FMS dx appears to be on the rise in people with RA/PsA around here! Personally I think that Fibromyalgia lacks proper classification and is being used as a vague "catch-all" syndrome.
The symptoms and complaints seem to be noticeably different if the patient initially presented with depression/symptoms of mental illness, compared to those who initially presented with physical symptoms only. Physicians would do well to characterise (and formalise) the differences between Primary, Secondary, Somatic and Reactive Fibromyalgia, and some further differentiation between FMS, Chronic Myofascial Pain Syndrome, and ME would be... nice.
I also think there is a seriously lacking treatment framework for FMS, at least in the UK - it's centred upon Cognitive behaviour
al Training and counselling toward the fact that FMS is "not degenerative". Such "re-assurance" is meaningless if the FMS is concomitant with a degenerative auto-immune disease, and moreover, I struggle to see the benefit in CBT when pain is certainly not psychosomatic, which is likely to be the case in most FMS+RA cases, as the two will tend to exacerbate each other. (RA is bound to be unpleasant with FMS, given FMS apparently reduces the pain threshold level quite substantially)
Pharmacological options like Pregabalin or even Gabapentin seem hard to come by, with the only treatment option seemingly being higher-and-higher doses of Amitriptyline :(
Weary, I hope you find some answers soon, and I hope it's something both temporary and fixable!
Post Edited (JayBespoke) : 3/22/2011 12:31:14 PM (GMT-6)