Currently accepting new patients
Address

‍
2007 Medical Pkwy, Suite B
San Marcos, TX 78666
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Office hours

Mon - Friday: 8AM – 5PM
Weekends:
Closed

Phone

Phone: (512) 298-1645

Fax: (512) 298-1795

Accepted insurance

- Aetna
- Blue Cross/Blue Shield (BCBS)
- Champ VA
- Cigna
- CMS
- Connected Senior Care Alliance
- Friday
- GEHA
- Humana
- Medicare
- Multiplan
- Oscar
- Railroad Medicare
- Smarthealth
- Tricare
- Triwest
- United Healthcare
- WellMed
- Worker's Compensation
- Private Pay

What Is Fibromyalgia?

Fibromyalgia is a chronic condition characterized by widespread body pain, tenderness concentrated at specific points across the muscles, and a collection of accompanying symptoms that vary in severity from person to person. It is considered a diagnosis of exclusion, meaning clinicians work to rule out other medical conditions before confirming fibromyalgia as the cause of a patient's symptoms.

The exact cause of fibromyalgia remains unknown, though researchers have identified several factors that may contribute to its development. What is understood is that fibromyalgia appears to alter the way the brain and nervous system process pain signals, effectively lowering a person's pain tolerance and amplifying the sensation of discomfort throughout the body. While there is no single cure, a range of therapies and treatment options can help patients manage symptoms and improve their quality of life. Greater Austin Pain Center provides fibromyalgia care focused on helping each patient find a path toward better daily functioning.

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How Fibromyalgia Affects the Body

Fibromyalgia is distinguished by 18 tender points distributed across the body in nine laterally symmetrical pairs. These points of pain and tenderness are located at the following sites:

  • Upper chest
  • Inner elbows
  • Slightly above the inner knees
  • Base of the skull
  • Base of the neck and top of the shoulders
  • Upper back and shoulder blades
  • Upper buttocks
  • Hip bones
  • Front lower sides of the neck

Beyond localized tenderness, fibromyalgia affects the body in ways that extend well beyond the muscles and joints. The condition can interfere with sleep, cognitive function, and emotional health, making it one of the more complex chronic pain presentations that pain specialists encounter. People experiencing this condition day to day often find that symptoms fluctuate in ways that are difficult to predict.

Common Symptoms of Fibromyalgia

  • Widespread pain originating from the muscles, often more severe in the morning
  • Fatigue that persists even after rest
  • Sleep disturbances, including difficulty falling or staying asleep
  • Mood disturbances and anxiety
  • Sensitivity to light, touch, and sound
  • Dizziness
  • Difficulty concentrating and focusing, sometimes called fibro fog
  • Numbness or tingling sensations, including uncomfortable feelings called paresthesias

Many individuals also report feeling pain on top of the skull or behind the eyes, often related to tension in the muscles of the neck. Sleep disturbances are particularly common and can worsen other symptoms, creating a cycle that affects a patient's overall health and daily functioning.

How Fibromyalgia Affects the Body

Fibromyalgia is distinguished by 18 tender points distributed across the body in nine laterally symmetrical pairs. These points of pain and tenderness are located at the following sites:

  • Upper chest
  • Inner elbows
  • Slightly above the inner knees
  • Base of the skull
  • Base of the neck and top of the shoulders
  • Upper back and shoulder blades
  • Upper buttocks
  • Hip bones
  • Front lower sides of the neck

Beyond localized tenderness, fibromyalgia affects the body in ways that extend well beyond the muscles and joints. The condition can interfere with sleep, cognitive function, and emotional health, making it one of the more complex chronic pain presentations that pain specialists encounter. People experiencing this condition day to day often find that symptoms fluctuate in ways that are difficult to predict.

