What are the main clinical manifestations of fibromyalgia?

Widespread musculoskeletal pain (widespread in all the body, above and below waist, may initially be localized in neck/shoulder, feel hurt all over) Fatigue (universal, arising from sleep and mid-afternoon, stiff in morning and feel unrefreshed even with adequate sleep, light sleep wake early morning) Cognitive disturbances (fibrofog, attention problems and difficulty doing tasks requiring rapid thought change) Psychiatric symptoms (depression/anxiety 30-50%, correlated with younger age, women, unmarried, food insecurity, chronic conditions, also we have mood disorders) Headache (>50% include migraine, muscular (tension) types, common with episodic migraine) Paresthesia (numbness, tingling, burning, creeping, crawling) Other symptoms (abdominal pain, costochondritis, IBS symptoms, GERD, ocular dryness, allegies, palpitation and dyspnea, vulvodynia, weight fluctuation.