| If you are not one of the lucky
few whose primary doctor is knowledgeable about fibromyalgia or at least
willing to work with you and learn about it, you should look for a fibromyalgia
specialist. Unfortunately, this is often difficult to do. Most fibromyalgia
specialists are rheumatologists or physiatrists, (physical medicine rehabilitation
specialists), but you can't assume that any given rheumatologist or physiatrist
will be knowledgeable and helpful. Other fibromyalgia specialists may
be internists, anesthesiologists, neurologists, or belong to other specialties.
The best way to find a fibromyalgia specialist
is to send for lists of recommended physicians from the national fibromyalgia
organizations mentioned above, and also go to a local fibromyalgia support
group meeting and ask for recommendations. It is best to do both because
the doctor lists are incomplete. Those of you out there who already have
good fibromyalgia specialists please let the list-keepers know. A fibromyalgia
specialist will be able to perform a tender point exam (without which
it is impossible to make the diagnosis accurately), will tell you that
it is not possible to cure fibromyalgia but that most patients can be
helped substantially, usually will not order a large number of tests,
will recommend treatment similar to that described above, and will seem
to enjoy treating fibromyalgia.
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