Fibromyalgia diagnosis is a diagnosis of exclusion. Don't have anything else wrong with you and you have multiple trigger points? You've got fibromylagia. The rheumatologists had a heated discussion last month about whether fibromylagia diagnosis rose to the level of disease status. A rather interesting discussion indeed. In Dr Kevin's comments a rheumatology fellow left a classic description of the evolution of fibromyalgia diagnosis as seen through the eyes of the medical student all the way to private practice. I highly encourage you to go read it. It's freekin' funny. Here's a peek at the five stages of evolution for fibromyalgia diagnosis:
Stage 4 (Fellow): Sigh, why am I getting another fibro consult. It's not rheumatic--it's a disorder of central pain processing. It's a freaking neurologic disorder mostly related to chronic untreated pain from other diseases or from sleep disorders. Either have the primary deal with it or just to piss off my (neuro) wife, consult neuro.
Consult Neuro. Ha. Now that's good humor
