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Doctor insights on: Fibromyalgia

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Dr. Jay Rosenfeld
1,167 doctors shared insights

Fibromyalgia (Definition)

Widespread pain and tenderness on palpation of specific muscle points, associated with variety of other symptoms that include fatigue, sleep disturbances, depression, anxiety, cognitive dysfunction and others.

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What is fibromyalgia syndrome?

What is fibromyalgia syndrome?

Fibromyalgia: Fm is a common syndrome associated w/widespread pain; may be accompanied by fatigue, sleep disturbances, stiffness, cognitive/ memory problems, anxiety, depression. To meet criteria for diagnosis: widespread pain in all 4 quadrants of body for >3 months and 11-18 tender points (determined by md). Cause is unknown however research looks to a disorder of central processing and pain amplification. ...Read more

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Dr. John A. Goldman
Board Certified, Rheumatology
49 years in practice
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How is fibromyalgia typically diagnosed?

Hands-on exam: There is no blood test, image (x-ray, mri) test, or procedure (biopsy, EMG test). The test for fibromyalgia is the history and physical exam of a skilled physician who knows the diagnostic criteria for fibromyalgia. That exam includes palpation of the defined 'tender points' of fibromyalgia--you must have at least 11 of 18. You must also meet the other diagnostic criteria to have fibromyalgia. ...Read more

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Dr. John A. Goldman
Board Certified, Rheumatology
49 years in practice
13.0M people helped
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Fibromyalgia (Tip)

Fibromyalgia

Minimizing stress in your life may help your fibromyalgia pain. ...See more

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Living with Fibromyalgia (FMS) (Checklist)

Don't lose hope, treatment is available
Once
Create a check list of your goals
Once
Stay determined and strive for your goals. You can live with this!
Once
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What are the symptoms of fibromyalgia?

Multitude: ? re symptoms (sx) fibromyalgia (FM). Sx vary among sufferers. Sentinel sx's include chronic widespread pain, restless sleep, depression, fatigue & confusion. More important to know individual sufferer's unique causal chain so cure can be customized. Potential causes: femaleness, childbirth, obesity, chronic soft tissue injuries, mechanical injuries, joint hypermobility, prolonged inactivity. ...Read more

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What are some treatment options for fibromyalgia?

Exercise and meds: The best way to manage fibro is with mild daily aerobic exercise. However if you need further help, there are some new medications approved for the treatment of fibromyalgia. Since they require a prescription, you will have to see your doctor to get them. ...Read more

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Board Certified, Rheumatology
49 years in practice
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Fibromyalgia (Tip)

Fibromyalgia

Fibromyalgia is associated with insomnia. Treating insomnia, results in better pain control. ...See more

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Living with Fibromyalgia (FMS) (Checklist)

Pace yourself and de-stress
Once
Perform mild exercises, like stretching
Daily
Try to get deep sleep (REM)
8 Hrs, Once, forever
Take something to relax muscles at night
Daily
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What can one do to relieve fibromyalgia pain?

What can one do to relieve fibromyalgia pain?

Medicines: Choices include neurontin, lyrica, cymbalta, and savella. Some pts do well with regular exercise, and stress management. Inadequate sleep seems to make it worse, and is in fact part of the process. ...Read more

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What causes fibromyalgia?

What causes fibromyalgia?

Unknown cause: The cause is unknown. Certain parts of the brain regulate which sensations are perceived as painful ( a pain gate mechanism). This becomes altered in fibromyalgia and non-painful stimuli are felt as painful. There are also alterations in the brain's sleep cycle mechanism. ...Read more

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Dr. John A. Goldman
Board Certified, Rheumatology
49 years in practice
13.0M people helped
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