So today I want to revisit Fibromyalgia. As some of my people know, I have been dealing with "unclassifiable autoimmune" since 2007, and in 2008 was diagnosed with secondary Fibro, Raynaud's Phenomenon and in 2009 Sicca Syndrome. Up until recently all of my specialists seem to agree that if we got the autoimmunes under control, the Fibro should go away on it's own, and I held hope for that. Who wouldn't? Well, recently, we've learned differently.
Early last year, I got a new Rheumatologist at UW Health Madison, Dr. S. At the time I was on methotrexate tablets which were helping tremendously, but the side effects were hard to bare. So, Dr. S switched me to weekly methotrexate injections, we did some more blood tests and her feelings were that my autoimmune was more Psoriatic then Connective Tissue, which actually relieved a lot of my worries. She also stated that she felt my Fibro would not resolve itself because now it's "too deeply rooted". My heart fell, but I stayed positive hoping she was wrong. She planned to address treatment of my Fibro on my next visit.
Before my next visit which would have been October, 2012, I moved 2 1/2 hours away to Plover. So, had to find all new doctors, which I did. Keep in mind I am still believing my Fibro to be a secondary condition. I was also off my shots due to a serious sinus infection and bronchitis that wouldn't clear up. So, found a new Rheumatologist at Aspirus in Waukesha, Dr. C. My first visit, my records had not yet reached the new office, so he basically started from scratch. He was good, but very business like and very concentrated. He reran all of my blood and did new X-rays on my hands since they are the worst. He instructed me not to restart my methotrexate and come back in 3 weeks to go over all of my results. My 3 week appointment was last week. And - I got the surprise of my life.
My autoimmune panel is now all normal except for the Rheumatoid Factor - it's at 312. But, he ran more specific tests for RA because my hands were why so many doctors were convinced it's probably RA. My fingers are knotted horribly, warped and starting to curl under. Well, Dr C addressed everything, did an exam and then sat me down for my new diagnosis. My autoimmune is no longer. What happened to it? We don't know. Maybe it was the methotrexate or just went away on it's own. So what am I left with? Full-blown Primary Fibromyalgia. Wow - wasn't expecting that, was truly hoping it would go away. If any of you have knowledge about Fibro, you know that secondary is a bit different than the primary form. Primary is much worse. I was relieved in one way that I no longer had autoimmune and Fibro can't kill me, but to be told that something you thought would go away is now going to be a part of your life the rest of your life was brutal. I asked him, "So this means I will have this pain and fatigue the rest of my life??". He told me that's what it means, and that it also means that the rest of the symptoms I have left, like the headaches that my ENT is addressing would be there, the nerve problems, the sleeping problems - everything - I will have this forever. Damn.
But that wasn't the worst of it I guess. He also diagnosed Osteaoarthritis in my hands instead of RA. I was kind of hoping that it was RA because they have these new drugs that can reverse damage. They can't do that for Osteo. Damn, means I'm losing my hands. I'm a web developer - how can I work when I can't use my hands?? And he says they will just get worse as I age - lovely.
So that's where I stand. I have Fibromyalgia, Osteaoarthritis, he also changed my Raynaud's diagnosis to the primary disease instead of the phenomenon. I already knew that I have early stage Osteoporosis. I've been trying to process all of this since my visit with Dr. C. As of this morning, I've come to terms with it, and have been educating myself the last few days. One thing, is that Dr. C was great about advising me what I can do to have a better quality of living, which I would like to share with you.
For one, I'm already on Gabapentin (Neurontin) and Tramadol (Ultram) and have been for 3 years. He is upping me to the maximum doses of each. He says that will help with the pain and nerve firings.
Two - exercising. He recommends 30-45 minutes three times per week. He also recommended Water exercise as being the best form. I already do exercise, and have been trying to get into our Water class at my YMCA (something always comes up and I don't make it to class) since before I saw Dr. C.
He also took the time to go over the alternative treatments many Fibro patients try and went over study results and which ones had shown to be effective and which ones hadn't. I thought that was great. The medication and exercise were the most effective, while alternative treatments showed to have little to no effect. Those treatments were like acupuncture, biofeedback (which I do use) and chiropractors. They do work for those that believe they work, though, so if it works for you, do it.
Anyway - that's the latest update I have. I found a GREAT book written by an internationally-renowned Rheumatologist who is not just a doctor, but is a leading expert in Fibro and his wife also has Fibro. It's called
Fibromyalgia - A Leading Expert's Guide to Understanding and Getting Relief from the Pain That Won't Go Away, my husband found it at the library. I started reading it last weekend and so far it's been a great help - I'm actually taking notes! I HIGHLY recommend it. You can find this book at
eBooks.com,
Better World Books,
Books-A-Million and most other book stores. Some textbook shops like
Textbooks.com may also carry copies for as little as 99¢.
Another book we've been reading that I've found to be very helpful is
Fibromyalgia & Chronic Myofascial Pain - A Survival Manual. I had never even heard of Myofascial Pain until this book. It describes in detail what it is, plus explains how trigger points play into our tender points. You can find this book also at
eBooks.com,
Better World Books,
Books-A-Million and
Textbooks.com.
Now, all for me is not at an end. I did have to retire from web development for now, but since I found that there are ways to better my life, I am contemplating maybe going back to work part-time, who knows what's in store for me. I WILL stay positive, I WILL work at getting better, and I DO WANNA GET WELL! There IS hope!
Thanks for hanging in there with me!
Love, Tam