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Depression and FMS
4 Replies
Noca - February 1

Since both depression and FMS can cause wide spread pain, how are you supposed to know if you have FMS if you also have depression? I would just ask my doctors but my pain clinic physician doesnt treat nor work with depression and my psychiatrist doesnt deal with pain or FMS.


Canada17 - February 1

You should know by ruling out all other possible causes (aside from depression and FMS) for your pain. If everything comes back "normal" then a tender point exam is conducted, if there is a reaction at enough of the 18 points, a diagnosis of FMS is usually given.

Depression pain and FMS pain are the same and yet totally different.

Also, most of us have a team of doctors who discuss our case and treat us accordingly. It is difficult to find a "one-stop-shop" for FMS care as too little is known of the dis-ease and thus effective ways of treating it.

It seems odd to me that a doctor who treats depression wouldn't help treat pain or at least be able to refer you to someone who does. If you don't talk to your doctors about your concerns, if you don't ask them these very questions you post here, they cannot give you the best care possible.

Your post reads like you have not been diagnosed with Fibromyalgia. Have you discussed with your doctors the possibility that you could be suffering with it?

Our doctors can only treat us as completely as the information we provide them.


Noca - February 1

I have a diagnosed bone disease that can cause chronic pain at the diaphysis of all my bones. I asked my pain physician about the possibility of FMS and all he said was that the treatment wouldn't differ so theres no point in bothering. My aunt has diagnosed FMS so its in my family.

I'll ask about the tender point exam as my doctor never suggested that. I do talk to my doctors as much as I can but they are all always in such a hurry that much of a dialogue isn't possible.


ptalana - February 2

I know many physicians offices instruct you to only discuss 2 concerns per visit so they have the time to properly address these. This makes it very difficult especially if you can't see your doctor very often. While I'm very happy with my doc of over 23 years, I always feel like I'm disturbing him if I mention all my concerns.
Noca, I would definitely request the 18 point test to determine if Fms is your diagnosis. Please let us know how things go with everything.
Hope today finds all well, Patty


Canada17 - February 2

Noca, you need to stand up for yourself in your appointments. While doctors instruct us with posters and pamphlets to only discuss two problems at each visit, they should not rush you.

Stay in your chair and discuss with your doctor what is ailing you, tell them you are contemplating suicide. Not one doctor should ever ignore that one simple statement. Only then will they be able to effectively treat you.

We cannot assume that our doctor knows best if we don't paint a complete picture for him.

The fact that your doctor told you FMS treatment would be the same as the treatment you are receiving now illustrates that fact that your doctor either doesn't think that you have FMS and is dismissing your suggestion as benignly as he thinks he can or that he doesn't know much about FMS.

*IF* you have FMS, and the treatment is the same as what you are now receiving, then you aren't being treated properly. Obviously something is missing from the equation because you are suffering too much.

You mentioned in another post that the psych ward at the hospital you visited is "like a prison" and you wouldn't want to be admitted there, I am left to wonder if it would be any worse than the prison you are in right now. The pain and depression has left you a prisoner of your own mind and body and you cannot escape it without proper treatment.

If you admit yourself to the ward, would you not also be able to discharge yourself if you feel you are not being treated properly?

We have to be advocates for our own health. Even when we do all we can to beat Fibromyalgia, we still suffer. If we are effective enough at controlling our flares, we suffer less and are bad days are fewer and farther between.

But, if we do nothing and wait for a doctor to tell us how to overcome our symptoms, we will only suffer with our pain silently. If you want treatment, you need to push for it. Or, you need to find someone you trust to push for you. There is no easy way out, regardless of what your diagnosis is.



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