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.
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.
Fibromyalgia Symptoms and Diagnosis
In all, physicians failed to correctly diagnose 60 (49.6 percent) of those who met the ACR criteria for fibromyalgia. They also incorrectly diagnosed 43 individuals (11.4 percent) with the condition even though they didn't meet the ACR criteria.
Fibromyalgia can occur at any age, but polymyalgia rarely occurs before age 50. The average age of onset is 70. And whereas fibromyalgia is chronic, often lasting a lifetime, polymyalgia usually resolves itself within two years.
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.
Polymyalgia rheumatica (PMR) is a condition that causes pain, stiffness and inflammation in the muscles around the shoulders, neck and hips. The main symptom is muscle stiffness in the morning that lasts longer than 45 minutes. It may also cause other symptoms, including: high temperature (fever) and sweating.
There is no specific test, such as blood work or imaging procedures that can be used to make the diagnosis of fibromyalgia.
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.
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. The GP will ask you how your symptoms are affecting your daily life.
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.
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.
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.
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 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.
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.
Fibromyalgia is often debilitating due to pain that can interfere with a patient's life. For example, many individuals report trouble sleeping, which can lead to exhaustion and fatigue. Feeling tired and in pain on a routine basis also can negatively impact mental health, leading to issues such as depression.
The signs and symptoms of polymyalgia rheumatica usually occur on both sides of the body and might include: Aches or pain in your shoulders. Aches or pain in your neck, upper arms, buttocks, hips or thighs.
The most common symptom of polymyalgia rheumatica (PMR) is pain and stiffness in the shoulders, neck and hips, which develops quickly over a few days or weeks. Both sides of the body are usually affected. The stiffness is often worse first thing in the morning after you wake up.
Steroid medicine is the main treatment for polymyalgia rheumatica (PMR). A type of steroid called prednisolone is usually prescribed.
The key is to use the correct forms of magnesium. The best is magnesium taurate or magnesium malate for fibromyalgia. These typically offer the most efficient absorption. Magnesium citrate, which is the most commonly found is a good laxative but not for maximum absorption.
The most helpful treatment approach for fibromyalgia is a combination of self-care, physical activity and cognitive-behavioral therapy. But medication may also be needed. Many drugs prescribed for fibromyalgia work to turn down “pain volume” in the central nervous system (CNS).