While
physicians follow specific guidelines for diagnosing
fibromyalgia, there is, as of yet, no single diagnostic
test for fibromyalgia. Your physician treating you for
fibromyalgia will want to rule out other illnesses and
diseases that are similar to fibromyalgia before making
a firm diagnosis.
If
you have gone to your doctor for a fibromyalgia test, he
or she most likely conducted an examination and wanted
to know your patterns of symptoms as well as medical
history. Even though your doctor cannot rely on a single
fibromyalgia test, he or she may follow the specific
test criteria for diagnosing fibromyalgia developed by
the American College of Rheumatology in the 1990s.
According to their test, to be diagnosed with
fibromyalgia, a patient must have clear signs of muscle
tenderness at 11 of 18 specific locations on the body.
Also, their test criteria require a fibromyalgia patient
experience widespread pain.
Because there is no other real test for fibromyalgia,
many experts consider fibromyalgia a disease of
exclusion. In order to test whether or not your have
something other than fibromyalgia, physicians will often
order thyroid studies and inflammatory panels which are
similar to an arthritis test.
If
you have an abnormal blood test, your physician may
order another test and then another test in the quest to
discover if you have fibromyalgia or another disease. At
the same time, there is not one blood test that will
show fibromyalgia abnormalities. The lack of a blood
test to identify the problem is why many old-school
doctors felt fibromyalgia was a figment of a patient’s
imagination.
In
the past a person with fibromyalgia was burdened with
the task of taking a psychological test to rule out
depression or psychosis of some kind because
fibromyalgia was so misunderstood.
Today your physician’s diagnosis of fibromyalgia
syndrome is based on a test of tender areas in specific
areas of muscle. Your doctor will test trigger points or
tender points. Moreover, as part of the fibromyalgia
test, it is not uncommon for pressure to cause pain that
will be spread out to other part so the body.
Because your physician will need to test for tender
points, a fibromyalgia diagnosis does depend on this
hands-on test. Experts do not advise patients to test
for fibromyalgia on their own or to conduct a
self-diagnosis test of fibromyalgia.
At
the same time, there is no harm in taking a personal
test by asking yourself a few questions such as the
following: Are you having difficulty finishing daily
tasks? Have you experienced stiffness or fatigue? Do you
have widespread bodily pains or feelings of
hopelessness? Have you lost your thirst for knowledge,
will to live or interest in entertainment and sex?
If
you answered ‘yes’ to the test questions above; then,
you are probably ready to see your doctor who will test
you for fibromyalgia. The criteria for fibromyalgia your
doctor will use were designed not just to diagnose
people with fibromyalgia, but also to give researchers
the ability to study patients with similar symptoms.
There are 11 of 18 specific areas called tender points
on the body that your physician may test. Tender points
are found in the following areas: directly below the
hairline, the left or right side of the back of the
neck, the inside of either arm, the left or right side
of the upper back, the left or right side of the spine
in the upper back between the shoulder blades, the left
or right side of the front of the neck, above the collar
bone, either side of the buttocks right under the hip
bones, the left or right side of the chest, right below
the collar bone, the left or right side of the lower
back, right below the waist and either knee cap.
Also, your physician will test to see whether you
experience widespread pain above and below the waist, on
both sides of the body and along the length of the
spine. The pain must continue for at least three months
to pass the fibromyalgia test criteria.
Finally, if your physician conducts this test for
fibromyalgia and is still not able to confirm a
diagnosis, he or she may test you for abnormal sleep
patterns. The test he or she will use is known as a
sleep electroencephalogram. Also, he or she may test you
to check the level of cortisol in your blood.
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