Fibromyalgia in primary care

Common Questions and Answers about Fibromyalgia in primary care


10222464 tn?1408718148 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
Avatar f tn Unlike arthritis, the incapacitating pain is not in the joints but in the muscles and ligaments. Fibromyalgia is known for presentation of pain at specific sites known as tender points or tender spots. The pain is commonly located in the neck, shoulders, back, and hip and the tender points are located in the same regions. The tenderness is worse in the mornings and has been described as, burning, throbbing, aching, or stabbing.
Monster 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.
91878 tn?1209644689 A primary care physician is usually the first medical practitioner contacted by a patient, due to factors such as ease of communication, accessible location, familiarity, and increasingly issues of cost and managed care requirements. Many health maintenance organizations position PCPs as "gatekeepers", who regulate access to more costly procedures or specialists.
Avatar n tn What kind of doctor should I consult as my primary care provider for fibromyalgia?
675329 tn?1297291978 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.
Avatar n tn 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.
Avatar f tn A positive ANA does not indicate fibromyalgia. However, fibromyalgia often does go hand in hand with some auto-immune diseases. My ANA was positive one time and negative the next. My rheumatologist continues to test me as there is clearly something auto-immune going on on top of my fibromyalgia. Because of other symptoms he feels it is developing lupus and he is treating me for that and it is helping.
5682570 tn?1372290919 ) Chronic itchiness medical treatment is behind times, as symptom relieving conventional treatments don't work, since the medical establishment has failed to identify the real cause of this, unless the immune system can correct this. In Fibromyalgia , Neurotransmitter Dysregulation is something that comes up in the research circles all the time!
1943833 tn?1349280189 2. Neurotramsmitter assessment. Please do a search under Holistic Primary Care- they have a huge website, so please take your time to explore any details they offer on neurotransmitters and hormones. Some of the information could be life changing! There's a lot more at play, however, you have enough material to go through for now. So please delay going to your doctor because chances are you will not benefit much. The quality of your life depends on how you approach this matter.
434278 tn?1324709825 Just thinking what else causes brain lesions. It's a scary thought how your health care is in Canada. Our President wants the same health care you guys have. Lots of people here are not sure they want that. Even the doctors I've talked to don't want it. It's times like these that we need to trust the Lord.
209591 tn?1267418314 Maybe I just go through the flare ups with nothing and exist in the world when I am not in a flare. How am I to start Grad school in two weeks when I feel like a zombie much of the time...
Avatar f tn I'm helping an old friend with fibromyalgia find out if his disease is related to his many years in Vietnam in the military, during the years of Agent-Orange. What exactly is Agent Orange? Is Fibromyalgia now considered a close cousin to Peripheral Neuropathy (PN)? PN is one of the conditions military retirees would need to qualify for damages received because of Agent Orange. I did find one old posting here from 2004, but I know there must be much more uptodate info out there now.
Avatar n tn I was referred to a local neurologists after seeing my primary care physician with complaints of numbness and tingling in my right arm and hands along with terrible burning pains all through my neck and shoulders. My primary sent me for an MRI of my neck and referred me to the neurologist when noticing a concerning spot on the MRI.
Avatar m tn 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.
Avatar n tn I think you should let your primary care doctor know what is going on. And you should get in to see a neurologist if at all possible. Honestly, I would go straight for one who specializes in MS. Here is why: If you go to a generalist neuro, there is a good chance he would miss MS (if you have it... not saying you definitely do). He may or may not refer you to someone with more specialized knowledge. And from the experiences people have had here, I would say he likely would not.
Avatar f tn I was told I might have fibromyalgia but unsure.
489725 tn?1280056153 hello all new to this forum i have ibs for a few yrs now and was just wondering does it go hand in hand with fibromyalgia,my muscles lately are always tired esp around my shoulders and seem to get a lot of chest pain under arms comes and goes a lot at night time .even if i exercise and i do everyday my muscles ache and i am by no means over doing it.
