Fibromyalgia Symptoms: How Do I Get My Doctor to Believe Me?

Fibromyalgia Symptoms: How Do I Get My Doctor to Believe Me?

Fibromyalgia Is Misunderstood, But It’s Real

Lynne and Naomi discuss their experiences navigating a healthcare system that isn’t designed with fibromyalgia in mind.

Lynne Matallana (she/her) still remembers the day she walked out of her doctor’s office. She had been experiencing bouts of pain and fatigue, and was seeking help for her symptoms. Her provider, though, was convinced they were all in her head.

When the doctor left the room, Matallana peeked at her chart — only to read, “major depression” and “imagining pain.” She asked the doctor to change it, and when he refused, she got up and left the room.

Though it was hard, Matallana doesn’t regret her decision. That moment was the first step in what felt like an endless journey — one that involved seeing a total of 37 doctors before she received a fibromyalgia diagnosis. She later went on to found the National Fibromyalgia Association, where she would help others feel seen and heard in the ways she hadn’t been.

What I Wish I Knew: Many Doctors Don’t Have the Right Tools to Treat Fibromyalgia

Despite her experience, Matallana sympathizes with providers. Some research shows that fewer than 40 percent of primary care doctors are familiar with how to diagnose fibromyalgia.

 “These doctors are also frustrated because they don’t have the tools in their toolbox,” she says.
If I would go in and cry, the doctor would look at me like I didn’t have credibility ... And so if I ended up crying, I needed to say ‘I’m crying because I am so frustrated and I hurt so much and I need your help.’
— Lynne Matallana, diagnosed with fibromyalgia in 1995

Experts still don’t know very much about fibromyalgia, including what the underlying cause is, says Ryan Anderson, MD, a rheumatologist at Duke Health, in Durham, North Carolina. Until then, the best doctors can do is prescribe medication that can help control the symptoms — not prevent the disease from flaring up.

“People want to fix the underlying problem [of their fibromyalgia], and that’s what doctors want as well,” says Dr. Anderson. “But all of the medications … are symptomatic management, which is really not ideal for either the physician or the patient.”

What can help, though, is a strong care team to help you manage the symptoms and feel validated and heard.

What I Wish I Knew: Communicating Symptoms Is Challenging — but Possible

No one wants to be in a fibromyalgia flare — but if you could time it, chances are, you’d want your symptoms to flare up in front of your doctor. At least, that’s how Naomi Davis (they/them) feels. They learned they have fibromyalgia in 2023.

“I wish that I could show [my doctor] what happens to me,” says Davis. But, “My doctors’ appointments don’t always line up with when I’m in a flare.”

Constantly being told that I’m a mystery, and then being pointed to another doctor, feels like a never-ending cycle.
— Naomi Davis, diagnosed with fibromyalgia in 2023

Matallana, for one, thinks the best thing you can do is find a doctor who will listen to you, whether or not you’re flaring, and even if they don’t have all the answers. “If you tell your healthcare provider that you're not demanding their help — but you need help — oftentimes they'll figure out a way. Even some words of advice can be enough,” says Matallana.

To ensure you’re clueing them in to the frequency and intensity of your symptoms, Matallana recommends having two or three go-to sentences that explain what you’re going through. That way, if emotions are running high or you’re dealing with fibro fog, you’ll still know what you want to say.

What Your Doctor Wants You to Know: You Deserve the Best Fibromyalgia Care

It’s your right as a patient to seek out the care you need. “Some doctors aren't the right fit,” Matallana says. “Or maybe they just have a stigma against people who are dealing with fibromyalgia.”

Anderson ensures his patients feel seen and heard by talking to them about symptoms that often go overlooked, like fatigue. “We have pain medications, but we don’t really have fatigue medications,” he says. “Doctors tend to focus on the things we can fix, but I think it’s worth talking about things we can’t fix — at least to acknowledge and validate it as a thing that is impacting the patient's quality of life.”

You may have an easier time finding a doctor who validates your experiences by doing some due diligence before making an appointment. Matallana recommends calling up the practice and asking how many fibromyalgia patients the doctor treats, and whether the doctor is interested in treating the condition. “You wouldn’t hire an architect or a babysitter without interviewing them,” she adds.

The National Fibromyalgia Association maintains a list of doctors who are well-versed in treating fibromyalgia. “It's so important to take that power back and feel like the doctor is someone that's helping you,” says Matallana. “There are doctors out there who will help.”

EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
  1. Agarwal A et al. Physicians’ Knowledge, Attitudes, and Practices Regarding Fibromyalgia: A Systematic Review and Meta-Analysis of Cross-Sectional Studies. Medicine (Baltimore). August 2, 2024.
Beth Biggee

Beth Biggee, MD

Medical Reviewer

Beth Biggee, MD, is owner and practitioner of Lifestyle and Integrative Rheumatology, a holistic direct specialty care practice in North Andover, Massachusetts. She offers whole-person autoimmune care, lifestyle medicine, and holistic integrative consults.

She has over 20 years of experience in rheumatology and holds board certifications in rheumatology and integrative and lifestyle medicine. Dr. Biggee brings a human-centered approach to wellness rather than focusing solely on diseases.

Biggee graduated cum laude with a bachelor's degree from Canisius College, and graduated magna cum laude and as valedictorian from SUNY Health Science Center at Syracuse Medical School. She completed her internship and residency in internal medicine at Yale New Haven Hospital, her fellowship in rheumatology at Tufts–New England Medical Center, and her training in integrative rheumatology at the University of Arizona Andrew Weil Center for Integrative Medicine.

Following her training, she attained board certification in rheumatology and internal medicine through the American Board of Internal Medicine, board certification in integrative medicine through the American Board of Physician Specialties, and accreditation as a certified lifestyle medicine physician through the American College of Lifestyle Medicine. She is certified in Helms auricular acupuncture and is currently completing coursework in the Aloha Ayurveda integrative medicine course for physicians.

In prior roles, Biggee was medical director and integrative rheumatologist at Rheumission, a virtual integrative rheumatology practice, and she also provided healthcare wellness consulting for Synergy Wellness Center in Hudson, Massachusetts. Biggee taught as an assistant clinical professor of medicine at Mary Imogene Bassett Hospital (an affiliate of Columbia University). She was also clinical associate of medicine at Tufts University School of Medicine and taught Introduction to Clinical Medicine for medical students at Tufts. She was preceptor for the Lawrence General Hospital Family Medicine Residency.

Biggee has published work in the Annals of the Rheumatic Diseases, Arthritis & Rheumatology, Current Opinion in Rheumatology, Medicine and Health Rhode Island, and the Field Guide to Internal Medicine.

Maria Masters

Maria Masters

Author

Maria Masters is a contributing editor and writer for Everyday Health and What to Expect, and she has held positions at Men's Health and Family Circle. Her work has appeared in Health, on Prevention.com, on MensJournal.com, and in HGTV Magazine, among numerous other print and digital publications.