Common Symptoms of Fibromyalgia

  • Widespread pain originating from the muscles, often more severe in the morning
  • Fatigue that persists even after rest
  • Sleep disturbances, including difficulty falling or staying asleep
  • Mood disturbances and anxiety
  • Sensitivity to light, touch, and sound
  • Dizziness
  • Difficulty concentrating and focusing, sometimes called fibro fog
  • Numbness or tingling sensations, including uncomfortable feelings called paresthesias

Many individuals also report feeling pain on top of the skull or behind the eyes, often related to tension in the muscles of the neck. Sleep disturbances are particularly common and can worsen other symptoms, creating a cycle that affects a patient's overall health and daily functioning.

A physical therapist in blue scrubs examines a woman's lower back as she sits on an exam table in a clinic, lifting her shirt slightly to expose the area.

Fibromyalgia Treatment Options at Greater Austin Pain Center

Managing fibromyalgia typically requires a multi-modal approach, since the condition affects pain signals, sleep, mood, and physical functioning in ways that rarely respond to a single intervention. The team at Greater Austin Pain Center, which provides care at a clinic serving the San Marcos, TX area, works with each patient to build an individualized fibromyalgia treatment plan based on their specific symptoms, history, and prior treatment experience. Helping people find relief from chronic pain is central to how the practice approaches every case.

Lifestyle modifications can play a supportive role in fibromyalgia management. Regular exercise, pacing activities throughout the day, a balanced diet, and improved sleep habits may help reduce the frequency and severity of symptoms. Your care team may also recommend physical therapy, aqua therapy, or patient education as part of a broader treatment approach. These modalities are coordinated alongside GAPC's in-house interventional options rather than provided directly by GAPC.

Researchers have made meaningful progress in identifying prescription medications that appear to ease fibromyalgia symptoms in some patients. Low doses of certain antidepressant and anti-inflammatory medications have shown benefit for some individuals. Since 2007, the FDA has approved Lyrica, Cymbalta, and Savella for fibromyalgia treatment, and ongoing studies continue to explore additional options.

For patients whose symptoms have not responded adequately to lifestyle changes and medication alone, Greater Austin Pain Center offers several interventional fibromyalgia treatment options, including:

These options can help relieve chronic pain and improve daily functioning for people living with fibromyalgia in San Marcos, TX and the surrounding communities. The care team will review your symptoms and prior treatment history to determine which approach is most appropriate for your situation. If you have questions about any of these options, the team is ready to provide clear answers and guidance during your visit.

Woman at elevators in front of San Antonio Eye Specialists sign.

Getting Care for Fibromyalgia in San Marcos

1

Step 1: Schedule an Appointment

The first step is to schedule an appointment at our San Marcos clinic or at any Greater Austin Pain Center location convenient to you. Patients can call our office or schedule online today. GAPC is currently accepting new patients and works with a broad range of insurance plans, including Medicare, Aetna, Cigna, United Healthcare, and many others.

2

Step 2: Evaluation and Diagnosis

Because fibromyalgia is a diagnosis of exclusion, your evaluation will be thorough. Your care team will review your complete medical history, conduct a physical examination, and consider the full scope of your symptoms, including any additional conditions you may be experiencing. A fibromyalgia diagnosis requires findings from both the history and physical exam, with symptoms present for at least three months. Blood tests and other assessments may be ordered to help rule out other conditions that could cause similar symptoms.

3

Step 3: Personalized Treatment Plan

Once a diagnosis is established, your fibromyalgia specialist will work with you to develop a personalized treatment plan based on your specific presentation. This plan may include interventional options such as trigger point injections or nerve blocks, coordination with physical therapy referrals, guidance on lifestyle modifications, and a review of medication options that may help manage your chronic pain and sleep disturbances. The approach is tailored to your health goals and functional needs, with the aim of helping you find meaningful improvement in day-to-day life.

4

Step 4: Ongoing Care and Follow-Up

Fibromyalgia is a chronic condition, and effective management typically involves ongoing care rather than a single visit. Your care team will monitor how your symptoms respond to treatment, adjust the plan as needed, and remain focused on helping you make the changes that contribute to better quality of life over time. Follow-up appointments allow the team to track progress, answer your questions, and address any new or evolving symptoms you may be experiencing.

