Fibromyalgia is often diagnosed and managed by a rheumatologist, which is an internal medicine doctor who has specialized training in joint and musculoskeletal diseases. Multiple sclerosis is diagnosed and managed by a neurologist, which is a doctor who specializes in treating disorders of the brain and nervous system.
Many neurologists have an understanding of fibromyalgia, but like rheumatologists, they're not all familiar with it. The pain from fibromyalgia is what typically prompts people to visit a neurologist, and this specialist may prescribe medications to control your pain.
You should make an appointment with your primary care doctor if you're experiencing any fibromyalgia symptoms. They should be able to rule out other conditions, diagnose the syndrome, and refer you to a rheumatologist with more expertise in diagnosing and treating the disorder.
FACT: Fibromyalgia is a neurological disease affecting a person's sensory processing system. Fibromyalgia does not involve inflammation or damage to joints. Brain imaging and studies have shown that fibromyalgia is a disorder of the central nervous system.
An MRI may be able to detect brain activity connected to fibromyalgia pain. For patients dealing with fibromyalgia, the widespread musculoskeletal pain they feel is made worse by the frustration and misunderstanding that usually accompanies the disorder.
Fibromyalgia is diagnosed based primarily on having pain all over the body, along with other symptoms. Currently, there are no specific laboratory or imaging tests for fibromyalgia.
Several rheumatic diseases can mimic fibromyalgia. These include sero-negative rheumatoid arthritis, ankylosing spondylitis, Lyme disease, polymyalgia rheumatica and lupus. They have symptoms of widespread pain along with joint involvement.
While MS and fibro may have some symptoms in common, they are ultimately distinct conditions with very different causes and treatments. Fibromyalgia and multiple sclerosis are both chronic diseases with no cure. Fibromyalgia and multiple sclerosis can both cause some of the same symptoms.
Fibromyalgia is one of a group of chronic pain disorders that affect connective tissues, including the muscles, ligaments (the tough bands of tissue that bind together the ends of bones), and tendons (which attach muscles to bones).
Fibromyalgia often co-occurs with other types of arthritis such as osteoarthritis, rheumatoid arthritis, systemic lupus erythematosus, and ankylosing spondylitis.
See a GP if you think you have fibromyalgia. Diagnosing fibromyalgia can be difficult as there's no specific test to diagnose the condition. The symptoms of fibromyalgia can also vary from person to person and are similar to those of several other conditions.
Its main symptoms -- widespread pain and fatigue -- are a lot like those of other health problems. And there's no test or scan that can diagnose fibromyalgia, so it can be hard for your doctor to nail down what's causing your aches and pains.
Your doctor or rheumatologist (arthritis specialist) will look for a number of features that are typical of fibromyalgia to diagnose the condition.
In addition, fibromyalgia patients demonstrated significantly less gray matter density than healthy controls in several brain regions, including the cingulate, insular and medial frontal cortices, and parahippocampal gyri.
What does fibromyalgia leg pain feel like? If you're suffering from fibromyalgia leg pain, you may experience throbbing, shooting, achy, or burning sensations in your legs. Often, you'll feel the pain at your fibro tender points, particularly inside of each knee and on the hip just behind your hipbone.
Fibromyalgia was formerly classified as an inflammatory musculoskeletal disease but is now considered to be an illness that primarily affects the central nervous system.
Fibromyalgia can be associated with ocular symptoms (foreign body sensation, irritation) and visual disturbances (blurred vision), coexisting with dry eye syndrome and reduced corneal sensitivity. Cases of scleritis, including the necrotizing form, accompanying fibromyalgia have been reported.
Jaw and facial pain
It's possible for fibromyalgia to be linked to pain in the muscles of the jaw and face (temporomandibular joint disorder) or to myofascial (skeletal muscle) pain in one part of the body. Such occurrences could be considered forms of regional or localized or incomplete fibromyalgia.
Fibromyalgia syndrome (FMS) is a chronic condition characterized by widespread pain accompanied by symptoms like depression, anxiety, sleep disturbance and fatigue. In addition, affected patients frequently report cognitive disruption such as forgetfulness, concentration difficulties or mental slowness.
However, because fibromyalgia can cause chronic pain and fatigue similar to arthritis, some people may advise you to see a rheumatologist. As a result, often a rheumatologist detects this disease (and rules out rheumatic diseases).
The Social Security Administration recognizes arthritis and fibromyalgia (FM) as qualifying disabilities for Social Security Disability Income (SSDI).
People suspected of having fibromyalgia may have blood tests and x-rays to look for other possible causes of the muscle and bone pain. A doctor may diagnose fibromyalgia when they think that the pattern of pain and tiredness fits the condition and doesn't fit other conditions.
The FDA has approved three drugs to treat fibromyalgia: the antidepressants duloxetine (Cymbalta) and milnacipran (Savella), plus the anti-seizure medicine pregabalin (Lyrica). But your doctor may prescribe other drugs that aren't specifically approved for fibromyalgia.