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Fibromyalgia

For those of you that are suffering with fibromyalgia believe us, we understand. You have an illness that is hard to medically prove and even harder to live with. You've probably seen doctor after doctor and taken handfuls of prescription drugs. When the prescribed medications didn't work or stopped working you probably have been told that it was all in your head. You may even have family around you that think you are a hypochondriac or lazy. You may even have started to believe they were right.

At Peak Health Clinic we want you to know that what you are dealing with is real, it has real causes, but more importantly real solutions. There is nothing we enjoy hearing more than, "my muscles don't hurt anymore" or "I haven't felt this good in twenty years." When we see the "life" come back into patients and hear their progress it makes our day.

Does this list of symptoms sound familiar: diffuse pain throughout the body, headaches, allergies, decreased immune system, numbness or tingling, insomnia, anxiety, depression, poor memory, digestive problems, and constant fatigue? Over 10 million Americans suffer with Fibromyalgia syndrome (FMS), most of them are women 20-50 years old. There is no diagnostic test to confirm fibromyalgia. Patients typically have had the illness for year and have been seen by dozens of doctors before being diagnosed.

The 1990 American College of Rheumatology (ACR) criteria for defining FMS is a history of widespread pain lasting more than three months and the presence of at least 11 of a possible 18 muscle tender points. These tender points are found in the neck, shoulders, rib cage, chest, arms, lower back, thighs and knees. Pain is widespread and you must have pain on both sides of your body and above and below the waist to be diagnosed with fibromyalgia.

Clinically there is typically low levels of serotonin (a neurotransmitter), decrease in Human Growth Hormone (HGH), decreased 5-hydroxyindole acetic acid, decreased blood levels of ATP, elevated evening cortisol levels, increase in nerve growth factor (NGF), elevated levels of substance P, elevated blood antibodies, low thyroid function, and dysfunction of the hypothalamus-pituitary-adrenal (HPA) axis.

Fibromyalgics have muscle and connective tissue pain that intensifies their sleep disturbances. The interrupted sleep decreases human growth hormone (HGH) production, which is responsible for repairing the microscopic tears in tissue that occur daily. Also, fibromayalgia patients have tighter muscles, making them more susceptible to tears and micro-trauma injury. This results in a cycle of pain, inflammation, and sleeplessness.

Many patients with FMS report that their symptoms started after a significant stressful event. It may have been after a car accident or other trauma, abuse, infections, surgery, or loss of a loved one. A recent finding published in 1997 in Arthritis & Rheumatism showed that people with neck injuries are more likely to develop fibromyalgia than those with other injuries. This is one more reason chiropractic works so well in fibromyalgia patients. As simple a thing as not sleeping well can tax your autonomic nervous system and trigger symptoms.

Most researchers believe that the primary abnormality leading to the expression of symptoms in FMS is aberrant central nervous system function.(1) Basically a miscommunication between nerves. Helping to improve the nervous system and nerve flow is one of the primary goals of chiropractic.

Unfortunately conventional medicine's desire to satisfy society's "quick fix" demands has led to covering up symptoms instead of treating the causes. We've got to stop thinking "stop the pain" and start thinking, "fix the problem!" Did you know that the medication you're taking is mostly likely part of the problem. The ACR has reported that Klonopin, Zanax, Medrol, prednision, Mobic, Celebrex, and Bextra have been shown to be ineffective and should be generally avoided.

The potential side effects of Ambien for instance include foggy memory, flu-like symptoms. Other prescription sleep aids may cause upset stomach, joint pain, and sore throat. Antidepressants, Tranquilizers, Benzodiazepines, Beta-Blockers and Stimulants may cause constipation, headache, heartburn, diarrhea, rash, muscle pain, mental confusion, swelling, fatigue, anxiety, sleeplessness, weakness, low thyroid function, and more. Sounds a lot like the symptoms of fibromyalgia doesn't it?

The body will adapt and often become addicted to these synthetic chemicals that stop being of benefit but still full of harm. The holistic approach, however, is to address the cause of the pain and support the health of the nervous system, muscles and connective tissue. No one suffers from a deficiency of prescription drugs. Yet many medications can cause nutritional deficiencies.

Most patients with fibromyalgia have significant and severe deficiencies in key vitamins and minerals. Listed below are some of the most common.

Malic Acid: Several studies have found that is can be helpful for fibromyalgia support. In one randomized, double blind, placebo controlled, crossover pilot study published in the Journal of Rheumatology, significant reductions in the severity of all three primary pain/tenderness measures were obtained. The study concluded that malic acid was safe and may be beneficial in the treatment of patients with Fibromyalgia. (2)

Magnesium (as Malate, citrate): FM patients have low magnesium, which is needed for over 200 biochemical reactions in the body, including energy production and muscle tissue repair.

Calcium (as Citrate): There is evidence that an imbalance of calcium and magnesium may be involved in the etiology of the fibromyalgia syndrome. (3)

Other important nutrients can help the body to recover and repair are Glucosamine Sulfate, Zinc, Grapeseed extract, Betaine HCL, Silymarin Extract, Proteolytic and digestive enzymes, Bromelain, Lecithin, amino acids, and N-Acetyl Glucosamine.

Dr. John C. Lowe, author of The Metabolic Treatment of Fibromyalgia believes that most patient can fully recover. He believes that a wholesome diet, nutritional supplements, exercise to tolerance, balancing hormones, and avoidance of metabolism-impeding drugs will bring dramatic results. "Most patients require careful, systematic guidance to achieve a normal metabolism and symptom relief. Some have never know what is necessary to achieve and maintain optimal health, and others lost sight of this during their illness. Through guidance they will learn this either for the first time or once again. This is a time and energy consuming process for both patients and doctors, but this is the nature of rehabilitation."

At Peak Health Clinic, we will take your health seriously and not push you aside like so many others have. As Dr. Lowe said, "it takes time and energy", but the results are worth it. Let us help you change your life and allow you to live again.

1- Klippel, J., et al. Primer on Rheumatic Diseases 12th Ed., 2001

2- Magaladi, M., et al. Changes in intracellular calcium and magnesium ions in the physiopathology of the fibromyalgia syndrome. Minerva Med. 2000 Jul-Aug;91(7-8):137-94.

3- Russell, I. et al. Treatment of fibromyalgia syndrome with super Malic: a randomized, double blind, placebo controlled, crossover pilot study. J Rheumatol. 1995; 22(5):953-8.

4- Shomon, M., Living Well with Autoimmune Disease., 2002

5- Murphree, R., Treating and Beating Fibromyalgia and Chronic Fatigue Syndrome., 2006

6- Di Novi, B., Nutrition for a Wellness Lifestyle., 2006

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