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How do you approach the work up for patients with fibromyalgia and hypermobility?

When do you refer to genetics? Does your approach change if they have an additional finding such as mitral valve prolapse or a prolapsed bladder/uterus?
3 Answers
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Rheumatology · Pacific Northwest University of Health Sciences
Answered on

I agree the folks that are hypermobile are very challenging and it can be difficult to feel confident in hypermobile EDS diagnosis, particularly with sort of nebulous criteria. I have also found that medical genetics referrals where I practice have over a year-long waitlist, and as there is no genet...

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Rheumatology · Tufts University School of Medicine
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Fibromyalgia and hypermobility spectrum disorder (HSD) are present in 3-5% of the general population, depending on the diagnostic criteria used. However, widespread pain and generalized hypermobility may be present in 10-20% of the population. Therefore, determining the overlap of these two disorder...

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Rheumatology · NYU Langone
Answered on

hEDS can be associated with a number of other conditions in addition to fibromyalgia including POTS/dysautonomia, MCAS, dysmotility/SIBO and MECFS. As with so much of medicine and especially rheumatology, the clues to these diagnoses will become evident with proper and thorough history taking. Thus,...

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