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.
Doctors describe fibromyalgia as a chronic neurological condition and often see patients complain of joint pain, irritation and inflammation. Sufferers can find it difficult to sleep yet feel completely exhausted all the time.
Rheumatologists are internists who specialize in treating arthritis and diseases of the joints, muscles, and soft tissues. Rheumatologists, arguably more than any other physician, closely follow fibromyalgia developments and will likely have the best knowledge base on the condition.
Today, both rheumatologists and neurologists treat fibromyalgia.
Summary. Research has uncovered evidence that FM is an autoimmune disease.
Multiple Sclerosis
On the surface, some of the symptoms of MS and those of fibromyalgia are similar: brain fog, fatigue, insomnia, and pain. Other symptoms of MS are very different from those that occur in fibro, including blurred vision, unsteady gait, lack of balance, tremors, and slurred speech.
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.
There is no widely accepted medical test to diagnose fibromyalgia. Instead, diagnostic tests are performed to see if another condition could be causing the symptoms. Blood tests are usually ordered to rule out conditions with similar symptoms.
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.
It's unlikely that you'll need an MRI for a diagnosis of fibromyalgia or chronic fatigue syndrome unless your particular set of symptoms is similar to that of a neurological illness that requires evaluation with an MRI. You may also need an MRI at some point to diagnose an injury or a different illness.
Since fibromyalgia symptoms include pain, sleep disturbances, mood disorders and/or fatigue, rheumatologists will work with the patients to promote self-care to help manage and minimize their symptoms.
The FDA approved a laser therapy device called FibroLux to treat fibromyalgia. Fibromyalgia is characterized by joint and muscle pain. FibroLux can reduce pain by delivering light to cells, increasing energy production, and healing cells.
Duloxetine (Cymbalta) and milnacipran (Savella) may help ease the pain and fatigue associated with fibromyalgia. Your doctor may prescribe amitriptyline or the muscle relaxant cyclobenzaprine to help promote sleep. Anti-seizure drugs.
They can both take a long time to get the right diagnosis. They're both more common in women. But fibromyalgia — often called “fibro” — and multiple sclerosis (MS) are two very distinct health conditions with very different causes and treatments, despite having some features in common.
Researchers found that fibromyalgia, a condition involving widespread musculoskeletal pain, was more than three times as common in people who were later diagnosed with MS.
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.
The symptoms can be similar, but people with fibromyalgia are more likely to experience depression, irritable bowel syndrome, and widespread, persistent pain. Symptoms more common with MS include weakness, vision problems, muscle spasms, and bowel or bladder issues.
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.
These cognitive difficulties — called fibro fog — are common: Research suggests more than half of people with fibromyalgia show a decline in memory and clear thinking. When you have fibro fog, it can cause you to be in a state of confusion that you don't even know you're in, CreakyJoints member Joan W.
The central nervous system (brain, spinal cord and nerves) transmits information all over your body through a network of specialised cells. Changes in the way this system works may explain why fibromyalgia results in constant feelings of, and extreme sensitivity to, pain.
The Widespread Pain Index is used in conjunction with the Symptom Severity Scale as a diagnostic measure for fibromyalgia. A fibromyalgia diagnosis is confirmed if a WPI is ≥7 with an SS scale ≥5 OR a WPI range between 4‒6 with an SS scale ≥ 9.
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; ...
Although numerous studies have shown that fibromyalgia is not an autoimmune disease (conditions such as rheumatoid arthritis, whereby the body attacks healthy tissues), reliable research concurs that this condition does weaken your immune system by causing various abnormalities and irregularities.
As a result, patients with fibromyalgia may lose their ability to walk faster or their capacity to maintain balance while standing as their gait changes, according to a study published in Frontiers in Human Science. They may also have difficulty moving about due to pain and stiffness.