I am so sorry you are experiencing so much pain, emilybee! I think you should see the specialist. (Probably a Neurologist) You may consider seeing a Rheumatologist as well. (Joint doctor). I hope you are feeling better quickly.

Please keep me posted.

emilybee profile image

emilybee 4 years ago

I think I've read this hub before, but I just found it again after seeing your response to a question on this topic. Ironic, I was just talking to someone today about Fibromyalgia. I have migraines at least every other day, usually every day, just varying on how extreme. I've been tested and nothing was found: I was told I'm normal. Today I said, but having migraines everyday cannot possibly be normal. When I did get tested a while ago (lots of blood tests-very expensive) my doc referred me to a specialist- forget exactly, but I think someone specializing in brain stuff- I also have pain a lot and I'm young!!! Early 20's and I do not feel it and also back aches like crazy. Your hub was very informative and helpful, not sure what to do next. I may go to that specialist because I don't want to take pain meds every day for headaches! Hope you are doing well and feeling alright :-)

Mmargie1966 profile image

Mmargie1966 4 years ago from Gainesville, GA Author

Oh Dave, I pray for a speedy recovery...or managability. I hope I helped in some way.

God Bless you...I know the feeling!

Your friend...


CyberTech15 profile image

CyberTech15 4 years ago from Michigan

WOW what a great HUB!! I have Firbo and a bunch of other nice things going on with me. This Hub did help me out! The Doctors want to send me to a big Major Hospital for further testing. They are confused with what is happening to me, on is my CPK blood level runs from 750 to 1050. I will read your HUB a few times again. The "Fog" I have today is a bit thick.


Mmargie1966 profile image

Mmargie1966 4 years ago from Gainesville, GA Author

Thank you, CWBob. Your kind words are appreciated!

Civil War Bob profile image

Civil War Bob 4 years ago from Glenside, Pennsylvania

Well done Hub, Mmargie1966...voted up, useful, interesting, and beautiful. I learned a good bit in just a few minutes! May you find relief from the symptoms of the Fibromyalgia!! My best friend has skeletal MS, Eppstein Barr, and Lupus, so I get to help him out a bit as needed. You'll see my world-life view in my Hubs, so I'll simply say grace, strength, and peace to you! Bob

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