Posts Tagged Multiple Sclerosis
There is so much mystery in the world of fibromyalgia, in large part because it effects everyone differently. Another reason for the mystery is due to the similarity in fibro symptoms compared to other diseases and syndromes. Fibromyalgia is sometimes misdiagnosed as a different problem and vice versa. This is because the myriad of symptoms associated with fibro are commonly found in other illnesses such as multiple sclerosis, also known as MS. So how can you tell if it’s fibromyalgia or multiple sclerosis?
What Exactly is MS?
The National MS Society defines it as follows: “Multiple sclerosis (MS) involves an immune-mediated process in which an abnormal response of the body’s immune system is directed against the central nervous system (CNS), which is made up of the brain, spinal cord and optic nerves.” If you or a loved one live with fibromyalgia, you can definitely spot some familiar buzz words and phrases, can’t you? Specifically, “immune system,” “abnormal response,” and “central nervous system.” In fact, the similarities in symptoms become quite striking when you review a side-by-side comparison. Note that most, not all, of the fibromyalgia symptoms overlap with MS symptoms, making it difficult to distinguish whether it’s fibromyalgia or multiple sclerosis:
|MS SYMTPOMS||FIBROMYALGIA SYMPTOMS|
|Numbness or Tingling||Numbness &/or Tingling|
|Dizziness & Vertigo||Dizziness|
|Walking (Gait) Difficulties||Impaired Coordination|
|Spasticity (i.e., muscle stiffness and spasms)||Muscular aching, throbbing, & twitching|
|Vision Problems||Vision Problems|
|Bladder Problems||Bladder Problems|
|Bowel Problems||Irritable Bowel Syndrome|
|Cognitive Changes||Cognitive Problems|
|Tremor||Restless Leg Syndrome|
|Swallowing Problems||Dry Eyes & Mouth|
|Itching||Itching &/or Burning|
|Sexual Problems||Insomnia/Poor sleep|
|Speech Problems||Ringing in the Ears|
|Breathing Problems||Neurological Symptoms|
|Seizures||Skin Sensitivities & Rashes|
It is plain to see many similarities in symptoms between fibromyalgia and multiple sclerosis, including clear neurological connections associated with pain, numbness, and tingling. However, experts explain that unlike MS, fibromyalgia does not show up as brain lesions on an MRI. Furthermore, while both conditions have no known source, MS is distinctly categorized as an auto-immune disease, but fibromyalgia is not. So that is one way to determine if it’s fibromyalgia or multiple sclerosis.
A key difference in MS is that the patient actually accrues long-term nerve damage which leads to physical and cognitive impairments. In fact, some types of MS are progressive. Primary Progressive MS (PPMS), for example, “is characterized by worsening neurologic function (accumulation of disability) from the onset of symptoms, without early relapses or remissions.” While fibromyalgia, on the other hand, is often mistakenly considered an arthritic condition, it does not actually cause damage to joints, muscles, or tissues.
Just What is Fibromyalgia?
Fibromyalgia is primarily characterized by chronic and wide-spread pain. A close second is the debilitating fatigue. But as you can see from the chart above, the symptoms are quite broad. The problem many patients run into is that fibromyalgia resembles so many other conditions that it’s usually difficult to nail down a diagnosis. However, some physicians are more inclined to spot it than others.
How Are MS and Fibromyalgia Evaluated?
The University of Maryland Medical Center explains that a fibromyalgia diagnosis is comprised of a detailed muscle exam that includes checking for tenderness at specific locations on the body. Rating the severity of specific symptoms is another key part of the exam. The symptoms must be present for at least three months. They add that there are no blood, urine, or laboratory tests which can provide a conclusive fibromyalgia diagnosis. However, fibro diagnosis also means that no other disorder or condition can explain the symptoms.
Diagnosing MS, however, is quite different because it causes several more neurological symptoms than fibromyalgia. Thus, exams tend to focus on brain and nerve function, including a brain MRI and sometimes a spinal tap. Even though MS can also be difficult to diagnose, it is often easier than fibromyalgia. This is because the evaluation requires searching for lesions or damaged areas to the central nervous system.
How Can I Tell if it’s fibromyalgia or multiple sclerosis?
