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Chronic pain

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Saw a rheumatologist today - feeling absolutely gaslit

18 replies

WetBandits · 02/04/2024 20:54

Hello 🙂 regular poster but new to this board!

Background: I’ve had chronic pain in most joints for many years, ramped up massively over the past couple of years. The pain is particularly horrendous across my lower back and in both shoulders. I’ve dislocated my shoulders multiple times without injuring them to cause it to happen. My jaw dislocates regularly (fortunately painlessly), as do most of my fingers. Every joint in my body cracks and pops like a bowl of Rice Krispies. I’ve had one shoulder surgically repaired to correct instability, which has helped somewhat. The other shoulder is yet to be fixed and is unbearably painful most days. I take pregabalin and cocodamol, which offers little relief. The pain keeps me up half the night so I’m constantly exhausted, and on mirtazapine to treat this as well as anxiety. My orthopaedic surgeon, three physios and my GP have each independently assessed me as hypermobile, with a score of 7/9 on the Beighton hypermobility scale, hence the referral to rheumatology.

Today, I walked into the rheumatologist’s office and he started with leading questions about whether I was depressed (no), whether I ever feel confused/fuzzy-headed (no) and whether I had any digestive issues (yes). He assessed my mobility against the Beighton scale again, and I performed each of the tests like a bloody monkey (both thumbs touch my forearms, my pinky fingers go back past 90 degrees, my knees bend backwards and I can put my palms flat on the floor with my legs straight, my elbows are thankfully fine). We finished the test and he announced I’d scored zero. I was quite surprised by this as 5 different professionals have assessed me as hypermobile and I can also plainly see it for myself! He brought up my shoulder MRI reports on screen and commented that they were ‘terribly damaged for my age’ and when I pointed out that each MRI was done after several years of repeated random dislocations, he asked if was was ‘sure I hadn’t injured them’.

He then sat down and said that his initial suspicions had been correct and that he thought I had fibromyalgia. I don’t think I have fibromyalgia at all, I agree with my orthopaedic surgeon that I have several features of hEDS (lax joints, stretchy skin, bruising, weird scarring).

I feel like I ought to ask for a second opinion from a different rheumatologist, but I don’t know who to approach?! I’m a nurse so I should know, but I feel so bloody awkward about it! I feel entirely fobbed off and gaslit that my obvious issues have been ignored and that I’ve been labelled as having fibromyalgia because I’m a bit chubby and I’m already on antidepressants. I don’t really care what the diagnosis is, I just want the pain to go away and not to be made to feel like it’s all in my head, as he made me feel today. Sad

This has turned into a huge essay, sorry! I don’t know if I’m looking for advice, or a moan, or what, but I am thoroughly miserable with the pain now.

OP posts:
Pigeonqueen · 02/04/2024 20:59

You should put everything you’ve said here in writing and send it to / email it to the secretary for the consultant and ask them to pass it on to the consultant for you. And as part of that request a second opinion.

(I’m under rheumatology, endocrinology, urology and gynaecology for complex multiple issues and have been for 20 years now. I’ve had to complain and request different opinions many times).

ForgettingMeNot · 02/04/2024 21:11

I had very similar when everyone except this consultant thought I had fibromyalgia. He was rude and you could tell he'd made his diagnosis the moment he saw me.

I should have complained really

TheSnowyOwl · 02/04/2024 21:18

Do ask for a second option. I’ve seen some shockingly bad rheumatologists and they never seemed to agree with each other in the earlier days of my issues.

CormorantStrikesBack · 02/04/2024 21:28

The GP toolkit says that a GP should be able to diagnose EDS via the beighton test without needing to refer. If you score on the beighton test then that’s considered conclusive. So odd he scored you zero.

dd has officially been diagnosed with EDS by a rheumatologist and she can’t end her thumbs or fingers back like you can.

I think I’ve been diagnosed, Intitally by an osteopath and then k went to see the GP who agreed and said I have EDS but he decided he wanted to refer me to a rheumatologist to see what type I have…..I am a bit worried that the rheumatologist might say i don’t have it 🤷‍♀️. I’m very stiff these days due to pain and my muscles tightening. Plus a lot of my hypermobility is In joints not assessed on the beighton score…..ie my SI joints and also my lower back. Terrible flat feet, gastro problems, torn ankle tendons. The beighton score is good if it’s positive but not necessarily accurate if you don’t score highly with it. Sounds like the rheumatologist you saw has a poor understanding.

Tukto · 02/04/2024 21:34

Fibromyalgia is a lazy "diagnosis" imo and you should ask for a second opinion.
I have RA and my Rheumatologist insisted I had Fibromyalgia. This means that nothing you say is taken seriously and you are patronised as a hysterical little woman. It's on your notes and every doctor who sees it will blame everything on it.
I saw a different Rheumatologist without explicitly saying why I wanted a second opinion. He found no evidence whatsoever of Fibromyalgia and removed it from the diagnosis.

Thefutureisourownpath · 02/04/2024 21:34

Letter to back him and GP. Get GP to do the test. And follow up with practice manager. Saying the above.

I have a failed thyroid I had a consultant try to fob me off that I was perimenopausal despite my blood tests. He tried saying I need an anti depressant and HRT - no my TSH level l.

