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Suggest Treatment For Diabetic Neuropathy And Fibromyalgia

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Posted on Wed, 14 Jun 2017
Question: I have been diagnosed with Fibromyalgia since 1994 by a Rheumatologist. HE was surprised that NO ONE had diagnosed. Me before as I was a textbook case. I had been diagnosed in 1990 with Idiopathic PN. IN 2000 I was iagnosed with Type ll diabetes. NOt on RX for it for a few more years. They tend to label me Diabetic Neuropathy. All of the EMGs I have had show the operators of the test and results indicate my reactions are
NOT indicative f Diabetic PN. is it possible it is Aussie. Y Fibromyalgia?Ive suffered 27 yrs now.
doctor
Answered by Dr. Ornela Ademovi (3 hours later)
Brief Answer:
Fibromyalgia and PN share common symptoms

Detailed Answer:
Hello dear,

I understand your concern. First of all, since all EMGs that you had done excluded Diabetic PN, I am inclined to believe that your symptoms are due to the Fibromyalgia.
It is a known fact that Fibromyalgia and Diabetic PN, while stemming from different causes, share common symptoms. They both affect the central nervous system, both cause extreme pain and both are chronic conditions.
Diabetic PN is caused by metabolic nerve damage, while in fibromyalgia, pain is due to exagerated perception of stimuli. Studies have shown nerve damage only in a few cases of fibromyalgia. This may be the reason why the EMGs you had done excluded nerve damage.
Since the causes of Fibromyalgia are still uncertain, the treatment is mainly symptomatic, including pain management with medication, antidepressants, topical medication, acupuncture, electrical nerve stimulation, herbal medication.

I hope this answers your question. If you have further questions I'd be happy to help.

Wishing you good health and all the best.
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Ornela Ademovi (14 hours later)
The EMGS shown much nerve damage but the reactions and reflexes are not consistent with diabetic PN but Idiopathoc PN! MIne is extremely severe so much so hat I have been on oxycodone for years and am in Pain Management. Once I had a ME tell me he thought it was FMS. Thank you
doctor
Answered by Dr. Ornela Ademovi (7 hours later)
Brief Answer:
Nerve damage is also present in Fibromyalgia

Detailed Answer:
I missunderstood apparently that EMGs ruled out nerve damage altogether.
However, as I mentioned in the previous answer, nerve damage is present in some cases of Fibromyalgia, especially in cases where the condition has been present for a long time.
So in my opinion, the PN identified from the EMGs are due to Fibromyalgia, rather than idiopathic.
Wishing you good health and all the best.
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
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Dr. Ornela Ademovi

General & Family Physician

Practicing since :2004

Answered : 725 Questions

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Suggest Treatment For Diabetic Neuropathy And Fibromyalgia

Brief Answer: Fibromyalgia and PN share common symptoms Detailed Answer: Hello dear, I understand your concern. First of all, since all EMGs that you had done excluded Diabetic PN, I am inclined to believe that your symptoms are due to the Fibromyalgia. It is a known fact that Fibromyalgia and Diabetic PN, while stemming from different causes, share common symptoms. They both affect the central nervous system, both cause extreme pain and both are chronic conditions. Diabetic PN is caused by metabolic nerve damage, while in fibromyalgia, pain is due to exagerated perception of stimuli. Studies have shown nerve damage only in a few cases of fibromyalgia. This may be the reason why the EMGs you had done excluded nerve damage. Since the causes of Fibromyalgia are still uncertain, the treatment is mainly symptomatic, including pain management with medication, antidepressants, topical medication, acupuncture, electrical nerve stimulation, herbal medication. I hope this answers your question. If you have further questions I'd be happy to help. Wishing you good health and all the best.