Wednesday, May 16, 2012

Fibromyalgia diagnosis

Usually it is rather difficult to make fibromyalgia diagnosis. It is connected with the fact that this disease has a lot of symptoms which match with the symptoms of many other rheumatic conditions.
Experience of quite a numerous number of people, who now have fibromyalgia diagnosis, shows that they visited a lot of different specialists before they know their disease for sure. It is almost important for doctors to make the fibromyalgia diagnosis only on the base of two main symptoms of this condition which include fatigue and pain. These symptoms overlap with the symptoms of many other diseases. For example, the first symptom – fatigue – is a common feeling which is experienced by people who suffer from arthritis and rheumatic diseases. This unpleasant state of the individual’s health may be caused by several reasons. Among the most popular ones it is possible to distinguish such items as poor sleep, stress, chronic pain, depression or anxiety, inflammation, poor activity, some diets etc. So you see that a lot of different diseases may cause fatigue. At the same time a lot of listened above causes of fatigue are characteristic features of fibromyalgia. That is why it is important for doctors who are specialized in arthritis and related diseases (rheumatologists) to take into consideration all these factors before making fibromyalgia diagnosis.
Diagnosing fibromyalgia is rather difficult not only for one reason that you already know. It is also connected with the current situation when no diagnostic laboratory test for this disease is available. Unfortunately even in our XXI century it is impossible to find out real physiological reasons of pain in the complicated person’s organism. This leads to inability in diagnosing some diseases like fibromyalgia. Some doctors may conclude that pain of their patients is not real because of the absence of generally accepted objective tests. Also the other case is possible when the doctor who swore to treat people and help them with the health problems can only answer that he would like to help but cannot do anything or only a little. 
Luckily there exist some criteria for making fibromyalgia diagnosis. For doctors who are familiar with the condition of fibromyalgia it is not really difficult to make such a diagnosis basing on two criteria. The first criterion is connected with the time during which you feel the pain. That is why if you are disturbing by pain over three month, this pain has a widespread character it is impossible to tell your rheumatologist about this. Maybe exactly on this basement the diagnosis would be made. Widespread character of the pain means that all four quadrants of your body are affected by pain. If you experience pain in your right and left sides of the body and above and below the waist it is an “alarm bell” for you. In this case you are to make an appointment in the doctor’s office. The second criterion is the presence of tender points. There are eighteenth of them on the individual’s body. They are located in the areas of neck, shoulders, elbows, back, hips, chest, arms, legs and knees. All of them are bilateral, that is why under the condition of this disease you will experience pain at the right and left sides of the body in the same location.