### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello!Ive been recently diagnosed with Fibromyalgia by a rheumatoid arthritis specialist. I recently retired and have been involved in physical fitness all my life. I am having a hard time accepting this diagnosis but have taken it upon myself to talk to a cognitive therapist, been to a chiropractor many times and have become an active yoga enthusiast. I dont enjoy the thought of trying various pain medications for fear of their side effects. I understand there is a blood test called FM/a which identifies markers produced by immune system blood cells with in people with fibro. Is this worth pursuing? My symptoms include pain in both upper thighs (t-bands), chronic stiffness in the neck and shoulder areas. Could this be related to some other underlying condition that hasnt been checked? I am having difficulty with this diagnosis since I have been quite active all my life (60 now).With Thanks

### output:

**1. Since diagnosis is made by a specialist, event then consider second opinion for available options and conservative management.PS. immune marker will help establish prognosis and available options of the disease, thus is worth pursuing.2. Because there is no identifiable because thus treatment is symptomatic, as a result both pharmacological and non-pharmacological measures are used as adjuvant to get a good control of pain and extended symptom free period, such as:. Relaxation and stress management [stress is trigger response to fibromyalgia symptoms], thus yoga & Panama are helpful. Physiotherapy: wax massage, ultrasound/infra-red technique to minimize pain. Diet rich in omega 3 is considered helpful in alleviating fibromyalgia symptoms. In Ayurveda, we consider/manage the disease under Ransomed At Vast, thus prescription medicines available are: Chan Chat Doctor. 