I was diagnosed yesterday with Fibro. It was the rib pain that sent me to the Dr. It hurt from my sternum all the way around and down in back. It hurt to even wear a bra. I am starting PT tomorrow. Hope it helps. Tried Cymbalta and it helped with the pain but way too many side effects. Infact that's when the rib pain hit was coming off the Cymbalta.
My biggest worrie with Fibro are 1) With all the pain how will we ever know if something serious is going on? and 2) How bad is it going to get? Cause it hasn't gone away and has only gotten worse. I'm a nurse and have three kids with a very active life. There are days whe I'm so tired I can't seem to move!
Please go back and read my past posts on rib pain. I also want you to know that Fibro is a diagnosis of exclusion, a catch-all when doctors cannot find anything wrong. There is no known pathogen for Fibro, nor any structural cause. This is a growing realization of many medical providers. So what does this mean? It means that YOU HAVE REAL PAIN from biological and physiological changes to your central nervous system. How does that happen? It happens on two levels: one is due to a life of reacting badly to stressful situations (not your fault; it's hardwired into some of us); the second level happens when daily stresses re-enforce our poor reactions to stress. Muscles, nerves, tendons and ligaments all are effected.
I can suggest two things. One is to read a book by a female doctor who had Fibro and recovered, and google a forum called TMShelp. This forum is dedicated to psychogenic caused physical problems. Again, the pain is real, but the cause lies with our behavior. I have been where you have been, and it started with rib pain and ended with my torso being so torqued that my ribs kept popping out of place.
It may be harder for your to accept psychogenic causes for illness because you are a medical practitioner. Or it may be easier, because you have an understanding of anatomy. When you get to the TMSforum, read "Ace1's "Keys to Healing". He was a doctor crippled by pain. He does not treat people for fibro, but is a doctor of oncology and blood diseases, I believe. You will find his and "Hillbilly's" and "Balto's" posts informative and instructive, too.
The book is, "Freedom From Fibromyalgia", by Nancy Selfridge MD.
I too was on Cymbalta, because my pain was thought to be neurological in origin. It did nothing to reduce the pain. The only thing that helped was Ativan, which clued me into more so to the psychogenic origin of the problem.
I had to review my life, practice skilled relaxation, adjust my thinking and do my best to resume normal living.
I might also suggest a book by Steven C. Hayes, called, "Get Out of Your Mind and Into Your Life". The book is about behavior modification, "ACT": "Act Commitment Therapy".
You can try PT, but you have to ask yourself about the proper dx. If there is no pathogen or structural cause to Fibro, what good will PT do? Normal exercise and losing the fear of the pain is the key.
You will get there. You should look into this option sooner rather than later, because the longer you fear goes on the worse the symptoms will get, and I can assure you -- if you have had a complete workup-- that with three young kids and a highly stressful job and other normal concerns of living, you are dealing with the results of chronic anxiety and unconscious problems finally manifesting with physical distress. You have the mother of all tension headaches, only your head is your rib.
Feel free to PM me if you want further info.