Internist or general practitioners do not jump to diagnose their patients with CFS/Fibromyalgia because many do not believe it to be a real sickness. Unfortunately, the reality of these syndromes are real and there are many sufferers who do not know where to turn to for answers.
If a patient is brushed off, the first physician a patient should make an appointment with is a Rheumatologist. Besides treating patients with Arthritis, a Rheumatologist understands the structure of the entire body, the joints, the muscles, the nervous system, and how they correlate. During the first appointment, a myofascial pain test will be done which is nothing more than the doctor feeling the joints and muscles and moving them around. They will make the patient bend at the waist, ask where their pains are occurring, check the fingers, toes, hands, feet, knees, neck, and back, and then take blood.
The doctor will check the 18 trigger points, which are known to be tender to the touch and symmetrical on both sides of the body. In some cases, not all trigger points will be present or even in the same spot on every suffererâ€™s body. The most common occur around the neck, shoulder, and upper back region, while the upper arms and upper thighs can cause lots of pain as well. All of the information shared by the doctor and patient is written in the patients file. In two weeks, the results for the blood work will be reviewed during their next appointment.
The blood tests the doctor will be conducting are to rule out any other significant diseases. Lupus, Lyme, Multiple Sclerosis, and Rheumatory Arthritis are some of the tests being conducted with the blood. Besides these, tests are also done to check organ function for the liver and kidneys.
During the second appointment, ruling out of other diseases and being diagnosed with FMS will occur. The physician will then discuss the patientâ€™s options toward treating CFS and Fibromyalgia. They will also explain specific reasons why the symptoms are occurring in the body, as well as suggestions of treatment. The main fact the doctor will discuss is CFS / FMS are syndromes which will not cause degenerative joints; at times they could be debilitating but with exercise, proper nutrition, and medications, a Fibromite can continue their life living it to their fullest.