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.
But despite some similarities, “for the most part, there is no mistaking symptoms of MS with fibromyalgia,” says Philip Cohen, MD, a rheumatologist, professor of medicine and professor of microbiology and immunology at the Lewis Katz School of Medicine at Temple University in Philadelphia.
Fibromyalgia — commonly referred to as “fibro” — and MS have a number of similarities. Both present with vague symptoms like brain fog, depression, fatigue, and trouble concentrating. Both conditions more commonly affect women. Both are ongoing, or chronic, ailments.
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.
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 tender points tend to be symmetrical in the body. They are located both above and below the waist around the neck, chest, shoulders, hips, and knees. The tender point should cause pain in that exact area when the doctor presses on it with enough force to turn their fingernail white.
Migraines are one of the most common mimicker diseases that can be misdiagnosed for MS. Migraine causes intense throbbing headaches, light sensitivity, and nausea. Many migraine sufferers have also experienced blurred vision similar to the kind caused by optic neuritis in MS patients.
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.
Some conditions that doctors may commonly misdiagnose as MS include migraine, RIS, spondylopathy, and neuropathy. To accurately diagnose MS, doctors must rule out conditions with similar symptoms and look for signs and symptoms specific to MS. As such, the process of diagnosing MS may be lengthy and complex.
What Does MS Feels Like? 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. It tends to go away on its own.
How long can MS go undiagnosed? MS is usually diagnosed between the ages of 20 and 50, but it can go undetected for years. In fact, a 2021 study suggested that many people with MS experience disease symptoms several years before being officially diagnosed with the disease.
Blood Tests: Currently, there are no definitive blood tests for diagnosing MS, but they can be used to rule out other conditions that may mimic MS symptoms, including Lyme disease, collagen-vascular diseases, rare hereditary disorders and acquired immune deficiency syndrome (AIDS).
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.
Other researchers believe fibromyalgia is caused by a lack of deep sleep. It is during stage 4 sleep that muscles recover from the prior day's activity, and the body refreshes itself. Sleep studies show that as people with fibromyalgia enter stage 4 sleep, they become more aroused and stay in a lighter form of sleep.
Previous studies have observed that fibromyalgia women display a reduced walking speed, which could be a consequence of decreases in stride length and cycle frequency, as well as bradykinesia (Auvinet et al., 2006; Heredia Jiménez et al., 2009).
Nail problems are common, and they are not usually serious. If a person has multiple sclerosis (MS), nail problems can cause pain or discomfort. While nail issues are not directly related to the disease, determining the cause may help prevent a person with MS from experiencing further discomfort.
a full neurological examination. MRI scans of the brain, spine or both to look for MS plaques. a spinal tap to look for signs of inflammation and certain immune proteins that are often present in people with MS. blood tests to rule out other disorders.
The pain most often affects the muscles and the points where muscles attach to bones. These are the ligaments and tendons. Pain may start in 1 part of your body, such as your neck and shoulders. But any part of the body may be affected.
Fibromyalgia is diagnosed with a careful history, a physical examination, as well as a symptom questionnaire based on the diagnostic criteria, and appropriate blood tests to exclude other or diagnose coexisting conditions.
Tricyclic antidepressants (TCAs) – These drugs are often used first in treating fibromyalgia. Examples include amitriptyline and nortriptyline. Cyclobenzaprine, a closely related medication, may help in treating fibromyalgia but is not effective for depression.