Controversial Debate

Welcome!
I want to get controversial today and I’m even going to throw in a disclaimer that this post is my PERSONAL opinion. I have no affiliation with any of the organizations mentioned within.
I was recently involved in an online Facebook discussion that got pretty heated. What was it about you ask? Well, let me ask you a question…
Is there a blood test to diagnose Fibromyalgia?
The answer is NO.
Is there a lab test to diagnose Fibromyalgia?
The answer is YES and NO.
WHAT????
How can there be both? Well, I’m going to explain it to you and when I’m done, you’ll see how wording can make you believe both things. Before I do though, I’m going to give you the correct answer. As of right now, today, there is NO blood test that definitively diagnoses Fibromyalgia. Not according to the Mayo Clinic, Johns Hopkins or any other leading hospital in the United States.
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First off, let’s get something clear about Fibromyalgia. Fibro is NOT an inflammatory disease. It is technically NOT an autoimmune disease. What Fibro IS, is a NERVE disease where the brain misreads the pain signals going to the body through the spinal cord.
The big test that everyone talks about when they say there’s a lab test that DOES diagnose Fibro comes from EpiGenetics. It’s called the FM/a test and it shows some promise that it could potentially diagnose Fibro. They say it does that now, but I say in the future. This article from Healthline explains it in more detail but it’s important to note that more clinical trials need to be done before we can trust this test to be the definitive lab test we’re all waiting for.
Here comes your Science lesson. This FM/a test looks for chemokines, which are a family of small cytokines, or signalling proteins secreted by cells. Some chemokines are considered pro-inflammatory These are formed under pathological conditions (on pro-inflammatory stimuli, such as IL-1TNF-alphaLPS, or viruses) and actively participate in the inflammatory response attracting immune cells to the site of inflammation. But as I said above, Fibromyalgia is NOT an inflammatory disease…so how is this blood test going to be useful other than by process of elimination? And by that, I mean it’s going to rule out all the other diseases that DO have inflammatory responses, such as Lupus, MS, Rheumatoid Arthritis, etc.; basically, all the auto-immune disorders, which would have already been ruled out by the doctor through a regular panel of blood work.
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The way Fibromyalgia is diagnosed is by using the traditional Tender Point test. There are 18 tender points on the body of a person with Fibro:
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As indicated, having 11 of the 18 Tender Points is considered a positive diagnosis. This is the ONLY way Fibro is diagnosed, after all other possible conditions have been ruled out, such as arthritis, lupus, MS, etc.
This Tender Point test has been accepted as the gold standard in the medical community for years and will continue to be utilized until the medical community itself accepts a blood test as the new standard. That may be the test from EpiGenetics or there is one being developed based on RNA, not DNA, by a company called IQuity. They call their test IsolateFibromyalgia and you can read about it in this article.
EpiGenetics has developed their test and are marketing it aggressively, but it hasn’t been endorsed by the major hospitals like the Mayo Clinic or Johns Hopkins, etc. or by doctors who treat Fibromyalgia. It’s accepted in most States, as well as in Canada and several other countries. Insurance and Medicaid will cover it in the US, but I don’t believe there is insurance coverage anywhere else, so you have to pay $1080 for the test, plus possible shipping fees to their California Laboratory and it takes a week to get results. In my opinion, that’s a lot of money for something that doesn’t have the support of the medical community.
For people with all the symptoms of Fibromyalgia, one of the most complex of the Invisible Illnesses, in my opinion, the future could be looking a whole lot brighter a whole lot sooner than we think. Instead of having to rule out multiple other conditions, a simple blood test will be able to help your doctor determine if you have Fibromyalgia, which means treatment can start sooner rather than later. Who knows…perhaps once we have a test to determine if you have Fibro, it won’t be long before we have an actual treatment for it too! One that really works, not just masks the pain or other symptoms for a short period of time.
Your best weapon against Fibromyalgia and all Invisible Illnesses is education. Stay up to date with information from trusted sources like the Mayo Clinic, Johns Hopkins and Healthline. Labs like EpiGenetics are focused on their own work and will be biased toward their own product so be aware of what they’re saying and why. They have a product to sell you and that’s their agenda – to make a profit. Keep that in mind anytime you’re researching information and ask yourself; what’s in it for them and what’s in it for me. The answer to that question can save you a lot of grief and controversy.
Remember, there is always hope.

0 thoughts on “Controversial Debate

  1. I read an article in newsman.com stating they could detect fibromyalgia using mri technology. Technology they claim they could use to design individual treatments for each patient. They state in the article that it is too expensive but I’ve had at least 4 mri’s in the last 8 years.
    I also found an article that described a way to to diagnose fibromyalgia using a simple eye exam. An ophthalmologist can determine the thickness in our rental nerve fiber layer. It seems patients with fibro. have a decrrase in that layer. The test is so accurate they can tell the difference between biologic fibromyalgia and depressive or atypical fibromyalgia.
    (Fibromyalgia News Today)
    Sounds a lot less painful than a blood test but doesn’t bring us any closer a treatment.

    • Thanks for writing Michelle! I think it’s exciting that these new technologies are emerging. Once they become accepted by the mainstream medical community, they’ll also become more affordable to people everywhere. I think there’s probably a lot more clinical testing that needs to happen before we’ll see these two tests being offered on a regular basis. I’ll be asking my ophthalmologist about the renal nerve fibre layer when I see him in the fall. It will be interesting to hear his answer. And yes, while it doesn’t bring us any closer to a treatment at the moment, as more and more the test is used and the data analyzed, the more likely it is that treatments will soon follow. I give it a 10-year mark before we can say for sure that Fibro has an answer! Wouldn’t that be just lovely!

  2. I have enjoyed reading your article. I’ve had fibromyalgia for years. It seems to be getting worse. I would love to see a blood test that could actually confirm it. Or something else. Or better treatment. Thank you so much for sharing.

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