Testimonials

5 gold stars

"Dr. Jarzembeck is AMAZING. I HIGHLY recommend her for anyone suffering in pain. She goes above and beyond to make sure her patients pain has been dealt with."

Genia G.
5 gold stars

"Everyone is so friendly and helpful, Dr. Bednar came to me and explained the procedure and answered my questions. Highly recommend!"

Maggie G.
5 gold stars

"Dr. Julia is the best! The staff is professional and friendly to all. Best of all, Dr. Julia is finding solutions for my chronic pain! Never thought that it would be possible. It's a journey for me, but it seems like there is a solution."

Nancy M.

Frequently Asked Questions

What does fibromyalgia feel like?

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Fibromyalgia can cause a range of pain sensations throughout the body, including widespread muscle pain, pins and needles, numbness, tingling, and uncomfortable feelings called paresthesias. Many patients also describe pain concentrated at specific tender points, and some experience pain on top of the skull or behind the eyes related to tension in the muscles of the neck.

What other symptoms can fibromyalgia cause beyond widespread pain?

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In addition to widespread body pain, fibromyalgia commonly causes fatigue, sleep disturbances, anxiety, mood changes, difficulty concentrating (often called fibro fog), dizziness, and sensitivity to light, touch, and sound. People experiencing fibromyalgia may also find that muscle twitching and general discomfort throughout the joints and muscles affect them from day to day.

Is fibromyalgia the same as depression?

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No. While depression often accompanies chronic pain and illness, fibromyalgia and depression are two distinct conditions. Depression may develop alongside fibromyalgia, but the two require different approaches to diagnosis and treatment. A fibromyalgia specialist can help determine which conditions are contributing to your symptoms and build an appropriate care plan.

How is fibromyalgia diagnosed?

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There is no single test for fibromyalgia. A diagnosis is made by reviewing the patient's medical history, performing a physical examination, and evaluating the full range of symptoms. Other medical conditions that could cause similar symptoms must be ruled out first. A diagnosis of fibromyalgia generally requires qualifying findings from both history and physical exam, with symptoms present for at least three months.

When should I see a fibromyalgia specialist?

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If you are experiencing chronic, unexplained widespread pain, fatigue, persistent sleep disturbances, or other symptoms consistent with fibromyalgia, it is worth speaking with a specialist. A fibromyalgia specialist can conduct a thorough evaluation, determine whether fibromyalgia is the appropriate diagnosis, and recommend treatment options suited to your situation. You do not need to have a confirmed diagnosis before scheduling an appointment today.

Can fibromyalgia lead to other chronic conditions?

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People with fibromyalgia have a tendency to develop other conditions alongside it. These can include chronic fatigue syndrome, depression, irritable bowel syndrome (IBS), restless leg syndrome, headaches, sleep apnea, lupus, osteoarthritis, and rheumatoid arthritis, among others. This overlap is one reason a comprehensive evaluation and ongoing management approach are important for patients living with fibromyalgia in San Marcos and across Central Texas.

Lunch & Learn With Our Doctors

Curious about interventional pain treatments in Austin, TX? Join our doctors for an in-person lunch and learn session to find out more about these treatments and ask any questions you may have. This event will be 12–1pm, sign up below to receive more details and RSVP.

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Reach Out to Greater Austin Pain Center for Fibromyalgia Care Near San Marcos

If chronic pain, fatigue, or other fibromyalgia symptoms are affecting your daily life, the specialists at Greater Austin Pain Center are ready to help. Call us at (512) 298-1645 or schedule online today, and receive the personalized fibromyalgia care you deserve. In addition to our San Marcos clinic, we have locations in Austin, Kyle, and Dripping Springs to serve people throughout Central Texas.

Schedule an Appointment

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