By: Tiffany Vance-Huffman
There is so much mystery in the world of fibromyalgia, in large part because it effects everyone differently. Another reason for the mystery is due to the similarity in fibro symptoms compared to other diseases and syndromes. Fibromyalgia is sometimes misdiagnosed as a different problem and vice versa. This is because the myriad of symptoms associated with fibro are commonly found in other illnesses such as multiple sclerosis, also known as MS. So how can you tell if it’s fibromyalgia or multiple sclerosis?
What Exactly is MS?
The National MS Society defines it as follows: “Multiple sclerosis (MS) involves an immune-mediated process in which an abnormal response of the body’s immune system is directed against the central nervous system (CNS), which is made up of the brain, spinal cord and optic nerves.” If you or a loved one live with fibromyalgia, you can definitely spot some familiar buzz words and phrases, can’t you? Specifically, “immune system,” “abnormal response,” and “central nervous system.” In fact, the similarities in symptoms become quite striking when you review a side-by-side comparison. Note that most, not all, of the fibromyalgia symptoms overlap with MS symptoms, making it difficult to distinguish whether it’s fibromyalgia or multiple sclerosis:
|MS SYMTPOMS||FIBROMYALGIA SYMPTOMS|
|Numbness or Tingling||Numbness &/or Tingling|
|Dizziness & Vertigo||Dizziness|
|Walking (Gait) Difficulties||Impaired Coordination|
|Spasticity (i.e., muscle stiffness and spasms)||Muscular aching, throbbing, & twitching|
|Vision Problems||Vision Problems|
|Bladder Problems||Bladder Problems|
|Bowel Problems||Irritable Bowel Syndrome|
|Cognitive Changes||Cognitive Problems|
|Tremor||Restless Leg Syndrome|
|Swallowing Problems||Dry Eyes & Mouth|
|Itching||Itching &/or Burning|
|Sexual Problems||Insomnia/Poor sleep|
|Speech Problems||Ringing in the Ears|
|Breathing Problems||Neurological Symptoms|
|Seizures||Skin Sensitivities & Rashes|
It is plain to see many similarities in symptoms between fibromyalgia and multiple sclerosis, including clear neurological connections associated with pain, numbness, and tingling. However, experts explain that unlike MS, fibromyalgia does not show up as brain lesions on an MRI. Furthermore, while both conditions have no known source, MS is distinctly categorized as an auto-immune disease, but fibromyalgia is not. So that is one way to determine if it’s fibromyalgia or multiple sclerosis.
A key difference in MS is that the patient actually accrues long-term nerve damage which leads to physical and cognitive impairments. In fact, some types of MS are progressive. Primary Progressive MS (PPMS), for example, “is characterized by worsening neurologic function (accumulation of disability) from the onset of symptoms, without early relapses or remissions.” While fibromyalgia, on the other hand, is often mistakenly considered an arthritic condition, it does not actually cause damage to joints, muscles, or tissues.