A Answers (4)
Honor Society of Nursing (STTI) answeredThere are no diagnostic tests for fibromyalgia. A doctor makes the diagnosis based on your symptoms. So the first step in knowing for sure if you have fibromyalgia is to talk with your doctor or healthcare provider. Symptoms of fibromyalgia include widespread muscle pain that lasts for more than three months, increased sensitivity to pain, sleep disturbances, morning stiffness, cognitive problems, depression, anxiety, and tension headaches. If you have any of these symptoms, it is important to talk with your doctor to get a diagnosis and move forward with treatment.
Mehmet Oz, MD, Cardiology, answeredFibromyalgia can be a frustrating condition to diagnose. It has symptoms that overlap with other conditions, and there are no definitive blood or laboratory tests to confirm it. Instead, doctors familiar with fibromyalgia make a diagnosis based on criteria established by the American College of Rheumatology (ACR). According to the ACR, someone is living with fibromyalgia if he or she:
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- experiences pain in several specific areas of the body that has lasted longer than three months
- is bothered by symptoms like fatigue, trouble sleeping and difficulty thinking clearly
Pfizer LYRICA™ (pregabalin) Team answeredThere’s only one way to know if your pain is from fibromyalgia: ask a doctor.
There are guidelines that can be very helpful in the diagnosis of fibromyalgia. In 1990, the American College of Rheumatology published the following criteria:
- Widespread pain above and below the waist, on both the right and left sides of your body, and in the axial skeleton (your skull, spine, rib cage, and the bones in your throat and ears) for at least 3 months
- Tenderness or pain in 11 of the 18 “tender points” on your body
In 2010, the American College of Rheumatology published a new set of preliminary guidelines. These guidelines include a widespread pain index that assesses the number of painful body regions, and a scale that assesses the severity of symptoms such as fatigue, sleep problems, comprehension problems, and others in the body.
By using one or both of these sets of guidelines, along with tests to rule out other conditions, it is possible for your doctor to make a fibromyalgia diagnosis. So if you think you may have fibromyalgia, talk to your doctor about what steps you can take toward an accurate diagnosis.
If you are experiencing chronic widespread pain and tenderness and are diagnosed with fibromyalgia, talk to your doctor about your treatment options. Prescription treatment, such as LYRICA, is one option you and your doctor may consider to help relieve fibromyalgia pain. In clinical studies, LYRICA was proven to provide significant relief from fibromyalgia pain compared with a placebo, so patients felt better and could do more.*
*Individual results may vary.
This answer is sponsored by Pfizer. Any other answer is the responsibility of the party posting it. Any product information provided is intended only for residents of the U.S. Products may have different labeling in different countries.Please scroll for LYRICA™ indication.
Important Safety Information (ISI)
LYRICA is not for everyone. LYRICA may cause serious, even life threatening, allergic reactions. Stop taking LYRICA and call your doctor right away if you have any signs of a serious allergic reaction. Some signs are swelling of your face, mouth, lips, gums, tongue, throat or neck, or if you have any trouble breathing, or have a rash, hives or blisters.
Drugs used to treat seizures increase the risk of suicidal thoughts or behavior. LYRICA may cause suicidal thoughts or actions in a very small number of people, about 1 in 500. Patients, family members or caregivers should call the doctor right away if they notice suicidal thoughts or actions, thoughts of self harm, or any unusual changes in mood or behavior. These changes may include new or worsening depression, anxiety, restlessness, trouble sleeping, panic attacks, anger, irritability, agitation, aggression, dangerous impulses or violence, or extreme increases in activity or talking. If you have suicidal thoughts or actions, do not stop LYRICA without first talking to your doctor.
LYRICA may cause swelling of your hands, legs and feet, which can be serious for people with heart problems. LYRICA may cause dizziness and sleepiness. You should not drive or work with machines until you know how LYRICA affects you. Also, tell your doctor right away about muscle pain or problems along with feeling sick and feverish, or any changes in your eyesight including blurry vision, or if you have any kidney problems or get dialysis.
Some of the most common side effects of LYRICA are dizziness, blurry vision, weight gain, sleepiness, trouble concentrating, swelling of your hands and feet, dry mouth, and feeling “high.” If you have diabetes, tell your doctor about any skin sores.
You may have a higher chance for swelling and hives if you are also taking angiotensin converting enzyme (ACE) inhibitors so tell your doctor if you are taking these medications. You may have a higher chance of swelling of your hands or feet or gaining weight if you are also taking certain diabetes medicines. Do not drink alcohol while on LYRICA. You may have a higher chance for dizziness and sleepiness if you take LYRICA with alcohol, narcotic pain medicines, or medicines for anxiety.
Before you start LYRICA, tell your doctor if you are planning to father a child, or if you are pregnant, plan to become pregnant, or are breast-feeding. If you have had a drug or alcohol problem, you may be more likely to misuse LYRICA.
In studies, a specific type of blood vessel tumor was seen in mice, but not in rats. The meaning of these findings in humans is not known.
Do not stop taking LYRICA without talking to your doctor. If you stop suddenly you may have headaches, nausea, diarrhea, trouble sleeping, increased sweating, or you may feel anxious. If you have epilepsy, you may have seizures more often.
LYRICA is indicated to treat fibromyalgia, diabetic nerve pain, spinal cord injury nerve pain, and pain after shingles. LYRICA is also indicated to treat partial onset seizures in adults with epilepsy who take 1 or more drugs for seizures.
Dawn Marcus, Neurology, answeredYou should be able to determine whether you may have fibromyalgia by completing the short London Epidemiology Study Screening Questionnaire below.
Answer these questions about your symptoms over the past 3 months.
- Have you had pain in muscles, bones, or joints lasting at least 1 week? -- Yes/No
- Have you had pain in your shoulders, arms, or hands? On which side? Right, left, or both? -- Yes/No
- Have you had pain in your legs or feet? On which side? Right, left, or both? -- Yes/No
- Have you had pain in your neck, chest, or back? -- Yes/No
Do you often feel tired or fatigued? -- Yes/No
Does tiredness or fatigue significantly limit your activities? -- Yes/No
If you answered "yes" to both fatigue questions, you probably have chronic, debilitating fatigue. This can be part of fibromyalgia.
Find out more about this book:The Woman's Fibromyalgia Toolkit: Manage Your Symptoms and Take Control of Your Life