Question

Fibromyalgia Diagnosis

How can I help my doctor diagnose fibromyalgia?

A Answers (2)

  • To help your doctor diagnose fibromyalgia, keep track of and report all of your symptoms. Note any changes in your symptoms as sometimes symptoms come and go. Ask questions while your doctor tests you for other illnesses to eliminate them as the source of your pain.  Make sure that your doctor is knowledgeable about fibromyalgia.   Your doctor should be open and honest with you about your condition and treatment.
  • ACeleste Cooper, Rheumatology, answered

    Talk with your doctor if any of the following symptoms have lasted more than three months.

    • Widespread pain, ck presence of myofascial trigger points (MTrPs).
    • Anxiety and/or depression
    • Sleep disturbance, could be an autoimmune disorder, Hashimoto’s
    • Morning stiffness, ck presence of MTrPs.
    • Fatigue
    • Bladder difficulties, pelvic floor dysfunction, treated w/ intravaginal trigger point injections by uro-gyenocologist
    • Bowel habits altered (IBS, diarrhea, constipation, cramping, bloating, leaky gut syndrome or small intestine bacterial overgrowth).
    • Chemical sensitivity
    • Chest wall pain, ck MTrPs
    • Cognitive disturbances, primary or comorbid hypothyroidism
    • Cold intolerance, primary or comorbid hypothyroidism or Raynaud’s
    • Dizziness, MTrPs  close to vital organs or vessels can cause dizziness, or comorbid nuerally mediated hypotension or postural orthostatic tachycardia
    • Dry eyes and mouth, primary,metabolic, or autoimmune Sjogrens, Hashi
    • Gynecological disturbances, See bladder difficulties
    • Headaches, MTrPs have been implicated
    • Impaired coordination, ck MTrPs
    • Irritability or mood changes
    • Jaw pain, secondary to TMJ, bruxism (teeth grinding), which exacerbate MTrPs
    • Paresthesias, numbness, ck MTrPs in muscles close to major nerves
    • Photophobia (sensitivity to light)
    • Raynaud’s syndrome
    • Restless leg syndrome (RLS) and/or periodic limb movement (PLM), has central and peripheral component, it is possible that MTrPs are keeping the brain in wind-up
    • Ringing in the ears, could have myofascial component
    • Sensitivity, to odors, noise
    • Skin sensitivities and rashes
    • Subjective swelling
    • Visual problems, could have a myofascial component or be related to a comorbid condition

    Answers based on the work in Integrative Therapies for Fibromyalgia, Chronic Fatigue Syndrome, and Myofascial Pain: The Mind-Body Connection by Celeste Cooper, RN, and Jeff Miller, PhD. 2010, Vermont: Healing Arts press

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