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A 43-year-old female asked:

what are the differences between fibromyalgia and ms?

3 doctor answers6 doctors weighed in
Dr. Martin Morell
Rheumatology 29 years experience
In MS: The immune system attacks the central nervous system leading to weakness and other complications in fm, the ascending sensory fibers have been transformed (phenotypically) after injury or trauma (sometimes genetics) causing increase sensitivity to stimuli. These chronic input lead to changes in certain areas of your brain, explaining most symptoms of fm.
Dr. Bennett Machanic
Neurology 52 years experience
Major differences: Almost nothing in common other than "pain". MS is an autoimmune disorder attacking nerve coverings in brain, spinal cord, and eyes. Fibromyalgia affects superficial soft tissues and spares nerve structures
Dr. Martin Morell
Rheumatology 29 years experience
But there is a phenotype change that occurs to spinothalamic nerve cells (and other tracts) were cells increase output to an oncoming signal. Multiple neurotransmmiters involved. This happens when acute pain is not extinguished properly.
May 17, 2014
Dr. Olav Jaren
Neurology 19 years experience
MS v FM: MS is an illness in which there are lesions in the brain, spinal cord and optic nerves. Fibromylagia (FM) is a condition in which there is muscle and bone area pain, fatigue, and issues with sleep, mood and memory. There are no lesions in the brain, spinal cord, or optic nerves in FM. The causes of each are not known.
Dr. Martin Morell
Rheumatology 29 years experience
In FM, the changes are not microscopic (MRI can pick) but are at the molecular level, the tangible evidence on fMRI is atrophy and shrinkage of up to 7% in several midbrain areas and altered nerve firing patterns.
Nov 5, 2014

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A 21-year-old member asked:

How can I be sure its fms and not something else?

3 doctor answers8 doctors weighed in
Dr. Betty Keller
Rheumatology 35 years experience
Get Evaluated: Get evaluated, a complete history and physical exam, in addition tests will be ordered to rule out other causes for your symptoms.
A 21-year-old member asked:

Is there a way to tell if my doctor really knows anything about fms?

3 doctor answers4 doctors weighed in
Dr. Betty Keller
Rheumatology 35 years experience
Talk With Them: There are many doctors who have a lot of experience in treating fibromyalgia. Some primary care have a special interest as well as some specialist, including rheumatologist, pain management, and physiatrist.
A 21-year-old member asked:

Can I ignore new symptoms if theyre on the "typical" list for fms?

3 doctor answers11 doctors weighed in
Dr. Keith Rafal
Physical Medicine and Rehabilitation 39 years experience
Do not assume: Any new symptom that is not typical for you should be discussed with your physician. Since fibromyalgia shares many common symptoms with other medical conditions, you can not assume that a new symptom is caused by fms.
A 29-year-old member asked:

What are the symptom difference between fibromyalgia or ms?

2 doctor answers5 doctors weighed in
Dr. Jay Rosenfeld
A Verified Doctoranswered
A US doctor answeredLearn more
Many: The symptoms of ms and fibromyalgia are usually quite different. Ms symptoms include eye inflammation, limb weakness and spasticity, various types of nerve pain, walking problems and problems with the bowels and bladder among others. Fibromyalgia is more of widespread pain problem without neurological findings.
A 49-year-old female asked:

Is there a big difference between MS and fibromyalgia? I have been diagnosed with.Fma but wonder about MS .

2 doctor answers4 doctors weighed in
Dr. Ronald Krauser
A Verified Doctoranswered
A US doctor answeredLearn more
Major difference: Ms is a neurologic disorder while fm is basically one or pain and fatigue with a normal neurologic exam. The MRI in fm is normal.

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Last updated Nov 28, 2017

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