Fibromyalgia was first recognised in 1816 when J Balfour described chronic pain with tender points and fatigue. In 1976 biopsies showed no inflammation in those tender points, the first time the term fibromyalgia was coined - translated as fibre muscle pain. It is important to note that the criteria for diagnosing fibromyalgia is still under review. Fibromyalgia includes pain, stiffness, fatigue and sleep disorders. A widely accepted definition of fibromyalgia is that it is a