The defining component in establishing whether you have fibromyalgia is pain.
Getting out of bed may be difficult for many people, especially if they are suffering from chronic pain, exhaustion, worry, or disrupted sleep. There might be a variety of explanations for those symptoms, including puzzling, severe diseases such as fibromyalgia and chronic fatigue syndrome.
People with either illness may suffer many of the same symptoms, making it difficult to determine which ailment they have. So, how do you know which one it is, and how does the diagnosis alter your treatment?
“Doctors diagnose these diseases through an elimination process,” explains pain management specialist Benjamin Abraham, MD. “Despite what you may hear advertised, there is no widely accepted blood test to help diagnose the condition, but they rely on one main difference between the two.”
There might be various explanations for your constant tiredness. While fibromyalgia can produce fatigue, pain is the most common symptom. However, weariness is the most common symptom of chronic fatigue syndrome.
Dr. Abraham defines fibromyalgia and chronic fatigue syndrome, as well as what you can do if you have either illness.
What are our current understandings of fibromyalgia?
Fibromyalgia is one of the most misunderstood disorders, affecting around 4 million Americans. Many times, family members and friends may not understand what it means to have fibromyalgia and how to manage it.
Fibromyalgia is commonly diagnosed between the ages of 20 and 50, although the prevalence rises with age. According to the National Fibromyalgia Association, around 8% of persons have fibromyalgia by the age of 80. Women and persons designated female at birth (AFAB) account for around 75% to 90% of those suffering with fibromyalgia.
“The cause of fibromyalgia is unknown,” Dr. Abraham explains. “Genetics, trauma, or infection could all play a role.” Fibromyalgia patients say it feels like they have the flu all the time.”
Among the symptoms are:
- There is widespread suffering.
- Headaches.
- Stiffness.
- Swelling of the joints.
- Tiredness and stiffness in the morning.
- Sleep problems.
- Tiredness and fatigue.
What are our current understandings of chronic fatigue syndrome?
Chronic fatigue syndrome, often known as myalgic encephalomyelitis, or ME/CFS, is characterized by fatigue that worsens with activity and does not improve with rest.
Other symptoms that may appear and disappear include dizziness, muscular or joint discomfort, headaches, and difficulty concentrating, sitting, and standing.
The Centers for Disease Control and Prevention (CDC) estimates that 836,000 to 2.5 million Americans have ME/CFS, with the majority of cases going misdiagnosed. After discussing your symptoms and medical history, your healthcare practitioner may recommend a blood and urine test to assist diagnose you.
How are fibromyalgia and chronic pain syndrome treated differently by doctors?
“Both diagnoses are sometimes called into question as not being’real’ diseases,” Dr. Abraham observes. “But that’s a misunderstanding. Chronic pain and exhaustion are real and may be detrimental for individuals who suffer from them.”
A correct diagnosis is required to obtain relief from drugs or a range of therapy.
“Medical options are just the tip of the iceberg for both conditions, and the best treatments often don’t come in a capsule,” Dr. Abraham explains. “However, when we do use medications, we must ensure that we are targeting pain without sedation.”
Non-pharmacological assistance is provided through a range of modalities, such as therapy or support groups.
Physical exercise is also important for remaining healthy and treating both illnesses. It’s crucial to be active, but always remember to pace yourself. Set up an organized exercise program that avoids overexertion, and ask your physician for assistance in compiling a list of physical activities that will help you raise your energy levels and lessen symptoms.
“On a good day, a patient may decide to walk four miles, then require two to three days to recover,” Dr. Abraham explains. “Try to walk one mile every day so that you are active every day.”
Other beneficial activities include:
- Swimming.
- Biking.
- Yoga.
How your family can assist
Remember that you are not alone. Your family’s support might make your situation easier to endure by spending time with you on both good and bad days.
“I try to make family members partners in treatment,” Dr. Abraham explains. “When you just want to spend the day in bed watching TV because of fatigue or pain, a family member can encourage simple, fun activities to help you get moving.”
Whether you have chronic fatigue syndrome or fibromyalgia, your healthcare provider’s participation in treating the illness is frequently minimal. Healthcare providers act as coaches, assisting you with the initial 10% to 15% of progress while you handle the remaining 85% to 90%.
Consult your healthcare practitioner if you are experiencing persistent pain and/or exhaustion. Even if your disease is still unknown, a diagnosis might put you in a better position to manage your symptoms.​
Erin Balsa is a highly skilled and knowledgeable health journalist with a passion for educating the public on important health and wellness topics. With extensive experience in both traditional and digital media, Erin has established herself as a trusted voice in the field.