help please

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Hi.i am really suffering with fibro pain at the moment.im taking duloxetine twice a day and also paracetamol every 4 hours. My gp says that it is fibro i have.i am waiting for referral to rheumatology. Will they diagnose using the new widespread pain index criteria and symptom severity score. Also what else will happen at the rheumatology appointment.

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  • Posted

    I'm afraid the rheumatologist is not going to wave a magic wand.

    The referral is really for a second opinion - to make sure the GP isn't missing anything.

    The Rheum will read your GP letter, listen to your story, examine you and mostlikely say you have Fibromyalgia and send you back to your GP.

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    • Posted

      Ben we spoke yesterday I think . Just came back from my gp again today for results of blood tests which he explained were normal. He also has sent me to a fibro specialist and he also mentioned me which I think u said . Do you know what he meant by a eighteen point test ? He explained alot today it's just hard to take all in. I also expressed my worries about myeloma and he said some bone disrupture would of showed up on the scans and also I've had my blood took every week for two years and it's always been spot on so I said that can be ruled out and my cells have been sent for a specific test to look for blood cancer and it was completely normal. Sorry long story lol

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    • Posted

      So strictly speaking to diagnose Fibromyalgia - you have to have trigger points.

      There are 18 bony prominences on the body and people with fibromyalgia when you press some of these find it really painful.

      In principle if you don't have trigger points we're not supposed to diagnose fibromyalgia and instead just call it idiopathic musculoskeletal pain or somatisation disorder or psychosomatic pain.

      In reality - people with chronic widespread pain often do get the fibromyalgia diagnosis whether they've got the trigger points or not.

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