Rheumatologists, who specialize in arthritis and other diseases of the bones, joints, and muscles. Fibromyalgia is not a form of arthritis, nor does it damage the bones, joints, or muscles, but rheumatologists usually treat it because the symptoms are similar to those of arthritis.
A family practice physician, internist, or rheumatologist can diagnose fibromyalgia. In some cases, the patient is referred to a rheumatologist for a diagnosis after being examined by a family practice physician or internist.
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.
There are no blood tests, x-rays or scans that can test for fibromyalgia. Your doctor or rheumatologist (arthritis specialist) will look for a number of features that are typical of fibromyalgia to diagnose the condition.
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.
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.
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.
Financial help for fibromyalgia comes in two main forms in Australia. Disability Support Pensions and TPD insurance claims from your super policy can each give you assistance. It's possible to qualify for both!
How does the FM/a ® fibromyalgia test work? The FM/a ® Test analyzes your immune system's white blood cells for their chemokine and cytokine protein patterns. Those who suffer from fibromyalgia will show an abnormal pattern of these protective proteins. The degree of abnormality is scored from 1 to 100.
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.
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.
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.
Calculating the WPI score
Tick the areas where you have had chronic pain for 3 months or longer. A diagnosis requires widespread pain >3 months duration with currently either i) widespread pain index (WPI) ≥7 and symptom severity scale (SSS) score ≥5, or ii) WPI 4–6 and SSS score ≥9, with pain in 4/5 body regions.
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.
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.
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.
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.
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 large-scale studies are still needed to confirm their effectiveness, the newest FDA-approved treatments for fibromyalgia include Quell and milnacipran. Quell is an over-the-counter transcutaneous electrical nerve stimulator intended to be used for pain relief.
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.
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.
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.