Avatar f tn If you have dry mouth and eyes insist on a lip biopsy for Sjogren's Disease. The overlap in symptoms is very confusion. Both Fibromyalgia and Sjogrens cause short term memory loss, severe fatigue (I often feel that may arms and legs are so heavy I cannot move them and that I am going to sink through the earth.) My sleep patterns are totally off. Good luck!
Avatar m tn oh I also talked with my primary care doc about my fatiques and muscle tenderness but she basically ignored me.
Avatar f tn Now that I have been researching I think it's possible that I have fibromyalgia. I have pain all the time in all different spots. I feel like I'm 90. I have horrible stomach and digestion problems. Once I eat anything at all I am completely bloated for the rest of the day and it's soo uncomfortable! I have frequent migraines. I never get deep sleep, I wake up constantly and I am SO tired. I feel very stressed and irritable.
Avatar n tn The most severe ones you report could be consistent with the diagnosis, but other things such as the vision changes, temperature intolerance, and palpitations/shortness of breath may need to be further evaluated by your primary care physician. ROutine lab tests to check for a thyroid disorder, muscle problem, possibly EKG if you're having cardiac rhythm problems (they could be anxiety attacks also), and a formal eye exam by an ophthalmologist may need to be considered.
Avatar f tn He must become aware that he is there to SERVE others and not himself. I'm saying this in a constructive way. He is depriving you from delivering the best possible care, and he's depriving himself from the gratification and satisfaction of truly helping his patients get better! If he does not want to listen at all, by all means tell him how you feel and switch to a more caring Doctor.
Avatar n tn I have the same symptoms and had been chasing answers for 13 years. In addition to the Fibromyalgia diagnosis...I found out -finally- the my rhuemotologist missed and MRI from 2 years ago of my c-spine. I have Compressive Cervical Myelopathy and had spine surgery in early Dec.1. Anyone who has these symptoms ( the numbenss, tingling, shocklike sensations, needs to get MRI's done. Oh and make sure they actually read them!! I had an anterior cervical fusion done on c5-c7. What a trip.
Avatar f tn I have Fibromyalgia plus other diagnosed probs. Am joining a support group in my area where we all get together for a wee moan once a month but also a laugh n can offer support to others. You can learn a lot from these get togethers, no one judges you - as they all have some problems.
470168 tn?1237474845 Anyways, I finally got some good doctors. They aren't the brightest in the world, but they care about their patients and actually spend time with you instead of trying to kick you out the door in 15 minutes or less. Oh, and I am on both a lupus med and a fibromyalgia med... I am taking Lyrica for the pain, which has been recently approved for fibromyalgia. It knocks a lot of pain out, but I warn you if you aren't on it... it makes you gain weight if you don't watch what you eat.
Avatar f tn There are many conflicting views regarding Fibromyalgia. You might want to start with an interesting article which appeared in the New york Times on January 14th regarding Lyrica, Fibromyalgia, and current "views" on the subject(s). Especially interesting are the comments of Dr. Frederick Wolfe who came up with the original dignostic tools and coined Fibromyalgia in 1990.
Avatar f tn Unfortunately, very few physicians know anything about supplementation and nutrition. So CFS patients are often told by their primary care physician that we need to find another physician, preferably one who practices in alternative medicine. At least with fibro patients there are prescriptions now available, but I also believe that supplements and alternative medicine are very important for people who have fibromyaglia. I know the leading CFS/fibro experts seem to agree.
Avatar m tn Hi I know what you are going through, I had an MRI a few weeks ago because my Primary Care doctor wanted to test me for MS. It came back negative for which I am grateful. So my PCD sent me to a neurologist and he did a very fast neuro check, but basically said it is all anxiety and depression! Well I take Cymbalta and clonazepam daily and I am not anxious but he was bound and determined to just chalk it up to age and gender!
Avatar f tn Thank for the CFS and Fibromyalgia posts! My 38 yo daughter has been spending many months in bed for long hours. Her Dr. just told her Epstein Barr has been present a long time. She has occasional episodes of edema of her feet and ankles. Then the physician gives her a diuretic. No liver abnormalities. I've advised she have some kidney studies done. Depression seems to be a major symptom. Any ideas other than a second opinion. I am advising a pain tracker log as suggested here.