My PCP is not helpful...

Marie1962

New member
Joined
Mar 20, 2024
Messages
2
Reason
DX CP
Diagnosis
04/2024
Country
US
State
CA
Hi all, just starting this research journey...I am fairly certain I have Fibromyalgia - online tests indicate yes. I have skin pain all the time; continual dull pain throughout my body, muscle stiffness and days when I can only describe myself as "dead-tired". I saw my PCP last week and he ordered many blood tests (I guess to rule out other). The good news is that all my blood tests were great and W/I range. His response "All your blood work came out great which makes autoimmune condition much less likely". I am not sure where to go from here. Any suggestions?
 
Hi Marie,

It is frustrating when everything comes back and there are no abnormalities in the testing! I went through MANY years of that before I was diagnosed.

Did you bring up to your physician your thoughts on your symptoms maybe being fibromyalgia?

I found being given a diagnosis after exclusion of other possibilities to be a relief. It had a name, I wasn't "making it up" and there were things I could try that would ease my symptoms.

I don't know where you live or insurance things, so I can't speak specifically how you may go about a diagnosis. Some other ways are getting a rheumatologist consult referral or a pain management Dr/consult. I know many people that got their diagnosis based on exclusion and seeing one of those two specialties.

I would suggest brining your suspicions up to your doctor. Unfortunately, still in 2024, there are medical professionals that don't believe in fibromyalgia. It can be hard for people of science to wrap their head around something they can't run a test, see, or measure.

In the meantime, try incorporating some things that have been known to help others with fibromyalgia pain and fatigue.

Sending you lots of love! It is difficult being in that limbo state! Fantastic that all the blood work came out good, and frustrating when you still feel like 💩
 
Hi all, just starting this research journey...I am fairly certain I have Fibromyalgia - online tests indicate yes. I have skin pain all the time; continual dull pain throughout my body, muscle stiffness and days when I can only describe myself as "dead-tired". I saw my PCP last week and he ordered many blood tests (I guess to rule out other). The good news is that all my blood tests were great and W/I range. His response "All your blood work came out great which makes autoimmune condition much less likely". I am not sure where to go from here. Any suggestions?
Greetings and welcome to the forum.
It's important when fibromyalgia is suspected that you get tested for all of the many and varied things that have symptoms similar to fibromyalgia. This is because you may have one of those other conditions instead of, or even in addition to, fibromyalgia, and you need to know in order to know what treatments they might require. An internet search will locate for you all of the other conditions that have the same or similar symptoms. Get tested for all of them, unless you clearly do not have a symptom present that is required to have present in order for it to be a certain thing.

Fibromyalgia is not known, at this point, to be an autoimmune condition. Some doctors and researchers have categorized it as such, but this has not by any means been proven. So what your doctor may have been saying is that you don't seem to have any of the conditions that are definitely known to be autoimmune. If, however, he was saying that you do not have fibromyalgia because your blood work doesn't show an autoimmune condition, then I suggest that you need a new doctor who knows more about fibromyalgia.

Unfortunately most people with fibro do not find a great deal of help from medical doctors. Really, there's just not yet enough known about fibro for them to be of much help. They can, of course, prescribe pain medication. If you decide to take pain medication, be aware that there is no one thing that is effective for everyone, and you may try several with no effect other than unpleasant side effects. OR, you may find something that works great for you. You never know. Be very careful if you decide to take opiates, since they are highly addictive (as I am sure you know).

Be very careful with telling a doctor that you suspect you have fibromyalgia. Some doctors will listen to you and consider this; others will think you are trying to diagnose yourself and will not be friendly about it. If you want to talk to a doctor about fibro, just try to choose one that you have a good feeling about, one who has listened well to you in the past, or one who lists fibromyalgia as being a condition that they treat. Unfortunately, many still don't believe it is real and may only make you feel like an imposter if you attempt to bring it up. Often it is better to allow the doctor to come to that conclusion themselves, but it depends on the doctor. Just a word to the wise.

Other than that, I recommend you read my post for newcomers, here:
 
Hey, have you thought about seeing a rheumatologist for a second opinion? It could be worth a shot. And definitely keep track of your symptoms in a journal it might help provide more clarity for you and whoever you're seeing for medical advice.
 
I did bring up the possibility to my PCP. Update; I saw a Rheumatolgist and he also ran many blood tests, all came back with in range. He diagnosed me with Myalgia Rheumatica - he perscribed Prednisone (which does not do well in my system) which I turned down. I got a different steroid shot, and some sort of pain shot and neither helped my symptoms. I am transferring my care in June to a new PCP (female w/30 years experience) and plan to tackle everything I have been through with her. I don't have confidence in the Rheumatologist - my gut tells me he is not right.
 
I had to have a steroid injection @Marie1962 a coupl of weeks ago for inflammatory arthritis. Whilst some of the I inflammation has definitely gone I am still left with pain. They did say it can take time for the steroids to take full effect.
If it were me, I would do the same as you. You know when something is not right and I too would carry on finding the answers and best treatment. Wish you well
 
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