Orthopedics Questions? Ask an Orthopedist for Answers ASAP
Hi Dr. Ashori here, what is your question in particular, I am happy to help you regarding fibromyalgia as I deal with it quite a bit in my practice.
Sure, this is fine.
So I take it you are asking how I would diagnose FM? Or more specifically how I would bring it up to the patient?
Oh sure, I understand.
I'm quite receptive to FM as a diagnosis, and frankly many times my patients make the diagnosis after an exhaustive testing, multiple diagnosis, worsening pain and depression.
My patient will often say "I was thinking that maybe FM is one of the causes of the various symptoms I have. I know there isn't a particular test to test for it but do you think it's possible? What's the best way to manage it if that's the cause for my symptoms?"
I think not being judgmental, offering it as a suggestion knowing that it might get shut down by the doctor.
Trying to view it as a possibility and not a definitive diagnosis.
Also, even if you have a diagnosis such as FM it doesn't mean you have a cure, it's still important to live your life to the fullest but know that you are getting closer to getting the quality of your life back.
Offering FM as a possibility to the doctor and having them explain to you why it is or it isn't a possible diagnosis would be helpful. Keep an open mind that he/she may want or need to refer you to a specialist.
The most important thing you can do is present the information and your opinion to the doctor and hope to have an open and meaningful conversation about it.
You know that you will be emotional about it, that's okay. Take your time and do it with composure, a good doctor will listen.
I think a rheumatologist or pain specialist could be a good first step.
Some doctors specialize in FM even though they are internists or family medicine.
I have heard of great naturopathic doctors who do a great job treating FM.
I usually go based on the exam and history, more history than exam.
The exam is best done during multiple visits and the increased pain perception with light touch and even the trigger sites and pain sites are quite diagnostic.
The history is helpful because patients with FM will always have worsening symptoms when they are under a lot of stress, having a cold or having lack of sleep. Those are common flares of FM.
You are sweet.
Best of luck, crossing my fingers for you.
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