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.
Polymyalgia is considered to be an autoimmune disease. Autoimmune disorders cause the body to attack healthy tissue by mistake. Fibromyalgia pain is thought to be caused by overactive nerves that make the body perceive pain despite there being no physical injury.
Muscle inflammation (myositis) or muscle disease due to metabolic abnormalities (metabolic myopathy) – These conditions cause muscle fatigue and weakness, but not the widespread pain seen in fibromyalgia. In addition, patients with myositis typically have abnormal levels of muscle enzymes.
Unfortunately, fibromyalgia is still a somewhat controversial diagnosis, because it is not yet fully understood and its symptoms can overlap with many other conditions.
Many symptoms of fibromyalgia are similar to those of other conditions, such as rheumatoid arthritis, Sjögren's syndrome (sher-grenz sin-drome) and an underactive thyroid gland. Some people may be diagnosed and treated for one of these other conditions.
While MS and fibro may have some symptoms in common, they are ultimately distinct conditions with very different causes and treatments.
Fibromyalgia has long presented a puzzle for doctors. It's considered a syndrome—a collection of related symptoms and problems without an identifiable cause—rather than a disease. Those related symptoms include: Chronic widespread pain, often accompanied by numbness, tingling, and burning.
“They don't tell you about the emotions you will have to deal with every single day, the grief for the person you used to be, the guilt you'll feel every time you let someone down and cancel plans, the fear of the future and the feeling of being a burden to your family.
If you have fibromyalgia, one of the main symptoms is likely to be widespread pain. This may be felt throughout your body, but could be worse in particular areas, such as your back or neck. The pain is likely to be continuous, although it may be better or more severe at different times.
The central nervous system (brain, spinal cord and nerves) transmits information all over your body through a network of specialised cells. Changes in the way this system works may explain why fibromyalgia results in constant feelings of, and extreme sensitivity to, 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.
Fibromyalgia tends to run in families, so genetic factors are likely to contribute to the disorder, but little is known for sure about the specific genes involved. Researchers believe that environmental (nongenetic) factors also play a role in a person's risk of developing the disorder.
We are often asked, “is polymyalgia rheumatica a disability?” Polymyalgia rheumatica is considered a disability if your symptoms and limitations are severe enough to prevent you from working. If so, you can file a claim for disability benefits for polymyalgia rheumatica.
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.
Of the 497 people who completed the questionnaires, 121 (24.3 percent) had fibromyalgia, based on the ACR criteria. But only 104 (20.9 percent) were actually diagnosed with the condition by a physician. In all, physicians failed to correctly diagnose 60 (49.6 percent) of those who met the ACR criteria for fibromyalgia.
A simple way to explain the physiology of fibromyalgia is: My brain and nerves are hypersensitive and over-react to pain and all sorts of other things, and my hormones and immune system are messed up, too.
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 Department for Work and Pensions (DWP) recognises Fibromyalgia as a real and potentially significantly disabling condition. Where a clinical diagnosis of Fibromyalgia has been made full account will be taken of its functional effects when determining benefit entitlement.
Caffeine, heavy meals, and alcohol should be avoided before bedtime. Individuals should go to bed around the same time each night and get up at the same time each morning, even on weekends or after a sleepless night. Exposure to light should be minimized before bedtime.
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).