Not a Minute Too Soon

Remember trying to get your diagnosis? During the process, you receive all kinds of comments from family, friends and even doctors: ‘It’s just you getting older,’ ‘it’s all in your head,’ ‘do you really think there is something wrong with you?’ Finally, a long time later (for most people)and an exorbitant amount of money, because a correct diagnosis involves at least 3 months of pain and the exclusion of everything else (that’s a lot of tests).

Wouldn’t you have loved to have circumvented that step?

study from the Journal of Evaluation in Clinical Practice was conducted to help primary-care physicians become more skilled at correctly identifying fibromyalgia. According to the study, half of all primary-care providers from the U.S., Asia, and Europe did NOT know how to diagnose fibromyalgia.

The purpose of this study was to evaluate the potential usefulness of a new screening method using simple measures (achilles tendon tenderness, BP cuff-evoked pain, in tandem with a single patient question).

Patients with FM showed significantly greater sensitivity to digital pressure and BP-evoked pressure pain compared to patients with chronic pain but no fibromyalgia. Further, the patients who had right Achilles tenderness and who endorsed the deep-aching question had an 11 times greater chance of having fibromyalgia.

These results suggest that 2 tests, taking less than 1 minute, can indicate a probable diagnosis of fibromyalgia in a chronic pain patient. In the case of a positive screen, a follow-up examination is required for confirmation or refutation.

 

 

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