Fibromyalgia services offered in Roanoke, Lynchburg, Covington and Wytheville, VA and Cornelius, NC


Up to four million Americans have fibromyalgia, a rheumatic disease that causes chronic musculoskeletal pain. At Dr. Murray E. Joiner Jr. & Associates in Roanoke, Virginia, with five satellite offices throughout Virginia and another in North Carolina, interventional pain management physician Murray E. Joiner Jr., MD, specializes in diagnosing and treating fibromyalgia, taking a minimally invasive and integrative approach. Call the nearest Dr. Murray E. Joiner Jr. & Associates office today to schedule fibromyalgia treatment, or book your appointment online.

Fibromyalgia Q & A

I regularly feel sore and tired. Is it fibromyalgia?

It’s possible. Fibromyalgia is a chronic medical condition marked by whole-body pain, stiffness, and fatigue. Fibromyalgia affects everyone differently, but it often gets worse during periods called flare-ups. For example, you might feel relatively healthy for several months, only to have your symptoms suddenly become overwhelming.

Fibromyalgia pain typically starts in one group of muscles and extends to others over time. If you have chronic pain, fatigue, or both, make an appointment right away with Dr. Joiner.

What are the symptoms of fibromyalgia?

Fibromyalgia symptoms include:

  • Muscle pain and tenderness
  • Fatigue
  • Headaches and migraines
  • Memory problems
  • Insomnia and other sleep disorders
  • Anxiety and depression

Some people with fibromyalgia develop gastrointestinal problems like diarrhea and constipation. You could also experience urinary incontinence.

What causes fibromyalgia?

Scientists don’t know what causes fibromyalgia, but genetics appear to play a role. For example, if your parents or grandparents had fibromyalgia, you’re also more likely to develop it.

People with fibromyalgia are more sensitive to pain than the general population. Though more research needs to be done, experts think this could result from mutations in the genes that make neurotransmitters in the brain.

How does a pain management specialist diagnose fibromyalgia?

Dr. Joiner reviews your medical records and asks about your symptoms, including what the pain feels like, where it’s felt, and if it comes and goes. No specific test is yet available to diagnose fibromyalgia. Instead, Dr. Joiner completes a physical exam and uses the process of elimination to rule out other conditions that present similar symptoms.

This usually involves Dr. Joiner ordering diagnostic imaging to rule out problems like arthritis or bone spurs and blood tests to check your thyroid gland and your iron and nutrient levels.

How does a pain management specialist treat fibromyalgia?

Dr. Joiner treats fibromyalgia using a conservative, minimally invasive approach. He might suggest:

  • Over-the-counter (OTC) anti-inflammatory medication
  • Prescription pain medication
  • Physical therapy, including stretches and strengthening exercises
  • Sleep therapy
  • Cognitive behavioral therapy (CBT)
  • Stress management therapy
  • Antidepressants
  • Ultrasound-guided trigger point injections
  • Botox® injections
  • Stem cell injections

IIt might take several types of treatment to relieve your symptoms, restoring your quality of life. Follow Dr. Joiner’s instructions and attend each of your checkups.

Call the nearest Dr. Murray E. Joiner Jr. & Associates office today to schedule fibromyalgia treatment, or book your appointment online.