More Than Just Pain
A thorough, physiology-focused approach to complex, multi-system symptoms
Fibromyalgia is a challenging condition, not because patients exaggerate symptoms, but because the symptoms are real, multi-system, and often poorly understood. Many patients live for years with widespread pain, fatigue, cognitive difficulty and sleep disruption — often without satisfactory explanations or meaningful treatment.
At Rubicon Private Health, we follow a clinically rigorous, guideline-aligned approach: before diagnosing fibromyalgia, it is essential to exclude other medical causes that can mimic or worsen these symptoms. Only then can the diagnosis be made with confidence.
This is where many patients fall through the cracks.
When Pain Becomes Persistent
NICE guidelines state that fibromyalgia is a clinical diagnosis of exclusion. In practice, this step is often rushed.
Many conditions can present exactly like fibromyalgia, including:
These conditions do not always show up clearly on standard, minimal screening tests — yet each can produce fatigue, pain, “brain fog,” sensory sensitivity, sleep disturbance, mood symptoms and autonomic dysfunction.
At Rubicon Private Health, we do not rely solely on basic screening. We conduct a deeper assessment where clinically indicated.
Understanding the Full Picture
Patients are frequently reassured that “your blood tests are normal.”
However:
We take the time to interpret your blood tests in context — symptoms, timeline, triggers, previous results, and clinical patterns. This is a fundamental part of identifying treatable contributors.
(This is where your true insight sits — but expressed safely, without saying fibro = B12 deficiency.)
Relief That Fits Your Lifestyle
We assess:
1. Pain, fatigue and sleep: How your symptoms interact, what worsens them, what helps.
2. Autonomic function: Light-headedness, temperature dysregulation, palpitations, gut symptoms.
3. Nutritional and metabolic contributors: Targeted blood tests to look for deficiencies that can mimic fibromyalgia.
4. Hormonal and thyroid balance
5. Sleep quality (including screening for sleep apnoea)
6. Post-viral or post-stress patterns
7. Medication effects and long-term interactions
8. Hypothalamus–Pituitary–Adrenal Axis
This creates a whole-system picture rather than focusing on any single symptom.
Understanding the Full Picture
Patients are frequently reassured that “your blood tests are normal.”
We do not dismiss your symptoms as “stress,” and we do not diagnose fibromyalgia without excluding other causes first.
We also avoid overpromising — fibromyalgia is a complex condition, and honest medicine is about clarity, not sales.
Our goal is to reduce symptom burden, improve daily functioning, and give you a clear understanding of what is happening and why.
Relief That Fits Your Lifestyle
You’re not here for reassurance — you’re here for answers grounded in physiology and proper clinical method.