People have said that their fibromyalgia causes swelling.
They say they have inflammation confirmed by elevated Sed rates in blood tests. 1 person I know does say she has arthritis also.
The medical community and many FMS patients accept the statement that there is not inflammtion or swelling in FMS.
If there is inflammation/swelling than that is an indication of another disease such as arthrits. Either the patient really has an inflammatory disease such as arthrstis and is wrongly diagnosed with FMS. Or the patient has both FMS and an inflammatory disease.
So-is this logical.....???????????
You can have FMS and swelling.
BUT, the swelling is NOT from the FMS.
It IS from the 2nd condition such as arthritis. Just to make this clear-this is the statement I am asking about:
You can have FMS and swelling.
BUT, the swelling is NOT from the FMS.
It IS from the 2nd condition such as arthritis.
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I just have to disagree with the following statement
You Can't have fibromyalgia and a second rheumatic disease.
First of all-FMS is not a rheumatic disease-that was a false theory over 10 years ago. It is a neurological disease.
2nd-Anyone can have any combination of diseases-
I currently have FMS, but as I get older, I may or may not develop Rheumatoid arthritis-
You can have arthritis and lupus
You can have MS and arthritis
you can have FMS and Lupus
etc.....
It is harder to give an accurate diagnosis for FMS if you do have another pian condition, but it is possible to have both-
I do believe that many people who have a different condition are falsely diagnosed with FMS. What happens is that many patients with seronegative rheumatoid arthritis are misdiagnosed by poorly qualified rheumatologists as fibromyalgia patients just because they have a negative or low level rheumatoid factor and low values on the C-Reactive protein (CRP) and Erythrocyte sedimentation rate (ESR) tests.
20% of all rheumatoid arthritis patients have a milder form of rheumatoid arthritis, called seronegative rheumatoid arthritis, which will cause swelling and finger joint deformity, two characteristics that distinguish these patients from fibromyalgia patients who will experience collagen inflammation limited to the muscles and soft tissues.
You can't have fibromyalgia and a second rheumatic disease. These patients are misdiagnosed and suffer from seronegative rheumatoid arthritis (With no fibromyalgia!). But rheumatoid arthritis patients can have a second rheumatic disease like Raynaud's disease or Sjogr毛n's syndrome.
Rheumatic diseases are the result of a defective gene and collagen inflammation, often from a chronic infection. Collagen is present throughout the body, from the eyes, skin and joints to the heart. Hence, the multiplicity of symptoms, depending on the location of the most affected internal organs or body parts.
Rheumatic diseases are diagnosed in much the same way as rheumatoid arthritis, through a number of blood tests showing inflammation:
- Antistreptolysin-O (ASO);
- C-Reactive protein (CRP);
- Erythrocyte sedimentation rate (ESR);
- Rheumatoid factor (RF);
- Immunoglobulins A, E, and G;
- Complement 3 (C-3).
For more than 27 years, I have had seronegative rheumatoid arthritis like 20% of patients with rheumatoid arthritis. The telling signs are the following:
- Joint pain or cracking joints in the lower extremities, feet, ankles, knees or hips in the early 20's or late teens;
- Fatigue, especially after a moderate exercise like a 30 minute walk;
- Blood test showing a negative or low level of Rheumatoid factor (RF);
- Joint deformities of the fingers, after a few years, a specific sign of rheumatoid arthritis;
- Consecutive X-Rays, over several years, showing bone erosion, a consequence of rheumatoid arthritis;
- Generalized arthritis and pain, involving the whole body;
- Blood tests showing elevated levels of C-Reactive protein (CRP) and Sedimentation rate (ESR).
Antibiotics like Minocin, NSAIDs like Voltaren, COX-2 inhibitors like Celebrex, acetaminophen like Tylenol, codeine, and statins like Lipitor are all used to control inflammation and relieve the pain of arthritis.
Regular exercise like walking, biking and swimming is also helpful for most patients. Make sure that you are not overweight as carrying too much weight can only increase the pain of arthritis in the supporting joints of the hips, knees, ankles and feet.
For any form of arthritis, you should consult an orthopaedist who will order blood tests, joint scans and X-Rays to better diagnose the type of arthritis from which you suffer.
The American Academy of Orthopaedic Surgeons at http://www.aaos.org maintains a public online directory where you can find the address and phone number of orthopaedists who belong to the American Academy of Orthopaedic Surgeons. Orthopaedists are listed by geographic location and family name, inside the USA and in most countries.
The membership directory of the AAOS is located at:
http://www6.aaos.org/about/public/member...
The American Academy of Orthopaedic Surgeons maintains a wealth of information online at:
http://orthoinfo.aaos.org
Lyme disease could be a possibility. Ask your doctor to test you for the bacteria causing Lyme disease.
Are there any other cases of arthritis or rheumatic diseases among your relatives? Chronic forms of arthritis are usually prevalent in families where a defective gene is passed on by parents to their children.
There are a few hundred types of arthritis and rheumatic diseases. The good news is that science is progressing rapidly in its understanding of rheumatic diseases.
Antibiotics are now used to achieve full remissions for at least 40%, if not 65% of patients with rheumatoid arthritis. For rheumatic diseases which are less severe, the number of patients making a full recovery can be even more impressive. For more info, please join the antibio group at:
http://health.groups.yahoo.com/group/ant... |
