fibromyalgia in primary care

The recent health care reform act, the Patient Protection and Affordable Care Act (ACA), provides incentives to encourage primary care but failed to include neurologists among the eligible health care providers. This omission could worsen the shortage of headache specialist physicians. The Alliance for Headache Disorder Advocacy believes that this issue is vital to preserving headache patient access to neurologists.

i sometime have a kind of dull pain that comes over my body from the neck down it last for around a half hour could that be Fibromyalgia can it show in blood work i am 43 i get chest pain also

What kind of doctor should I consult as my primary care provider for fibromyalgia?

Oh yeah. Your primary care doctor will see you when your sick and for anything pretty much. I've seen my primary care doctor during my pregnancy but wasn't anything baby related.

My Primary Care Physician suspects that I have Fibromyalgia, and I am not certain. I would like to go to a Dr. who deals regularly with this disease, to be able to know why I have so much pain throughout my body. I know of one Dr. that I heard about through a patient of his, I overheard her talking about her Fibromyalgia, and asked her who is her Dr. She told me Dr. Elliot Kopp, in Raleigh. I am just not sure who to go to, can you help with that?

Apart from fibromyalgia multiple joint pain is seen in hypothyroidism, low Vitamin D levels, Low Vit B12 levels, anemia, Hasimotos thyroiditis, gout (can sometimes cause multiple joint pain), rheumatoid arthritis, osteoarthritis, SLE, electrolyte disturbance particularly those involving calcium and magnesium, parathyroid gland problems, chondrocalcinosis and chronic fatigue syndrome.

my husband has had fibromyalgia for 29 years, in the last 3 months he has bad headaches on the top of his headache. They never go away. We have had mri, scan etc. was hoping someone knew if fibro causes headaches.

The use of this website is governed by the UpToDate Terms of Use©2013 UpToDate, Inc. ### FIBROMYALGIA SYMPTOMS Pain — The primary symptom of fibromyalgia is widespread (diffuse), chronic, and persistent pain. The pain may be described as a deep muscular aching, soreness, stiffness, burning, or throbbing. Patients may also feel numbness, tingling, or unusual “crawling” sensations in the arms and legs.

In MA any doctor can write a prescription for methadone for pain. Whether they will is another story. Start with your primary care. Good luck!

Unfortunately, sometimes our primary care docs are not that used to prescribing some of these medications in my opinion, but they are still doctors of course:). I am glad that you went to see a new psych and are back on the right track. I have switched before and my new psych changed it once I saw him as well.

My endocrinologist diagnosed the fibromyalgia when I went to see him as a referral for the VDD (my primary care diagnosed the VDD). He spent an hour with me going over all my symptoms. He did some trigger point tests and apparently almost all of them I claimed some degree of pain. (This is where he pushes and manipulates certain places on the muscle to determine my degree of discomfort.) He was the one who said I have fibromyalgia.

I have seen my Primary Care Physician, Chiropractor, Neurologist, Rhuemetologist, Neuro Surgeon and I am still in trememdous pain. I find it difficult to get out of bed in the mornings. I wake up wondering when I might return to bed. If I have a good day and try to do something like work in the yard or go shopping I can figure on a day or more in bed. Presently I am taking Cymbalta, Valium, and now they want me to try Robaxin (another muscle relaxer) I tried Lyrica and could not take it.

Your symptoms sound more like CFS (what I have) than fibromyalgia. I am so upset with these physicians who are getting it wrong... arrg ! They don't seem to keep up to date on these conditions and/or care about their patients. I can tell you that fibro & CFS are very similiar in symptoms, but the CFS/fibro experts have said that these are two separate conditions. Pathogens seem to play a role in these conditions... either causing or contributing to the symptoms.

Are most primary care practices able to do HIV testing (antibody *AND* PCR/Viral Load)?

I am a 36 y o female with Diabetes and Fibromyalgia. I have a lump on my leg that is painful and seems to be spreading as opposed to getting bigger. The pain is going to my hip, all on the right side. I went to the endo doc and he said see primary doc, saw primary doc she said it's just a bruise. The bruise did clear up somewhat, but the lump and pain are still there. What should I do? This discussion is related to <a href='http://www.medhelp.

My chiropracter thinks it is my diaphram and that my fibromyalgia is now in this area. What can I do? I have all over pain almost all the time so I don't know when something new is happening but this pain under my ribs is new and constant. My energy level is low to begin with but since this new pain my energy level is steadily going down. it takes all I can muster just to walk a block. Please help!

Thank you.

Is your doctor a "fibro-friendly" Rheumatologist or just your Primary care doctor? I would try and get in to see one if you are not currently seeing one. I found mine through the National Fibromyalgia Association: www.fmaware.org. If you register with them, they allow you to search for a provider who treats FMS. Registration is free. I would check in to it and see if you can get additional help. Good luck.

Pain in joints and muscles, most severely in my low back and neck, hands and feet Numbness in big toes, tingling on and off in hands Migraines Low grade fevers on and off Severely itchy rash on elbows and knees that comes and goes, looks like small bumps under the skin Constipation Rectal bleeding Sores inside nose on and off Hair loss around hairline Stiffness in morning and after sitting for long periods Hematologist and neurologist suggested autoimmune as strong possibilities d/t blood

They are the only doctors who specialize in and are likely to keep up with trends in Fibro. Your family or Primary Care Physician typically are too spread out to know enough to treat you effectively. I understand the desire to get off the use of narcotic meds. That's a good goal. Let me just reiterate, you should have other therapies/treatments available to you. They may make the difference you're looking for.

i am getting these sharp pains when i tried to breath in my lower rib cage. it is affecting my mobility because it spreads to my lower back. when i cough or sneeze, the pain is very acute. please help.

I spent a week in the hospital last month for my current symptoms and was never diagnosed, and discharged. I received blood work results from my primary care and they too are having a hard time diagnosing me. My Hemoglobin is 10.8 MCV 77 MCH 24.3 Platelets 509 Neutrophils (absolute) 7.2 monocytes 1.1 Protein, Total, Serum 8.7 Globulin Total 4.8 A/G Ratio 0.8.... these are all the abnormalities, any ideas what I could be suffering from?

In my case, I underwent a full sleep study and it confirmed I have mild obstructive sleep apnea (troubling too even when awake if I am sitting and leaning back). I weight problem was described by the Pulmonary doctor (sleep study related) that my OSA was due at lest in part to my being obese... that said, I considered myself over weight, 250 at 6' 5" + but I said I'd rather try to lose weight than go to a CPAP.

I was diagnosed and treated for my fibromyalgia by a pain management doctor several years ago, and then my primary care doctor continued that same treatment. My daughter was seen, diagnosed and treated by a Rheumatologist, and my mother was treated by a Rheumatologist. I went to a Rheumatologist for the first time today, I finally have insurance after 1 1/2 years without.

A disorder called fibromyalgia can produce these symptoms (tenderness). Please consult your primary care physician who will carry out blood tests and x rays to rule out these conditions. In the meantime you can take OTC pain medication Ibuprofen. Ensure to take this medication after food to avoid gastritis. Hope this helped and do keep us posted.

Fibromyalgia in primary care

Common Questions and Answers about Fibromyalgia in primary care

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