Fibromyalgia is a condition with no known medical cure. It is characterized by chronic and debilitating pain all over the body, and heightened pain under pressure.  Its symptoms can cause patients to suffer from widespread pain, poor sleep, chronic tiredness and even depression. The causes of fibromyalgia are unknown. Some theories cite that the patient’s low pain threshold may be attributed to increased sensitivity in the brain to pain signals. [1] Other possible causes could be a genetic predisposition [2]; stress; the disruption of normal dopamine related neurotransmission [3]; abnormal serotonin levels [4] and deficient growth hormone secretion [5]. While there is currently no cure for the condition, its symptoms can be alleviated by chiropractic treatment.

Chiropractic treatment uses chiropractic adjustments, which involve short and quick thrusts to the vertebrae in the spine to shift vertebrae back into their correct position.  The treatment found in chiropractic care is based on the idea that illnesses and pain in the body arise from misalignments in the body’s skeletal structure. In order for the body to function healthily, the spine and the skeletal structure need to be set in the correct position – otherwise problems like chronic pain can arise.

Fibromyalgia causes numerous, tender points to occur all over the body, including back and neck pain and leg cramps. As a result of these symptoms, sufferers of fibromyalgia have sought treatment from chiropractors. Because the adjustments made during treatment help to restore the posture of the skeletal system, many sufferers find that treatment can help to reduce a significant amount of pain. Some fibromyalgia sufferers experience a condition known as cervical spinal stenosis, which results in compression of the spine’s meninges, which are the coverings of the upper spine. This can result in debilitating pain all over the body. A chiropractor may be able to help with cervical spinal stenosis by adjusting the spine around the head and neck, releasing this compression and eliminating the symptoms attributed to it.[6]

The effectiveness of chiropractic care has been studied in sufferers of fibromyalgia [6], where patients were asked which method of treatment, medical or alternative, helped the best with their condition. The majority voted for chiropractic treatment. In addition, the effectiveness was tested by using spinal manipulation to relieve fibromyalgia symptoms, and after 15 treatments, results concluded that patients had reduced fatigue and pain as well as improved sleep quality.

While fibromyalgia sufferers continue to look for a cure, it is great to know that there are ways to alleviate the symptoms and live a more normal life. If you or someone you know suffers from undiagnosed chronic pain or fibromyalgia, please give us a call at (703) 912-7822 or visit us at Chiropractor in Springfield, VA.

References Used:

[1] http://edition.cnn.com/HEALTH/library/fibromyalgia/DS00079.html Accessed September 2011

[2]  Buskila D, Sarzi-Puttini P (2006). “Biology and therapy of fibromyalgia. Genetic aspects of fibromyalgia syndrome”. Arthritis Res Ther. 8 (5): 218. doi:10.1186/ar2005. PMC 1779444. PMID 16887010.

[3] Cervenka S, Pålhagen SE, Comley RA et al. (August 2006). “Support for dopaminergic hypoactivity in restless legs syndrome: a PET study on D2-receptor binding”. Brain 129 (Pt 8): 2017–28.doi:10.1093/brain/awl163. PMID 16816393. Retrieved 2008-05-21.

[4] Moldofsky H, Scarisbrick P, England R, Smythe H (1975).”Musculoskeletal symptoms and non-REM sleep disturbance in patients with “fibrositis syndrome” and healthy subjects”. Psychosom Med 37(4): 341–51. PMID 169541. Retrieved 2008-05-21.

[5] Anderberg UM, Liu Z, Berglund L, Nyberg F (1999). “Elevated plasma levels of neuropeptide Y in female fibromyalgia patients”. Eur J Pain 3 (1): 19–30.

[6] http://www.fibromyalgia-symptoms.org/fibromyalgia_chiropractic.html Accessed September 2011

Fibromyalgia (FM) is a condition associated with tight, sore muscles but no one REALLY knows where FM comes from or why it picks on certain people and not others.  Some feel it’s caused by lack of sleep, specifically deep sleep, eventually resulting in chronically tight muscles. Others theorize it’s the underlying stress of a person’s lifestyle that leads to the tight muscles. Either way, tight muscles lead to poor blood flow through the muscle and just like pumping up a blood pressure cuff too high and not releasing the tourniquet effect quick enough, pain results when the muscle is starved from lack of oxygen.  Dr. Doris Cope, MD, director of Pain Management at the University of Pittsburgh Medical Center, wrote that many people (especially FM patients) tense their muscles and probably don’t even realize it, which reduces blood flow to the muscles, resulting in pain. So, the question is raised, how can the FM patient get their muscles to relax so blood can flow through, bringing it the necessary amount of oxygen to the muscle so it doesn’t hurt?

One method of muscle relaxation is exercise. When the pulse rate increases, more blood reaches the muscle, which reduces pain. The studies are clear that walking, stretching and strength training all help reduce fibromyalgia pain. Exercise also relieves fatigue, helps sleep quality and reduces depression – WHAT A GREAT ANSWER for the FM patient! The key is finding the right combination of exercises and how much should one do. Our advice is to START SLOW and gradually increase the dose once you’ve proven good tolerance to the last workout session. Consider flexibility exercises (stretching) such as Yoga classes, walking around the block, or even playing golf (initially a few holes, then 9 and eventually a full round).

