Fibromyalgia Specialist

Enhance Center

Ayman Tarabishy, MD

Interventional Pain Management located in Livonia, MI

Widespread feelings of pain are a common sign of fibromyalgia. Fibromyalgia is often difficult for doctors to diagnose — which is why you need expert care from Enhance Center in located in Oakland County, Livonia, MI. An interventional pain specialist, Ayman Tarabishy, MD, holds dual board certifications in physical medicine and rehabilitation and interventional pain management. Get the expert help you need by calling today or scheduling a consultation online.





What is fibromyalgia?

A chronic disorder, fibromyalgia causes widespread feelings of pain, along with other symptoms. While the exact cause of fibromyalgia isn’t clear, it may be linked to emotional distress, an injury, or abnormal levels of substances in your spinal cord and brain. Many factors may affect your risk of developing the condition.

Certain health conditions also occur when you have fibromyalgia. These include:

  • Migraines
  • Irritable bowel syndrome
  • Raynaud's syndrome
  • Restless legs syndrome
  • Temporomandibular Joint Disorder (TMJ)

You may also experience an increased need to urinate.

What are the symptoms of fibromyalgia?

While widespread chronic pain is the most common sign of fibromyalgia, it’s normal to experience a variety of symptoms. These include:

  • Tenderness and pain at several points
  • Extreme fatigue
  • Trouble sleeping
  • Anxiety and depression
  • Joint pain
  • Nausea
  • Urinary problems (in women)

Pain symptoms and stiffness may be worse in the morning with fibromyalgia.

How is fibromyalgia diagnosed?

Because there’s no single diagnostic test for fibromyalgia, it is typically diagnosed through a process of elimination. You can expect Dr. Tarabishy to take a full medical history and review your symptoms. It’s very helpful to be specific about your symptoms, and perhaps even keep a pain diary.

Dr. Tarabishy may apply light pressure to your tender points. He recommends blood tests to rule out conditions that appear similar to fibromyalgia, such as rheumatoid arthritis and lupus.

How is fibromyalgia treated?

Dr. Tarabishy will create a treatment plan tailored to your precise symptoms. His first focus is to find the true diagnosis for fibromyalgia and figure out if there are reversible or anatomic origins of the pains that could have been masked by the fibromyalgia diagnosis.

In addition to FDA-approved medications or muscle relaxers, adjunct treatments offered or coordinated include:

  • Lidocaine and ketamine infusions
  • Medical acupuncture
  • Gunn Intramuscular Stimulation (IMS)
  • Trigger point injections
  • Spinal cord stimulation
  • Intrathecal ziconotide for nerve pain
  • Nerve blocks and stimulators
  • Prolotherapy and neuroprolotherapy

As a highly trained specialist in interventional and minimally invasive procedures, Dr. Tarabishy will work with you to identify treatment options to give you the relief you deserve.

If you’ve been diagnosed with fibromyalgia, or you have chronic pain and don’t know the cause, Dr. Tarabishy can provide you with high-quality treatment. Call today or book a consultation online with Enhance Center.