Physicians use several criteria to diagnose fibromyalgia, only one of which is the discovery of at least 11 different tender points from a list of 18. But even with these tender points the doctor will also do a thorough medical history and physical examination. During the medical history he will ascertain whether there is a history of fibromyalgia or other pain syndromes in the family, a past history of trauma or other possible triggers, as well as current problems with deep muscle pain, fatigue, sleep problems, depression or any of the other symptoms which often are present in individuals who suffer from fibromyalgia.
Unfortunately, there is no conclusive tests used to diagnose this condition and physicians rely on physical examination and medical history in order to accurately pinpoint a diagnosis and make treatment recommendations. Pain management is the first goal in the treatment of fibromyalgia. This involves a multifaceted program which often involves both traditional and alternative therapies. Some individuals find that their pain is well controlled using low doses of antidepressant medications while others get better control from stress management, exercise and hydrotherapy. (4)
Other pain management recommendations can include therapeutic massage to help ease the pain, muscle tension and spasms as well as daily moist heat applications to relieve stiffness. Stress management is a highly important means of gaining control because stress will increase the pain over tender points and decrease everyone’s ability to cope with pain. Avoid making too many commitments and make sure to block out each day for time to rest and relax. Most people also find additional help from deep breathing exercises, guided imagery or other relaxation techniques.
References:
(1) Fibromyalgia Network: Diagnosis
http://www.fmnetnews.com/fibro-basics/diagnosis
(2) American College of Rheumatology: The American College of Rheumatology Preliminary Diagnostic Criteria for Fibromyalgia and Measurement of Symptom Severity
(3) MayoClinic: Fibromyalgia
http://www.mayoclinic.com/health/fibromyalgia/ds00079/dsection=symptoms
(4) American Family Physician: Treating Fibromyalgia
http://www.aafp.org/afp/2000/1001/p1575.html
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