WetBandits · 03/04/2024 08:23

Tukto · 02/04/2024 21:34

Fibromyalgia is a lazy "diagnosis" imo and you should ask for a second opinion.
I have RA and my Rheumatologist insisted I had Fibromyalgia. This means that nothing you say is taken seriously and you are patronised as a hysterical little woman. It's on your notes and every doctor who sees it will blame everything on it.
I saw a different Rheumatologist without explicitly saying why I wanted a second opinion. He found no evidence whatsoever of Fibromyalgia and removed it from the diagnosis.

That’s essentially how I feel the appointment went; he looked at me and my medical history and decided before he’d even assessed me that he was going to diagnose fibromyalgia. It’s a bit of a cop out I think, and I totally agree that fibromyalgia is the new ‘female hysteria’. There’s a reason it’s ’more common in women’, because a man’s pain would be believed 🤦🏼‍♀️ I don’t need bloody therapy, I need him to tell me why I am in so much pain and how to stop it! I’m 30, I cannot just be in this much pain forever. Sad

Going to draft an email today, I’m working with my favourite consultant so will ask her to help me. Already had a moan about it to her yesterday and her face when I told her the rheumatologist’s name said it all!

OP posts:
CormorantStrikesBack · 03/04/2024 09:07

Absolutely. Dd managed to get diagnosed with EDS and fibromyalgia at the same appointment. Which is obviously bollocks because the EDS gives her a reason for the pain. She doesn’t need a fibromyalgia diagnosis as well which I always thought was more about undiagnosed pain. Sadly it’s in her records now.

CormorantStrikesBack · 03/04/2024 09:09

And then when she had chest pain a&e fobbed her off saying it was fibromyalgia. Weeks later someone took her seriously and it was pulmonary embolisms. She could have died. And this is the danger, people don’t investigate stuff properly once they hear you have fibromyalgia.

Seeline · 03/04/2024 09:20

It's strange -dd was diagnosed with fibromyalgia by the GP, but she asked for a referral. Consultant couldn't believe the GP dx and dx hyper mobile joint syndrome. DD is convinced it's EDS but consultant won't agree as she has no family history despite high beignton scores. DD is 20, I'm 56, grandparents are late 80s - EDS wasn't around then so of course there is no family history!

But yes - the worst thing is the pain for which she has been given nothing. The consultant just said she needed to strengthen her muscles! Paracetamol and Ibuprofen have no effect on the pain - they don't even work for a headache for DD. So she's stuck.

CormorantStrikesBack · 03/04/2024 11:27

To be honest strengthening muscles is probably the best thing for eds. it takes the stress off tendons and ligaments. I try and do 3 hrs of weightlifting a week and it is helping.

bryceQ · 03/04/2024 11:31

What a pick.

Beighton scale isn't an opinion, if thumbs touch wrist that's a point how can he dispute that.... Bizarre.

Definitely don't take this.

useitorlose · 03/04/2024 11:35

Where are you? My best mate is a highly experienced rheumatologist, she works in an NHS hospital in north west London.

Weatherfor · 03/04/2024 13:37

Your trust should have an info leaflet or something on requesting a second opinion…you could Google your trust or speak to pals perhaps? I knew you’d end up with a fibro diagnosis from the first few lines of your post, it’s so incorrect to make a fibro diagnosis with the rest of your history ,I do hope you find a way forward.what grade of Dr did you see?

WingingItSince1973 · 03/04/2024 21:54

I was diagnosed so quickly by a rheumatologist with fibromyalgia years ago. He then did a full blood test and it showed my parathyroid and calcium levels were all out of kilt which meant I most likely had parathyroid disease. My GP was fab and kept pushing for me to be seen by an endocrinologist. Despite my numerous blood tests all throwing up this issue the endocrinologist agreed with the rheumatologist and said my pains etc was most likely fibro. I still have regular blood tests 7 years later and still have issues with the results but still no one will do anything. I have had various scans etc too. So on my notes it's now officially fibromyalgia along with osteoarthritis. I've just turned 51 and am struggling so much with just existing. I know Fibro is a real disease and many many people, men included, suffer so badly with it. I'm just mad that it's a diagnosis that's now on my notes and I'm left with it.

Sorry rambling on about me. I hope you can get to see a different rheumatologist who can look through all your notes and help you better.

RainbowZebraWarrior · 28/04/2024 14:11

I have EDS, as does my DD. It does sound like EDS.

The correct way to be diagnosed (and Rheumatologists should know this) is via the EDS diagnostic checklist. It's not all about the Beighton score and family history, although that's a part of it.

For OP and anyone else struggling to be heard, here's the link to the checklist via the EDS Society. Both myself and DD were diagnosed via this method (myself via a Rheumatologist, DD via Genetics)

I've been there, BTW. My first (Private!) Rheumatologist gaslit me too. 14 months later I was diagnosed correctly. 6 days before my 50th birthday! DD was diagnosed at 10, so at least she had my 'family history' to back her up.

https://www.ehlers-danlos.com/heds-diagnostic-checklist/

hEDS Diagnostic Checklist - The Ehlers Danlos Society

https://www.ehlers-danlos.com/heds-diagnostic-checklist

Oblomov24 · 29/04/2024 08:00

Sorry to read this.

RosaRoja · 29/04/2024 08:10

Of course you can request a second opinion. Are you able to function safely as a nurse with pregabalin, co-codamol and lack of sleep?

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