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Fibromyalgia symptoms, starting of arthritis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Arthritis
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   56 year old female with many fibromyalgia symptoms. have researched this and also spoken to my gyno about this. he says I probably have fibromyalgia but need to go to a rheumatologist for proper diagnoses. I have researched this and believe this is what I have. I have 16 of the 18 points painful when pressed . occasional fatigue, insomnia , widespread muscle tenderness and sometimes pain. have tender spots all over like pressing on a bruise, when I am stressed all symptoms worsen. I don't want to take medication but do take aleve when needed. this seems to help. Dr. says I also seem to have some arthritis starting. would you give me your opinion.
Doctor :   hi
Doctor :  
Doctor :   Let me read your query
Doctor :   Do you have any of the symptoms present even now

User :   yes
Doctor :   Since when?

Doctor :   Do you have associated joint pains or tenderness/ swelling

User :   couple of weeks now , have been very busy and have been stressed
Doctor :   Ok
User :   no swelling
Doctor :   ok
Doctor :   Fibromyalgia is also characterized by restless sleep, awakening feeling tired, fatigue, anxiety, depression, and disturbances in bowel function
User :   have all of those
Doctor :   Ok
Doctor :   Let me breif you
Doctor :   low impact aerobic exercises, such as swimming, cycling, walking and stationary cross-country ski machines can be effective treatments for fibromyalgia
Doctor :   avoiding alcohol and caffeine before bedtime can also help promote a more restful sleep. While these diet changes may not apply to everyone, they can be very helpful for some
Doctor :   the most effective medications in the treatment of fibromyalgia have been the tricyclic antidepressants, medications traditionally used in treating depression. In treating fibromyalgia, tricyclic antidepressants are taken at bedtime in doses that are a fraction of those used for treating depression. Tricyclic antidepressants appear to reduce fatigue, relieve muscle pain and spasm, and promote deep, restorative sleep in patients with fibromyalgia.
Doctor :   Are you there
User :   yes
Doctor :   Did you follow me
Doctor :   Was your Arthritis profile done
User :   do you think I am correct in supposing this is what i have?
Doctor :   yes
Doctor :   bye for now
Doctor :   Hio
Doctor :  
User :   no arthritis profile done. is this blood test ?
Doctor :   Yes
User :   don't have a primary care dr. could any dr. order this?
Doctor :   Yes
Doctor :   The other modes of treatment are
Doctor :   1.Local injections of analgesics and/or cortisone medication into the tender point areas can also be helpful in relieving painful soft tissues
Doctor :   2,The nonsteroidal antiinflammatory drugs (NSAIDs), while very helpful in treating other rheumatic conditions, have only a limited value in treating fibromyalgia pain. Narcotic pain relievers and cortisone medications have not been shown to be beneficial in this condition.
User :   what would this test ascertain ?
Doctor :   did you follow me?
Doctor :   Whether there any joint involvement

Doctor :   Rules out Arthritis
Doctor :   More than 30% cases are associated with Arthritis
Doctor :   Thats why i advise you to get it tested'
User :   so many people will have both?
Doctor :   Yes
Doctor :   Did you have your appointment fixed with the rheumatologist?
User :   no not yet. and which type of arthritis is associated with fibro?
Doctor :   Probably Rheumatoid Arthritis
Doctor :   As there is no single specific test to rule out fibromyalgia we work up more on probable diagnosis too
User :   could it be fibro with some regular arthritis. both of my parents have arthritis
Doctor :   Could be , but most commonly associated with rheumatic
Doctor :   Overall Treatment of fibromyalgia is most effective with combinations of education, stress reduction, exercise, and medications.
Doctor :   Is there anything else i may help you with?
User :   no, thanks
Doctor :   Fibromyalgia does not cause body damage or deformity, so need not worry

Doctor :   thanks for consulting me
Doctor :   wishing you a speedy recovery
Doctor :   Bye for now.
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