The primary fibromyalgia symptom is all over body pain. It can be mistaken for arthritis. The body pain is described as burning, shooting, gnawing, deep, and radiating. Those experiencing fibromyalgia symptoms are also stiff and achy when they wake in the morning. Patients will also experience extreme fatigue usually due to the chronic pain. There will also be tender points on the body such as the back of the neck, knees, elbows, shoulders, rib cage, chest and thighs. Both standard headaches and migraines are common with fibromyalgia. Additional symptoms include tingling and numbness of the extremities, heart palpitations, depression and cognitive difficulties including memory problems.