Why My Wife and I Believe Fibromyalgia and Multiple Sclerosis are One and the Same
76Montel Williams
It's a bold statement for two folks who aren't even doctors, saying that multiple sclerosis (MS) is the same thing as fibromyalgia. How did we even come up with such a farfetched, Looney Tunes idea in the first place, ennyhoo?
In a word--okay, two words: Montel Williams.
A bit of backstory: Pam was diagnosed with fibromyalgia in 1998. Back then, at least in South Dakota (where we lived at the time), few people--including doctors--knew anything about the disease. We'd heard of it, done a little research on our own, and knew she had it. However, her regular physician wasn't willing to admit in so many words that he agreed with us.
It was only when we left the state and pulled a set of records from the clinic on our way out that we found an entry in her medical file:
"...presents with the classic symptoms of fibromyalgia."
In 2004, Climbing Higher by Montel Williams (with Lawrence Grobel) was published. I picked up our copy in February of 2011 at Hastings Bookstore, On Sale, $1.99 in the used book rack. From the first page, one thing was startlingly obvious: Pam's experience with fibromyalgia and Montel's experience with multiple sclerosis ran parallel like the two rails on a single set of railroad tracks.
The only difference was intensity, the sheer degree of pure damage each individual has to deal with on a daily basis. Which led us to conclude--we couldn't avoid concluding--that fibromyalgia is nothing but "baby MS", a milder yet nonetheless debilitating form of the crippler/killer known worldwide by those two simple letters: MS.
Comparison Points
How long will it take the medical professionals to catch on to this...if they ever do? No clue, folks. But hey, here at the Border Fort, you're seeing a brilliant combination at work.
That is, a science fiction writer with a "sci fi mind" used to making deductive/inductive/seductive leaps (that would be me) and a onetime pharmacist with fibromyalgia powered by a lightning fast, nuclear powered, damaged-yet-still-awesome brain (i.e. Pam). You can't expect a little thing like the A.M.A. to compete with that!
All righty, then! Enough chitchat. Time to list a few comparison points between Pam (as we've lived her fibromyalgia) and Montel (as he's chronicled his multiple sclerosis). Just one last caveat before we get started: This list is a tiny fraction of the overall whole. We could run this thing out for many thousands of words.
You wouldn't read the whole thing then, though.
Here we go:
MONTEL and PAM : SIMILARITIES
1. In the beginning, a lot of doctors felt Pam was making it up, a hypochondriac, not in pain at all, just a great big faking phony. Same with Montel. Be it fibro (as we usually refer to fibromyalgia) or MS, a lot of the symptoms are invisible to the naked eye of an outside observer.
if you're dealing with lifetime athletes who are used to sucking it up, use it or lose it, that's especially true. Pam and Montel are both lifetime athletes.
2. PAIN!! That's the number one hallmark of both diseases. In Montel's case, there were times he literally could not move because the pain was so intense. Pam's pain levels, in the early years before she taught herself to function through pain levels most of us can't even imagine, was--well, let's put it this way: For one 18-month period in 1998 and 1999, I had to carry her to the car and even to the bathroom much of the time. PAIN!!
3. Cyclical nature. Both fibromyalgia and multiple sclerosis tend to flare up, knock the dickens out of the sufferer, and then recede again...for a while. The process is repeated endlessly, sometimes (but not always) leaving obvious additional degredation behind after an "episode". When Pam wakes up in the knowledge that she's "in for it" once again, all she has to tell me is, "Fibro Flare"...and I get the picture.
4. Balance and coordination problems. Montel stumbles into things, falls, and walks in a circle to his left if he doesn't consciously counter the tendency. Pam has fallen more times than either of us can count, has given herself a black eye by walking into a doorframe, and must be ever aware of paying attention to balance if she's to remain upright.
5. Brain demyelination. This is the keystone for this entire hub. In our brains, the nerves are sheathed in a substance called myelin, precisely as electrical wires are covered with insulation. "Multiple sclerosis" translates as "many scars", i.e. numerous places where the myelin (insulation) has been scraped or scarred or in some way...removed...from the underlying nerve.
Which--you got it--shorts out the brain to one degree or another.
Montel's MS diagnosis was confirmed by an MRI scan which showed scarring in his brain and his spinal cord. Pam had her MRI in 2003. I watched the technicians as their eyes went wide when they first saw her brain's "white patches" coming up on the images they were monitoring. It was obvious they'd thought she "looked too good" to have actual damage like that.
Wrong.
Bottom line: Pam and I've discussed this in depth. If our intuitive conclusions are correct, a complete MRI scan of a fibromyalgia sufferer would, in all likelihood, reveal some degree of brain demyelination. Or maybe not; it's possible the brain lesions are present but still too small for even our highest scanning technology to pick up in the beginning.
