Hi,
1. Since diagnosis is made by a specialist, even then consider the
second opinion for available options and conservative management.
PS. the immune marker will help establish prognosis and available options for the disease, thus are worth pursuing.
2. because there is no identifiable cause thus treatment is symptomatic, as a result, both pharmacological and nonpharmacological measures are used as an adjuvant to get a good control of pain and extended the symptom-free period, such as:
Relaxation and
stress management [stress is trigger response to
fibromyalgia symptoms], thus yoga & Pranayama are helpful.
Physiotherapy: wax massage, ultrasound/infrared technique to minimize pain.
Diet rich in omega 3 is considered helpful in alleviating fibromyalgia symptoms.
Sleep. Getting plenty of sleep is key to managing the symptoms of both syndromes, so it is important that they maintain good sleep habits and avoid caffeine, alcohol, and tobacco.
Cognitive
behavioral therapy [CBT]: it teaches people how to recognize symptoms and self-treat using a variety of strategies such as
relaxation therapy, cognitive pain management, and rest.
PS. regarding the dose/duration of
cortisone, your attending physician will be in a better position, since steroids do have long-term side effects.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Munish Sood,
Ayurveda Specialist