possible triggers for fibromyalgia includes physical or
emotional trauma, an abnormal pain response, sleep disturbances with some of these clinical features like chronic neck or back pain, chronic fatigue syndrome and depression. Other possible co morbidities are hypothyroidism, Lyme disease and sleep disorders. Pain points are called tender points, usually found in soft tissues on the back of the neck, shoulders, sternum, lower back, hips and knees.