While MS and fibro may have some symptoms in common, they are ultimately distinct conditions with very different causes and treatments. Fibromyalgia and multiple sclerosis are both chronic diseases with no cure. Fibromyalgia and multiple sclerosis can both cause some of the same symptoms.
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.
Certain autoimmune diseases.
You have a slightly higher risk of developing MS if you have other autoimmune disorders such as thyroid disease, pernicious anemia, psoriasis, type 1 diabetes or inflammatory bowel disease.
Neuromyelitis Optica Spectrum Disorder (NMOSD)
NMOSD is an inflammatory disease that, like multiple sclerosis, attacks the myelin sheaths — the protective covering of the nerve fibers — of the optic nerves and spinal cord, says Conway. But unlike MS, it usually spares the brain in its early stages.
The early signs and symptoms of MS can be the same for women and men. One of the more obvious first signs of MS is a problem with vision, known as optic neuritis. This is often because it's a more concrete symptom as opposed to vaguer neurological symptoms like numbness and tingling.
Some of the most common early signs are: fatigue (a kind of exhaustion which is out of all proportion to the task undertaken) stumbling more than before. unusual feelings in the skin (such as pins and needles or numbness)
Here's where MS (typically) starts
Although a number of MS symptoms can appear early on, two stand out as occurring more often than others: Optic neuritis, or inflammation of the optic nerve, is usually the most common, Shoemaker says. You may experience eye pain, blurred vision and headache.
Extreme sensitivity. Fibromyalgia can make you extremely sensitive to pain all over your body, and you may find that even the slightest touch is painful. If you hurt yourself, such as stubbing your toe, the pain may continue for much longer than it normally would.
Fibromyalgia may also be comorbid with hypothyroidism4 and chronic autoimmune diseases such as rheumatoid arthritis and systemic lupus erythematosus.
It means that an MRI may help both with diagnosing fibromyalgia, as well as the identification of the individual patient's unique subtype of the syndrome. This level of detail will potentially help doctors create more customized treatment plans for their fibromyalgia patients.
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.
Many neurologists have an understanding of fibromyalgia, but like rheumatologists, they're not all familiar with it. The pain from fibromyalgia is what typically prompts people to visit a neurologist, and this specialist may prescribe medications to control your pain.
There are no specific tests for MS . Instead, a diagnosis of multiple sclerosis often relies on ruling out other conditions that might produce similar signs and symptoms, known as a differential diagnosis. Your doctor is likely to start with a thorough medical history and examination.
While there is no definitive blood test for MS, blood tests can rule out other conditions that cause symptoms similar to those of MS, including lupus erythematosus, Sjogren's syndrome, vitamin and mineral deficiencies, some infections and rare hereditary diseases.
Neurological examination
Your neurologist will look for abnormalities, changes or weakness in your vision, eye movements, hand or leg strength, balance and co-ordination, speech and reflexes. These may show whether your nerves are damaged in a way that might suggest MS.
A lack of feeling or a pins-and-needles sensation can be the first sign of nerve damage from MS. It usually happens in your face, arms, or legs, and on one side of your body.
Characteristics of the MS gait pattern
You may walk more slowly, with shorter steps. You may lack in confidence when you walk – leading to hesitation and stumbling. You might feel unsteady when turning or walking. You might find placing your foot on the ground difficult.
Multiple sclerosis is caused by your immune system mistakenly attacking the brain and nerves. It's not clear why this happens but it may be a combination of genetic and environmental factors.
In fact, many years ago the “hot bath” test was used to diagnose multiple sclerosis. A person suspected of having MS was immersed in a hot tub of water, and the appearance of or worsening neurologic symptoms was taken as evidence the person had MS.
High doses of other vitamins can antagonize your immune-modulating, immunosuppressive therapies used to manage MS. Supplements that stimulate the immune system should be avoided in high doses. Those include selenium, zinc, B1, B2, folic acid, B6, vitamin A, biotin, magnesium, copper, and manganese.