Fibromyalgia Diagnostic

Fibromyalgia diagnostic

     It is recommended to see the doctor if a patient has the following symptoms for more than 6 weeks without an obvious cause. These may be signs of fibromyalgia, especially if they came gradually:

  • Diffuse muscle pain and muscle tenderness, symmetrically above and below the waist
  • Trouble sleeping (it twists and wakes often during sleep) and feeling tired on awakening
  • Stiff muscles and joints are not relieved with movement time.

     Patients with fibromyalgia should be monitored to prevent depression. This can be successfully treated if the doctor is aware of the possible appearance. Not every doctor makes it easy to put a fibromyalgia diagnosis and treat fibromyalgia because this disease is still not well defined as a medical problem.

     It is recommended a doctor sensitized to the symptoms associated to fibromyalgia, constant pain, fatigue and others. Most experienced physicians in the treatment of fibromyalgia are:

  • The rheumatologist doctor
  • Doctors, specialists in pain management.

     Other doctors that are able to help the patient with fibromyalgia are:

  • Family physicians
  • Doctors Internist
  • Physiotherapists

     Pain management programs can help. This usually includes a team of doctors, counselors, nurses and pharmacists who can help the patient in discovering a strategy for addressing pain. Program staff may include medication, complementary therapy, diet, exercise and counseling.

     The sensation of pain is normal after an overload of the muscles. This pain goes after a few days. If the patient was injured and muscle or joint pain does not get better within a few days, it is recommended an expert advice.

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Criteria of fibromyalgia diagnostic:

     Fibromyalgia is a syndrome difficult to diagnose and there are no specific tests to confirm the diagnosis. It is often diagnosed when other diseases are out of the question, which have similar symptoms, through laboratory examination.

     The criteria used to fibromyalgia diagnostic are:

  • Pain for at least 3 months
  • Pain and tenderness to pressure in 11 or more of the 18 sensitive points. Some people have less than 11 points but remain sensitive to observation with fibromyalgia
  • Presence of other symptoms typical to fibromyalgia as stiff, fatigue or sleep disturbances. These may worsen with the increasing of stress, anxiety, effort or once with the weather changes.

     The criteria are most effective in clinical studies, where specific measures are required for the symptoms, for example, to assess treatment effects in the study. In the case of patients and physicians in a small frame, a cabinet, the diagnosis is rarely clearly outlined. Many person for whom the fibromyalgia diagnostic and treatment could be easy, do not present these criteria. By its nature, fibromyalgia is a syndrome difficult to define, with multiple symptoms, varying from person to person. Currently, fibromyalgia can not be prevented or treated. Prompt treatment of symptoms can help prevent a flare.

Laboratory studies and procedure of fibromyalgia diagnostic

     There are some laboratory studies to help fibromyalgia diagnostic:

  • patients do not have significant abnormalities or characteristic of fibromyalgia
  • laboratory studies are important to exclude other diagnoses
  • it is performed the complete blood counts, urine analysis the thyroid-stimulating hormone is evaluated; hypothyroidism presents features of fibromyalgia, especially diffuse pain and fatigue
  • creatine phosphokinase- excludes the inflammatory myopathy
  • erythrocyte- sedimentation rate is normal in fibromyalgia
  • nuclear antibodies, many patients with erythematosus lupus have also fibromyalgia
  • rheumatoid factor- many patients with rheumatoid arthritis have also fibromyalgia.

     There are some procedures performed in order to establish a fibromyalgia diagnostic:

  • The evaluation of sleep. If sleep does not improve with conservative measures (removal of caffeine, administration of hypnotics) it is indicated the evaluation of sleep disorders.
  • Dolometria. It is a technique of algometry using the pressure for the simple determining of the pressional pain on 4 specific points associated with fibromyalgia. It is useful for diagnosis and guiding therapy.
  • Psychometric testing includes various questionnaires and inventories of pain and pain tolerance of the individual.

     The differential fibromyalgia diagnosis is made with the following diseases: Addison's disease, anxiety, Cushing syndrome, depression, endometriosis, insomnia, irritable bowel syndrome, opioid abuse, personality disorders, polymyositis, poststress disorders, rheumatoid arthritis, Sjogren syndrome, lupus erythematosus, hyperparathyroidism, hypochondriasis, hypothyroidism, cephalic migraine.

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