Fibromyalgia Insights

Mechanicsville, VirginiaFibromyalgia is condition I often see at Stover Chiropractic.  Patients present with widespread pain with multiple tender points on the upper neck, back, shoulders, and hips.  Experts say it is misdiagnosed frequently and I can attest, it is complicated.  Most patients show up in my office having tried painkillers, antidepressants, muscle relaxants, injectables and varieties of advanced pain intervention.  All of the above are rarely effective.  The challenge is someone in chronic pain seldom had just one source or cause of their pain.  My goal is modest, I want to see if I can find at least one factor that contributes to the pain.  Most commonly that is a misalignment of the spine that negatively impacts nervous system function (and therefore, muscle function).  You see, a muscle doesn’t hurt until we ask it to do more than it is conditioned to do.  This is the reason we get sore after working out or working in the yard all day.  Especially if it is the first time we have been that active in months (or years!).  With fibromyalgia we need to ask why the muscles might be “over-worked.”  It turns out, a mis-aligned spine, subluxations, or abnormal posture, is a common cause of fatigued or sore muscles.  If a chiropractor can help restore alignment and function (more efficient musculo-skeletal system and neurology) the muscles will not be as sore and painful.

In my experience, it seems about 20% of my fibromyalgia patients seem to get amazing results with chiropractic care.  As if my adjustments (treatments) are the silver bullet.  However, most, about 70% respond well, but I don’t feel like I’m the only solution in these cases.  In other words, the pain may be 20% or 60% better, but there are other factors that prevent me from getting better results.  It is still wonderful to see some one take less medication or be able to play with grandchildren, even if I haven’t help the pain completely.  Then the last 10% or so just don’t see any real change under chiropractic care.

Well I was recently directed to NaturalNews, which has an article on fibromyalgia.  It was very much focused on dietary options to help.  I thought it would be helpful to share the information, because like I said, fibromyalgia is multi-factoral.  A close look at diet and supplementation is a great option.  This article brought up several items that were new to me.

Some of the highlights are:

-colloidal silver (new to me)

-proteolytic enzymes

-plenty of omega 3′s and essential fatty acids

-cut back on whole grain foods

-avoid sugar, artificial sweeteners, and foods with bleached flour

-curcumin, magnesium, blackseed oil (Nigella stiva) and herbal oleander extract (for immune system – new to me)

-apples (which have malice acid, found to ease pain and inflammation) – 2 per day

-probiotics

- niacin and niacinamide

Lastly the author ends with some good advice on exercise.  “Do not give up on exercise. People with fibromyalgia often stop exercising because it is painful. However, inactivity weakens muscles and makes them more sensitive to pain. Low impact aerobics, conditioning exercises, such as swimming, stationary bicycling or stretching, are often helpful for people with fibromyalgia.”  Variety is the key.

So hopefully some of this is new to you (like it was for me) and you, or someone you know with fibromyalgia, can benefit.  Check out the article for more detail and links to other sources.

Stover Chiropractic, P.C.
9097 Atlee Station Road, Suite 118 MechanicsvilleVA23116 USA 
 • (804) 559-1100

Fibromyalgia – Nice Summary Article

Opinions are always changing about fibromyalgia. I came across this article that says a lot in a short space. I appreciated what it says about vaccines and other observations about causes related to the immune system.

What is Lyme Disease?

Fibromyalgia is a common reason for people to seek help in my office. For folks just learning about the disease it is stunning to learn the variety of complaints one person can have related to the condition. That is why it is compliated and difficult for doctors to treat and diagnose. Over the years I’ve have patients who have been told they might have Lyme disease instead of fibromyalgia. And visa versa. Lyme disease is also notoriously hard to diagnose and treat. I can understand the confusion.
Well it is that time of year again. Ticks are out and Lyme disease is on the normal yearly rise. As are the warnings and hype. This article is very complete and written for anyone. Check it out. It will arm you with knowledege about Lyme disease, what to look for, and how to avoid it. Maybe even helps folks who wonder–Do I have fibromyalgia or something else?

Why Chronic Pain?

Muscle and soft tissue injuries are notoriously hard to treat and assess.  As a result, patients are often frustrated and left with many lingering problems after injuries.  Often times chronic pain syndromes are the result of incomplete care.  It is frustrating for all health care practitioners involved.  Most of my fibromyalgia patients can recall THAT one injury they could not heal from, or that one event that lead to the collapse of their musculo-skeletal system.  Usually followed by years of struggle.

I was amazed to read the blog entry bellow from, a blog entry at www.chiro.org.  What follows is a complete copy of the entry.

Medical Training For Musculoskeletal Conditions is Inadequate

From Harvard Medical School in the U.S. to medical schools in Europe, medical education related to musculoskeletal conditions is inadequate. A 2009 survey tested physician’s knowledge related to simple low back pain management [1]. The average survey score of family practitioners was 69.7 and the average score of orthopedists was far less at 44.3. Orthopedists were less likely to make the proper radiological referral and appropriate pharmacological prescription based upon the literature.

Another 2009 study from the U.K. found that only 13% of the junior doctors felt they had adequate musculoskeletal medical training [2]. Research from the University of Washington found that less than 50% for the fourth-year student interns were competent in the area of musculoskeletal medicine. A 2007 study of Harvard medical students found that they were not confident in management of musculoskeletal cases and failed to demonstrate cognitive mastery. The study concluded that “These findings, which are consistent with those from other schools, suggest that medical students do not feel adequately prepared in musculoskeletal medicine and lack both clinical confidence and cognitive mastery in the field.”

The current failure of modern medicine worldwide to adequately train physicians and the continually growing problems like low back pain is just one more good reason to see a chiropractor when you have musculoskeletal complaints.

REFERENCES: Thanks to ChiroAccess!

1. Orthopaedists’ and family practitioners’ knowledge of simple low back pain management
Spine (Phila Pa 1976). 2009 Jul 1;34(15):1600-3

2. The inadequacy of musculoskeletal knowledge after foundation training in the United Kingdom
J Bone Joint Surg Br. 2009 Nov;91(11):1413-8

End Medical Mis-Management of Musculoskeletal Complaints

Q. — Are medical doctors well trained to diagnose or treat musculoskeletal complaints?

A. — Find the unsettling answer in the following series of articles [Read more...]