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January 28
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A MySpondylitisTeam Member

The rheumatologist I see doesn’t know either if the pain I have is from fibromyalgia/ or mechanical back pain either, as AS can cause brain fog and fatigue.

April 26
MySpondylitisTeam

How can you figure out what's causing the most pain when dealing with multiple conditions?

Sorting out which condition is causing your pain can be really challenging, especially when symptoms overlap. Here are some ways to help identify the source:

Track Your Pain Patterns

Different conditions have distinct pain Show Full Answer

How can you figure out what's causing the most pain when dealing with multiple conditions?

Sorting out which condition is causing your pain can be really challenging, especially when symptoms overlap. Here are some ways to help identify the source:

Track Your Pain Patterns

Different conditions have distinct pain characteristics:

- Spondylitis pain typically centers in the lower back and hips, worsens with inactivity (especially overnight), and improves with movement and exercise
- Fibromyalgia pain is widespread throughout the body, often accompanied by fatigue, sleep problems, and cognitive issues (brain fog)
- Neuropathy causes numbness, tingling, electric shock sensations, or weakness, often in specific areas like hands, feet, or one side of the body
- Osteoporosis itself usually doesn't cause pain unless there's a fracture, but can contribute to back pain, posture changes, or height loss

Use a Pain Scale and Journal

Rate your pain from 0-10 and note:
- When it's worse or better
- What activities trigger it
- Whether it's constant or comes and goes
- The type of sensation (burning, stabbing, throbbing, aching, numbness)

Work With Your Doctor

Your rheumatologist can help distinguish between these conditions through:
- Physical examination
- Imaging tests (MRI, X-rays, DEXA scans)
- Blood tests
- Reviewing your response to different treatments

Since these conditions can occur together and their symptoms overlap, getting an accurate assessment is crucial for effective treatment.

January 28

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