Diagnosis of Fibromyalgia 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.
Tests to check for some of these conditions include urine and blood tests, although you may also have X-rays and other scans. If you're found to have another condition, you could still have fibromyalgia as well.
Newer guidelines from the American College of Rheumatology don't require a tender point exam. Instead, the main factor needed for a fibromyalgia diagnosis is widespread pain throughout your body for at least three months.
Fibromyalgia is diagnosed with a careful history, a physical examination, as well as a symptom questionnaire based on the diagnostic criteria, and appropriate blood tests to exclude other or diagnose coexisting conditions.
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.
Your GP will usually be able to diagnose fibromyalgia based on your symptoms, and by ruling out other potential causes for your pain. They'll ask you about your symptoms, your general health, and your medical and family history.
Fibromyalgia tender points tend to be symmetrical in the body. They are located both above and below the waist around the neck, chest, shoulders, hips, and knees. The tender point should cause pain in that exact area when the doctor presses on it with enough force to turn their fingernail white.
It should be considered when a patient describes chronic musculoskeletal pain, fatigue and poor sleep. These symptoms are usually accompanied by a number of other problems such as depression or anxiety, sensitivity to chemicals, irritable bowel or restless legs.
Unfortunately, fibromyalgia is still a somewhat controversial diagnosis, because it is not yet fully understood and its symptoms can overlap with many other conditions. Some people even say that it's a “garbage can” diagnosis that's only given when no other one can be made.
Fibromyalgia is often triggered by an event that causes physical stress or emotional (psychological) stress. Possible triggers include: a serious injury, such as after a car accident. an infection, such as Epstein-Barr virus or Lyme disease.
Common Medications for Fibromyalgia
Duloxetine (Cymbalta), milnacipran (Savella) and pregabalin (Lyrica) are FDA-approved to specifically treat fibromyalgia.
However, two new blood tests are proving to be promising diagnostic tools for fibromyalgia. Cytokines and chemokines are proteins found in blood cells. Abnormally low levels of these proteins have been linked to fibromyalgia. An innovative blood test can determine the level of cytokines and chemokines in the blood.
In people with fibromyalgia blood tests fail to show any serious abnormalities. CT and MRI scans looking for abnormalities affecting the brain, spinal cord or nerves are normal or inconsistent with the persons symptoms.
Results: There were four parent stages of FM identified and labeled: 1) regional FM with classic symptoms; 2) generalized FM with increasing widespread pain and some additional symptoms; 3) FM with advanced and associated conditions, increasing widespread pain, increased sleep disturbances, and chemical sensitivity; ...
The main symptoms of fibromyalgia are: Chronic, widespread pain throughout the body or at multiple sites. Pain is often felt in the arms, legs, head, chest, abdomen, back, and buttocks. People often describe it as aching, burning, or throbbing.
The central feature of fibromyalgia is chronic pain in multiple sites. These sites are the head, each arm, the chest, the abdomen, each leg, the upper back and spine, and the lower back and spine (including the buttocks). The pain may be mild to severe. It may feel like a deep ache, or a stabbing, burning pain.
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. Most rheumatic diseases are treated with medication and physical therapy.
A major risk of leaving fibromyalgia untreated is that symptoms such as chronic pain, fatigue, headaches, and depression can become excruciatingly worse over time. Fibromyalgia also has a huge impact on mental health and anxiety and mood disorders can also worsen if you don't treat fibromyalgia.
Key Differences Between MS and Fibromyalgia
MS is an autoimmune disease caused by a problem within the immune system that causes damage to the layer covering the nerves. Fibromyalgia is thought to be caused by abnormal levels of chemicals in the brain.
The drugs amitriptyline, duloxetine, milnacipran and pregabalin can relieve fibromyalgia pain in some people. They may cause side effects such as a dry mouth or nausea. Normal painkillers like ibuprofen or acetaminophen (paracetamol) aren't recommended for the treatment of fibromyalgia.
Fibromyalgia can make you extremely sensitive to pain all over your body, and you may find that even the slightest touch is painful. If you hurt yourself, such as stubbing your toe, the pain may continue for much longer than it normally would.
Summary. Research has uncovered evidence that FM is an autoimmune disease. Neuroinflammation and small-fiber neuropathy appear to be important elements of it. Autoantibodies could provide diagnostic markers for FM.
A fibromyalgia attack is also known as a flare-up. An attack can come on suddenly and cause mild to severe pain. These attacks may cause aching, burning, throbbing, or stabbing.