Which symptom is NOT typically associated with fibromyalgia?

Joint swelling is not typically associated with fibromyalgia. Fibromyalgia is characterized by widespread musculoskeletal pain accompanied by conditions such as fatigue, sleep disturbance, and cognitive difficulties. The hallmark symptoms include extreme tenderness in muscles, pain and stiffness, and the presence of localized trigger points which are specific areas on the body that are tender to the touch.

In contrast, joint swelling is more commonly related to inflammatory conditions such as rheumatoid arthritis or other types of arthritis. In fibromyalgia, there is no underlying inflammation of the joints, which differentiates it from these conditions. Thus, the absence of joint swelling aligns with the recognized symptoms of fibromyalgia and highlights its unique profile among chronic pain syndromes.