Of course, that's not likely to be either proven or disproven any time soon. MRI scans are not at present a diagnostic tool of choice for most cases of suspected fibromyalgia.
But we're onto something, and we know it.
UPDATE, MARCH 10, 2011
A special note of thanks to fellow Hubber MsDee for mentioning the existence of a YouTube video in which Stanford University's progress toward understanding and treating fibromyalgia is discussed. The video turned out to be so good that it simply had to be included here.
Stanford University Scientists Study Fibromyalgia
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My niece lives just a few miles from you and she has MS.
Knowing others suffer this way makes me grateful for relatively good health.
Informative Hub.
I know we're not supposed to reference other hubs in the comments, but this seems to fit what a particular video says in a hub by another hubber, ar.colton, "How to Deal With People Who Don't Believe in Fibromyalgia". It's a YouTube video link at the bottom of that hub, An Update on Fibromyalgia done by a Stanford researcher. He explains the nerve and brain angle you describe. Also, I have Fibromyalgia, myself, and have written a hub on it where I explain something I'm taking that has eased my symptoms quite a bit. I wonder if you and Pam know about it. Sounds like I had as bad as Pam's flares you describe until I got on the supplement I refer to there. Your hub has now gotten me wondering about a cousin of mine who has MS. Thanks for sharing your thoughts! Feeling for you and Pam.
I have fibro and have thought the SAME THING before about it being so much like MS. Thank you for writing this hub.
My sister-in-law has fibromyalgia which took months to diagnose. Interesting hub, Ghost. I am not a keen fan of the medical community when it comes to diagnoses. You just might be on to something.
Yes, that's been my experience too. Something will work for a while, but then some change in the body's balance then renders what used to work ineffective. It's never a final fix, is it.
Great info that is quite educating.
Both are clinical diagnosis... Before being diagnosed with MS. I was told it was probably Fibro.. I see it as a lose lose... For 3 years I was tested for Lupus. They all suck and there are small steps for improved quality of life, I say this as I am on day 1 of a 3 day steriod IV treatment due to a MS. Flare
You certainly are a very special man Ghost32 and your wife Pam is one very special lady to have chosen you in the first place.
Heartfelt thanks to you from me for educating others by raising the awareness of Fibromyalgia. :-)
God bless you for sticking with your wife and championing this along with her. Enduring such a disease is quite scary and lonely for several reasons. People, even medical professionals believe you are faking the symptoms. if you are believed, symptoms are dismissed because you look healthy. people assume nothing is wrong except crazy and lazy.title of a hub by hubber devin shakur i know we're not supposed to mention other hubs but...
someone with MS may or may not have pain. they may have poor balance, vision problems, weakness, incontinence or many other symptoms without pain. pain is only one type of nerve dysfunction of the many that someone with MS can have.
fibromyalgia is well-defined these days. every doc should be well-versed and one who isn't wouldn't be my doc for long.
my sister has had fibromyalgia for many years. my sister-in-law was thought to have fibromyalgia, and turned out to have lupus.
there are many diseases which are "cyclical", that is, have remissions and exacerbations. they are all not the same disease.
has pam seen a rheumatologist?
with fibromyalgia and/or rheumatoid arthritis or lupus, i'm amazed she doesn't see a rheumatologist regularly.
some foods that may help arthritis:
red grapes, ginger, soy, turmeric, cherries, caffeine, fish (see my omega-3 hub for some low mercury, high omega-3 fish).
sounds like you have been very good for Pam. my mom quit smoking a few yrs ago after umpteen tries. i never call attempts failures. i call them practice for the time that's going to stick.
sounds like Pam had a rough childhood. glad she found you to help her deal with the fallout of that.
13 years ago at the age of 15 I was diagnosed with MS and for the past two years I have been experiencing chronic pain and am on multiple narcotics I had a doctor before realizing I had MS diagnosed me with fibromyalgia and my neurologist says pain is NOT a symptom of MS so what else is it I truly believe either the two diseases go hand in hand or it is all part of MS. Than ghost for posting this.
great hub - there is so much we just don't know about the human body and the first thing is that no two bodies are or react the same - the medical profession (of which I was one once) is so busy trying to make sure everyone fits into an identifiable box, they lose sight of the individual.
Oh yeah - I have all of the above but because I also have mild biopolar disorder - it is all in my mind.
wishing Pam good health
Hi, I am late to reading this, but just wanted you to know how interesting your hub is. I have MS and I have friends who have been diagnosed with Fibro. I am always aware of the pain they are in which is more severe than what I suffer. I don't know if the two conditions are one in the same or not, but I sure wouldn't be surprised if Fibro was included in the MS category. Seems too coincidental that the symptoms are so closely related.
