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.
There are no lab tests that can diagnose fibromyalgia. However, because many other conditions have symptoms similar to those or fibromyalgia, your doctor may order tests to rule out other causes of your symptoms.
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.
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.
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.
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.
Duloxetine (Cymbalta), milnacipran (Savella) and pregabalin (Lyrica) are FDA-approved to specifically treat fibromyalgia.
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.
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.
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.
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; ...
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.
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.
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.
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.
Although several classes of medications, such as antidepressants, are useful for treating fibromyalgia pain and other associated symptoms, nonpharmacologic treatments such as exercise, mindfulness techniques, acupuncture, and others have been shown to be equally effective—if not more effective—options.
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.
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.
There's no cure for fibromyalgia, but your healthcare provider will help you find a combination of treatments that relieve your symptoms. Even though experts don't know what causes fibromyalgia, it's real — and so are your symptoms. They might come and go or be hard to describe, but how you feel is valid and important.
Fibromyalgia is a condition that causes pain in muscles and soft tissues all over the body. It is an ongoing (chronic) condition. It can affect your neck, shoulders, back, chest, hips, buttocks, arms, and legs. The pain may be worse in the morning and evening.
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.
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.