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Mild, Moderate or Severe Fibromyalgia

Chronic Illness Forums
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Fibromyalgia
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Hallahan
Regular Member
Joined : Feb 2014
Posts : 229
Posted 1/4/2015 10:59 AM (GMT -7)
I've long suspected there are degrees of fibro. See link http://www.ncbi.nlm.nih.gov/pubmed/22839682

My doctor recently made the comment that I had moderate fibromyalgia. I do hear of people really laid low from it and others who work and don't have much of a problem with it. I wonder what determines whether you have a severe case, or a mild case. Or is that yet another unknowable thing about fibro.

Any ideas?

Barb
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Acheybody
Veteran Member
Joined : Nov 2008
Posts : 6021
Posted 1/4/2015 11:30 AM (GMT -7)
Yes, I think there must be degrees, because I've met people too who seem to hardly miss a beat. I don't know how they'd figure it out officially - but by any comparative measure, I'm pretty sure that mine is at least moderate. Then again, the older you get, the harder it becomes to tell which one of your pain conditions is responsible for what - I'm thinking mostly of my DDD here.

Having one of those especially bad mornings....made myself lie on my left side for a minute because "it must be good for me somehow," and that always stirs things up.

Debbie
Moderator, Fibromyalgia Forum

Fibromyalgia, degenerative disc disease, discectomy L4-L5 - (w/lots of Sciatic Nerve damage), frozen shoulder, Hashimoto's Thyroiditis, IBS, migraine, dizziness (mostly from visual stimuli), elevated liver enzymes, tachycardia, hearing loss (probably Menieres).
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Sherrine
Forum Moderator
Joined : Apr 2005
Posts : 18181
Posted 1/4/2015 11:41 AM (GMT -7)
Barb, good question! I personally think it's a combination of what you do to help control your pain. I was a lot worse years ago and I'm sure I would have been put in the severe catagory. But I have learned a lot about fibro and have tried many things and found what helps me the most. Right now I would be considered to have a mild case of fibro. I still have painful days but not off the charts like I used to have.

Also I check to see if more intense symptoms could be something else. It's so easy to blame all our symptoms on fibro and that might not be the case. I've mentioned many times how just three short years ago I was in extremely severe pain 24/7. At first I was blaming fibro since it was my back, hips and legs that were the worst along with the overall achiness but then I decided to get checked out by a rheumy and found I had another problem that was causing the excessive pain. I was put on medication for it and the intense pain slowly subsided and I'm doing well again.

Plus I added things that I've tried that help me, I keep moving and try to live as normal a life while pacing myself. I didn't know all of these things when I first developed fibro and I just cried a lot thinking this was my lot in life. But once I started reading, trying a more natural approach, kept moving I have improved quite a bit. I also didn't believe everything written on the Internet and I didn't listen to all the negative things that float around about this illness. Yes, my positive attitude has helped me also.

So this is why I think there are the three levels of fibro. If you are in one level, it doesn't necessarily mean you will always be that level. With a little work and research, I think you can improve. I'm testimony to this. This forum is a great source of information to help people learn how to live successfully with fibro. There is no set protocol since we are all so different but you sure can get a lot of great ideas to check out!

Sherrine

Forum Moderator/Fibromyalgia

Fibromyalgia, Crohn's Disease, Ostomy, Autoimmune Inner Ear Disease, Diabetes, Osteoporosis, Glaucoma, Scoliosis, Ankylosing Spondylitis
************************
God does not give us a spirit of fear, but of power and of love and of a sound mind. 2 Timothy 1:7

Post Edited (Sherrine) : 1/4/2015 11:44:22 AM (GMT-7)

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Hopegirl
Veteran Member
Joined : May 2008
Posts : 714
Posted 1/11/2015 12:01 PM (GMT -7)
I think this is an interesting topic. I wonder about this a lot. Is it that people just have different tolerance for pain, or are there different categories, mild, moderate or severe...I feel that I'm on the severe side. I have chronic lyme also. I got dx's with lyme about 5 or so years ago, had to go thru two rounds of IV antibiotics, developed a blood clot and had to have my pic line removed. I refused to have it put back in. I don't (I'm no doctor and I could be wrong) think that you ever really get rid of Lyme. Fibro...I was dx'd with that first about 8 years ago...may be longer, I'm typing off the top of my fibro mind, so I could be wrong with the dates, but anyway...I am curently on Fentanyl pain patches .75 every other day and oxy 15's for break-thru.
Right now I'm not working, I am getting more sleep, but I feel like between the bitter cold we are experiencing and the fact that I lay in bed more, I am experiencing more pain. Without the patch, I would not be able to function. I am on unemployment right now in-between jobs, but I would not be able to work without the medication. I forget to change my patch sometimes, and start to feel that extreme pain fade in...I just honestly don't understand how I could deal without meds. I'm careful with my medication, I keep it in check. I've been on narcotic meds of some sort for over 12 years, I don't want to be. I'd love to look into all natural. There is a chiro on the tube I am researching now to see if his methods are helpful.
For me...I also do believe it is progressive, I'm not sure if its because I'm 48 and getting older so its naturally getting worse for what, but I would love to know how to deal with fibro without narcotics. Anyone that does not need to use narcotics, I'm thrilled and in awe that you are able to deal with the pain thru other methods. I sure wish I could come off my meds.

Aka -Monica
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Cimorene
Regular Member
Joined : Dec 2014
Posts : 59
Posted 1/11/2015 12:41 PM (GMT -7)
I'm not sure where I read it, possibly one of the excellent articles posted here, but I was fascinated to read of the strong genetic component to fibro. I wrote a post at the time mentioning that now I realize that my mom had it, and that no one was nice to her, as they are now; she was called a hypochondriac and essentially ignored. I'll always regret that.

Recently, I saw some reporter or announcer or something like that on a television interview. She smilingly discussed her fibromyalgia and the degree of pain she had and she didn't have a hair out of place and her makeup was perfect and she said that she NEVER misses an appointment, NO MATTER WHAT. I felt like a worm.

On the other end, I had a client, a young woman, who told me about her hospital stays and her debilitating pain and illness over a number of years in her late teens and early 20s. What was the diagnosis, I asked? Fibromyalgia. I'm from a generation where people with these things were called just what we called my mother: hypochondriacs. Or they were depressed. Or had deep psychological issues. Something like that. To this young woman, though, her illness was genuine, and she got the care she evidently needed. She was in law school when I met her, so something must have worked.

I had bilateral knee replacements a few years back, and my fibro became far worse afterwards. I concluded that the invasiveness of surgery probably was the culprit. On the other hand, having struggled with this for at least ten years, I can say that--other than this time of year!--my flares are far more infrequent, and I've learned to deal with my pain, for the most part. That doesn't mean I don't occasionally whine plenty, but I kind of know there's a beginning and an end to my episodes.

I guess each of us has to decide how to take care of ourselves and make peace with our decisions. I take almost-narcotics, by the was, Monica....i.e., synthetic ones, such as Tramadol. I also take Neurontin. I felt guilty for years, and now I'm okay with it. It gets me through my days and I don't feel high, even if I am, no doubt, dependent. I never take more than my prescribed dose, and I'm okay with it.

I do wish someone could tell me how to get off Ambien, though....I'm so habituated to it, and I keep thinking that if I could just give up wanting to sleep, I'd be fine....

Cimorene
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