I participate in a MS forum in which some have received double diagnoses of MS and Fibro. I would love to know how they make the distinction, maybe it is the MRI results?
At any rate this is very interesting, thanks for sharing your experience and I hope your wife is doing as well as can be expected.
When people ask me to explain FMS many times I tell them its a lot like MS,except for the destruction of muscle that MS does.So this Hub was really awesome to see.For a long time Ive also seen that the two diseases are very similar.Like many with Fibro the dr tested to see if I had MS first.A neurologist told me that I had some Brain demyelination but that it wasnt MS.I have had Fibro since I was around 10.Back in those days tho the drs had NO idea what it was.For the most part I was told I had a rare form of arthritis(and lucky me I also had regular arthritis) or some kind of muscle disease. I actually got a diagnosis from a rheumatologist 16 years ago.Now at 54,I recently had to leave my job because I could no longer do it after stuggling 26 years to make it thru each day at that job.Besides the FMS I need a knee replacement and back surgery.Right now I am in a big time Fibro Flare.Last night I hurt so much I was nauseous and could barely walk up the stairs to bed.I hate these times.
Thank you for this Hub.I am glad Im not the only one seeing the similarities now.My love to Pam.I understand her journey and wish her as many pain free days as possible.
Hi Ghost32,
Your hub was very interesting to me. It seems reasonable that fibromyalgia has its roots in the same demyelination of nerve cells that causes MS. Maybe it is a question of degree. In fibromyalgia,the myelin perhaps degrades in tiny portions over a long period of time whereas in MS the process of demyelination moves more quickly. Maybe that is why demyelination in fibromyalgia patients does not show up very well in an MRI. Anyway, you might be on to something here. Thanks for the hub. Take care and good luck.
Ghost, I think you and Pam are on the mark that Fibro is "baby MS". As you so eloquently point out, too many symptoms are common to both for them not to be simply different names for the same condition.
I really only became aware of MS about 5 years ago when I and a co-worker who'd suffered from it (at that point) for over a decade became friends. A cousin has fibro, but until I read this hub I'd not connected the two. Now I see the similarities.
Over the years, my friend and I keep running across others also afflicted with varying degrees of MS. So many, in fact - from dissimilar backgrounds and lifestyles - that in my mind MS constitutes an epidemic.
One doesn't have to have an M.D. or a PhD behind their name to know all epidemics have some cause or "trigger" in common. To my knowledge, however, the medical community is only concentrating on drugs/treatments for the symptoms of MS and NOT doing any in-depth studies to isolate the common factor(s) causing a large segment of the population to "catch" this debilitating illness. Same for Fibro.
I suspect this partly due to not wanting the cause to be environmental pollution, thereby exposing BigChem or BigOil to billion-dollar lawsuits, and partly because of the potential hit on BigPharma's profits if the onset of MS and Fibro could be prevented by immunization.
Again, I'm not a scientific researcher, so this is only the opinion of an untrained (but extremely curious) observer.
Voted up, useful AND awesome. ;D
Some interesting thoughts there, I never would have linked the two together. I was unaware that demyelination occurs in fibro patients as well - I think it's time to get myself in for an MRI of my head (my Doctors don't yet know if I have fibro). My Grandad had primary progressive M.S until it got the better of him so I know too well what M.S patients go through. All the best to you and Pam.
Very interesting article about precursor conditions to MS and I think you have the right thoughts about that. If some research could be directed along that route, prevention could be a real option. As it is, research studies can't interact because of regulations; someone has to read it all and come up with another study connecting them, which hits the usual red tape in funding.
Have you asked the MS association to look into your ideas about fibromyalgia?
Back in the 1960s or thereabouts, editor Norman Cousins attributed the same types of symptoms to having inhaled and absorbed jet exhaust from a large plane he debarked and walked past. After hospitalization failed to help him, he came up with a controversial treatment method of his own that worked for a time.
I also remember a documentary that replays on cable TV Stations often, where a wife with MS in a wheelchair began to draw a bath during a lightning storm, a bolt of it hit the faucet as she touched it, it threw her from her chair, and her husband came home to find her up and walking without pain. I don't recommend that treatment for everyone, of course.
The mention of rusty shrapnel and bullets remind me of how Pope John Paul II deteriorated in posture soon after being shot, as if he were melting under arthritis. Adding some of theses metal to the body cannot be good.






















breakfastpop Level 8 Commenter 14 months ago
They have come a long way in diagnosing MS these days. Neurologists now know that migraine sufferers have white patches too. Fibromyalgia is still relatively unknown and sadly there are still doctors around who don't believe it exists. Pam certainly has a lot of hurdles to conquer. I'm glad she has you.