Re: do u have to be in pain?
No, you don't have to be in pain. FMS is diagnosed if your doctor finds you have pain when specific points on the body are manipulated; you exhibit some of a long list of symptoms for over six months (not all are pain); and the symptoms can not be explained any other way. That is why the doctor does a lot of tests.
Our daughters started with flu like symptoms and really didn't exhibit much pain except headaches as teenagers. When they started into their twenties, they started getting more pain in other areas of their bodies.