It’s true that the similarities between multiple sclerosis and fibromyalgia are striking. But given the neurological damage caused by MS, it is a condition that is slightly easier to target than fibromyalgia. Patients with MS are usually treated by a neurologist. But so are many fibro patients. As such, a neurologist likely has a keen eye in making the distinction between the two.
From Fibromyalgia Treating.com and posted here for sharing purposes only. Please check their website for additional information.
Image from Shutterstock
A few days ago, my blogger-buddy over at Dinosaurs, Donkeys and MS blogged about 10 Things About Living with MS, and it brought back to mind not only how similar Multiple Sclerosis and Fibromyalgia are but also how they are often misdiagnosed and/or incorrectly identified for each other (or several other chronic illnesses).
While I have several female cousins with MS, I do not have MS. I was incorrectly diagnosed with it in late 1998, even though lab work did not back up the diagnosis. Two years…and three doctors later, I finally got the correct diagnosis – Degenerative Joint Disease complicated by Fibromyalgia.
No, I didn’t ‘doctor shop’. My mother had gone through the same situation twelve years earlier being misdiagnosed with MS and Systemic Lupus, before her Systemic Scleroderma was identified. Mom warned me the only thing worse than the chronic pain the disease causes was having a doctor who didn’t listen and refused to research chronic illnesses.
Of course, she was right.
Getting the right diagnosis brings peace of mind. Self-doubt and depression will wear you down – not to mention exacerbate the illness – after countless trips to see a doctor and being told all tests were negative and x-rays/CT scans/MRIs showed nothing.
Unfortunately, getting the right diagnosis does not bring a cure… because one does not exist… for Fibromyalgia or Multiple Sclerosis or the more than fifty other recognized invisible illnesses.
Why invisible? Because NINETY-SIX PERCENT of people with these chronic medical conditions show NO outward sign of their illness.
Simply put – we don’t look sick. But out of this same group 10% experience symptoms that are considered disabling.
Guess who’s in THAT number? Trust me, it’s not a team I chose to be on.
It’s vital that we all be advocates for our own health care and the LEADER of the team, especially when a chronic illness is suspected. However, you cannot diagnose yourself. The best doctor for that is a rheumatologist. But you cannot be helped unless you tell your doctor EVERYTHING. Every ache, pain, migraine, rash, reaction to foods, light, sounds, smells – everything.
The information below is from FightingFibromyalgia.net and posted here for sharing purposes only. It is good information and much more is on their website. But please understand, pull up any two Fibromyalgia websites and you WILL find they contradict each other in several areas. They’re not trying to mislead-they just happen to follow different studies. There are LOTS of studies – thousands. I’ve personally been in six.
We need cures. We needed them yesterday. We need doctors, researchers, and chronic illness foundations to get on the same page. We need them to work together, not on countless studies with varying results.
Most importantly, we need them to listen to us – the five million people in this country who live with these devastating illnesses every. Single. Day.
~ ~ ~ ~ ~ Fibro and MS: What Are the Differences? ~ ~ ~ ~ ~
Fibromyalgia and multiple sclerosis are two diagnoses that you never
want to hear from your doctor.
Both involve muscle and joint pain, and neither can be cured. There are
treatments for both of these diseases, but there is no getting rid of them.
What Is Fibromyalgia?
Fibromyalgia is a disorder that causes widespread, chronic pain
throughout the body. The exact cause of it is unknown, but scientists
have narrowed down some factors that play a role in developing the disease.
*The symptoms of fibromyalgia include the following:*
* Memory problems and concentration issues
* IBS (irritable Bowel Syndrome)
* Morning stiffness and aches
* Sleep issues and fatigue
* Numbness and tingling in hands, arms, legs and feet
* Tender or trigger points
* Urinary problems such as pain or frequency
* Rash/red skin particularly on the face
The constant pain patients experience is what often sends them to their
doctor. It is the most common symptom of fibromyalgia, and can often be
Fatigue is the second most common among fibromyalgia sufferers. Everyday
activities such as ironing, grocery shopping or walking the dog can
leave victims feeling extremely exhausted.
What Is Multiple Sclerosis?
Multiple Sclerosis is classified as an autoimmune disease of the central
nervous system, which includes the brain and spine. The disease attacks
the proactive covering of nerves, which is called myelin.
