Given the constant motion, bending, twisting, lifting, and propelling, your joints undergo excessive wear-and-tear over the years. Eventually, the inner lining and cartilage break down, allowing your bones to rub against one another painfully. This describes the classic symptoms of osteoarthritis (OA), the most common type of more than 100 kinds of arthritis.
But not all joint pain points to OA. If your joints are stiff and painful, you may have an infection, muscle strain, sprain, bursitis, dislocation, or even a fracture. At the American Rehabilitation Center in Dubuque, Cedar Rapids, and Anamosa, Iowa, Dr. Stanley Mathew, our triple-board-certified physician, diagnoses and treats many types of joint pain using the holistic, interdisciplinary approach of physiatry.
Here, he takes a closer look at two common causes of joint pain that have similar symptoms but very different origins: arthritis and fibromyalgia.
Arthritis is an umbrella term that describes more than 100 different joint conditions. The disease affects people of all races, sexes, and ages and constitutes the top cause of disability in the United States.
We mentioned that OA is the most common type of arthritis, but today we’re focusing on rheumatoid arthritis (RA) because it’s often confused with fibromyalgia. Unlike OA, which occurs when the protective cartilage in your joints wears down, rheumatoid arthritis stems from a problem with your immune system, causing it to attack the tissues in your joints.
Fibromyalgia is a condition that triggers widespread, inexplicable pain. It affects about 4 million Americans, but we don’t know what causes it. Women are two times more likely than men to develop fibromyalgia, and it tends to run in families. There may be a link between fibromyalgia and obesity, viral infection, stress, and/or trauma, but researchers are still investigating these possible connections.
Similarities between RA and fibromyalgia
The reason it’s hard to tell the difference between RA and fibromyalgia is that they share several symptoms, such as:
- Chronic fatigue
- Pain in several locations
- Pain on both sides of your body
- Decreased range of motion
- Joint stiffness
Depression and anxiety often go hand in hand with both fibromyalgia and RA, as the diseases take a toll on mental health as well.
Differences between RA and fibromyalgia
If you only experience the symptoms mentioned above, it’s hard to diagnose your condition on those signs alone. However, other symptoms inevitably crop up and give you more clues.
Unique RA symptoms
A few symptoms that RA doesn’t share with fibromyalgia include:
- Pain only in the joints, not the muscles
- Swollen, warm joints
- Joint deformity
Unique fibromyalgia symptoms
Fibromyalgia has a long list of unique symptoms that don’t overlap with RA:
- Overall pain
- Diarrhea and constipation
- Irritable bowel syndrome
- Tender skin
- Cognitive problems
- Light and sound sensitivity
Women with fibromyalgia often report painful periods, and most people struggle to explain the source or patterns of their pain.
Getting an accurate diagnosis
The only way to determine whether you have RA, fibromyalgia, or both is to see Dr. Mathew for an expert diagnosis.
Diagnosing fibromyalgia is typically an exercise in elimination. If you experience widespread pain that can’t be attributed to another condition, you likely have fibromyalgia. Dr. Mathew also checks for certain criteria before diagnosing fibromyalgia: Mild pain must be present in at least seven areas, severe pain must be present in 3-6 different locations, and the symptoms must persist for at least three months.
RA, on the other hand, is diagnosable via blood and imaging tests.
No cures exist for RA or fibromyalgia, but that doesn’t mean all hope is lost. Dr. Mathew offers multiple treatments for both conditions that help you manage your symptoms, increase mobility, and get your life back.
In many cases, simple lifestyle changes can improve your symptoms. Talk to Dr. Mathew about nutrition and exercises that address inflammation. Physical therapy and yoga can increase flexibility without further damaging your joints and causing more pain.
Dr. Mathew uses a multidisciplinary approach that gives you a broad range of options, including chiropractic care, cryotherapy, nerve blocks, electrical stimulation, steroid injections, medications, and more. As a pain specialist, he doesn’t stop until your pain does.
Whether you have RA, fibromyalgia, or both conditions simultaneously, you can stop the pain with a visit to the American Rehabilitation Center. Call us or book an appointment online.