This causes inflammation and often leaves the myelin damaged. Myelin is needed for the transmission of nerve impulses through nerve fibres. If the myelin damage is little, nerve impulses can travel with little disruption. However, if nerve damage is extreme, disruptions can be frequent causing damage to the nerve fibres.
Multiple Sclerosis is unpredictable and can differ greatly from person
to person. It is often diagnosed in people ages fifteen to forty. The
highest number of cases of multiple sclerosis in the world is in Canada.
The symptoms of multiple sclerosis vary depending on the severity of the
*Common symptoms of multiple sclerosis include:*
* Balance issues and dizziness
* Bladder issues
* Bowel issues
* Blurred vision
* Slurred speech
* Difficulty walking
* Sensory impairment; numbness and tingling
* Sexual dysfunction
It is important to keep track of your symptoms when you first start
experiencing them, so your doctor can determine the accurate diagnosis,
and properly monitor the disease.
The Differences Between Fibromyalgia and Multiple Sclerosis
Fibromyalgia and multiple sclerosis are both potentially debilitating
diseases that can lead to chronic pain.
Fibromyalgia is often characterized by muscle pain, stiffness in
muscles, extreme fatigue and difficulty sleeping. Multiple Sclerosis has
a variety of symptoms including visual problems, bladder control issues,
muscle weakness and painful muscle spasms.
There are similarities in some symptoms, and the fact that both diseases
are more common in women than men. As well, neither has a specific cause
known. However, there are massive distinctions between the two diseases
Although fibromyalgia and multiple sclerosis share a few similar
symptoms they are very different conditions. (Blogger’s Note: True, yet they are STILL misdiagnosed!)
It is estimated that approximately five million people in America have
fibromyalgia. Patients complain of widespread muscle pain and
tenderness, generally in areas of the neck, shoulders, back and hips.
Extreme muscle stiffness is often present in the morning, but tends to
fade throughout the day. Many with fibromyalgia experience insomnia and
severe fatigue. Patients also experience headaches, anxiety, depression
and difficulty concentrating.
As already mentioned the cause of fibromyalgia has not been determined,
but researchers believe it is linked to hormonal abnormalities and the
According to studies, approximately 300,000 people in the US suffer from
multiple sclerosis. This is a significantly smaller number than those
who are affected by fibromyalgia.
Multiple Sclerosis (MS) is classified as an autoimmune disorder, while
fibromyalgia is not. An overactive immune system is believed to trigger
an attack on the body and tissue on the spinal cord, which leads to MS
Those who suffer from multiple sclerosis tend to experience blurry
vision, difficulty walking and bladder control issues. MS symptoms tend
to fluctuate over. Unlike fibromyalgia, they are not more intense in the
Diagnosis for both diseases is often done by ruling out other causes.
For fibromyalgia, the tender points are often what lead doctors to their
final diagnosis. For multiple sclerosis, there are various tests
including blood tests, spinal taps and MRIs.
Treatments for Each Condition
The approach in treatment for fibromyalgia is different from that of
multiple sclerosis patients.
Fibromyalgia can often be treated with over-the-counter medications such
as Tylenol or ibuprofen. Lifestyle changes can also help improve the
symptoms of this disease.
These changes may include reducing stress, following a specific sleep
schedule, exercising regularly and decreasing your caffeine intake.
Multiple sclerosis treatment may also include over-the-counter pain
medication, but more often has prescribed medication as well as physical
therapy, speech therapy, stress management and reduction, cognitive
behaviour therapy and acupuncture. Necessary lifestyle changes may
include switching to a low-fat diet, increasing your fiber intake,
stretching and exercising regularly.
While there are a few similarities in the symptoms and treatment of
fibromyalgia and multiple sclerosis, the two diseases differ greatly.
Both are life-altering and difficult to diagnosis. Neither has been
given a specific known cause. However, the similarities end there.
Fibromyalgia is much more common than multiple sclerosis affecting
nearly seventeen times the number of people in the United States. MS
affects vision, speech, cognitive behaviour and a person’s ability to
walk, while fibromyalgia does not. Fibromyalgia is characterized by a
musculoskeletal pain, while multiple sclerosis is viewed as an
It is important to see your doctor if you experience any of the symptoms
related to either of these diseases. Both require immediate attention
and treatment to relieve your pain and discomfort. It is also necessary
to note that it is possible to be diagnosed with both fibromyalgia and