Many FM patients have found water exercises are uniquely helpful because of the weight reduction or buoyancy effect.  This is especially true for the overweight FM patient as land-based exercises may be too traumatic on the feet/ankles, knees, hips, or low back. Also, warm water can be quite comforting. Another nice advantage of water exercises is that you can do these anywhere, as long as there is a pool! The exercises can be taught in a formal water exercise class, which is a good place to start if one is available locally or through a health care service. Studies from Spain report that water exercises improve the FM patient’s quality of life not just for the moment, but also over the long term! Over a 12-week timeframe, they discovered women who exercised in warm water for 60 minutes, 3 times per week improved both mentally and physically, had less FM related pain, and more energy (“vitality”). They reported less depression and found an improved desire to be sociable.  The KEY for exercise to be successful is to increase the pulse rate. As Dr. Cope pointed out, a 20 minute, four times per week workout can make a big difference!

If you, a friend or family member requires care for FM give us a call at (703) 912-7822 or visit us at Chiropractor in Springfield, VA

Over the years of treating many fibromyalgia patients at my chiropractic office in Springfield, VA I have put together five tips if you suffer from Fibromyalgia (FM).

1.    “Keep a journal every day about what you do and how you feel.” Many times when discussing your symptoms of fibromyalgia with us, it is very hard to remember important details and keeping a journal is REALLY appreciated as it serves as a reminder for the patient of the things that trigger a flair-up.  The journal can often save an immense amount of time trying to determine what can be done to help the patient, such as when to employ biofeedback skills, like visualization. This is performed any time or place where you may find yourself in a situation that is totally out of your control and you sense your ability to cope is failing. At uncontrolled times such as this, shutting the eyes and visualizing a calming and relaxing scenario is usually very helpful and can be exercised as often or for as long as needed. Again, write down the most effective visualization scenarios or thoughts so you can refresh your memory from time to time.

2.    “Sleep is very important. Try not to nap during the day so you can sleep better at night.” One of the biggest complaints from fibromyalgia patients is sleep disturbance, whether it’s getting to sleep or waking up multiple times a night and/or not being able to return to sleep. Many “pearls” were found that dealt with sleep quality and methods for improving sleep.  One of the most important issues is stated above – try to avoid napping during the day. Another is to go to sleep at the same time each night, or, to stay on a schedule that is consistent. Some recommended avoiding thoughts about the day that are stressful or situations you can’t control prior to going to sleep.

3.    “Exercise on a regular basis.” This too, was a popular recommendation.  Most felt “light exercises” was better, while a few favored strenuous exercises.  Some gave specific recommendations like yoga, stretching, or swimming (“…because it’s easier on my joints.”). Some gave specific instructions like, “…Exercise! Keep those muscles and bones flexed and firm. But do not overdo it!” Another recommended wearing a sweat suit to keep the muscles warm. Most importantly, develop a routine that includes regular exercise doing something you like! This will ensure consistency and flow.  Exercise also has the very important ability to reduce stress simply from “working out,” and stress reduction and control was mentioned by itself multiple times. Not mentioned is the fact that endorphins and enkephlins are released with exercise that can reduce pain, as they are “natural pain killers,” morphine-like substances our body produces.

4.    Diet: This too, was popular and frequently mentioned.  Some gave very detailed information about what to eat such as, “Balance your meals with a low-fat, high-protein diet. Drink plenty of water.” A low gluten diet is anti-inflammatory and very helpful.

5.    Miscellaneous: Educate yourself about fibromyalgia by gathering as much information as possible, reading about fibromyalgia on a regular basis, starting or attending a support group, choosing a doctor who understands fibromyalgia were also very common themes. Perhaps most important was, “accept your limitations,” and in doing so, don’t be afraid to ask for help – create a list of reliable friends and family who are willing to help out when needed.

If you, a friend or family member requires care for fibromyalgia, we sincerely appreciate the trust and confidence shown by choosing our services! To learn more about fibromyalgia please visit http://www.NovaChiroWellness.com or give us a call at (703) 912-7822.

Fibromyalgia (FM) is a condition that usually affects different organ systems in the body, causing a number of symptoms. Some of these include:

1)      The muscles (the musculoskeletal system): tender, achy, stiff, tight muscles, trigger or tender points all over the body;

2)      The nerves (the nervous system): headaches, light headedness, sleep disruption, depression, anxiety, numbness/tingling (overlaps with the cardiovascular system);

3)      The stomach and intestines (the gastrointestinal system): diarrhea, constipation, irritable bowel, leaky gut, heart burn, lack of appetite, abdominal cramping;

4)      Breathing (the respiratory system): hyperventilation, rapid / shallow breathing patterns;

5)      The heart (the cardiovascular system): racing heart rate – palpitations, feeling cold all the time, numbness/tingling (overlaps with the nervous system);

Because of the multiple systems involved, there are many challenges to managing Fibromyalgia.  Studies suggest a balance between several approaches works best.  Some of these approaches include biomedical treatments, organ-specific treatments, and cognitive interpersonal treatments.  Within these categories, the following can be broken down further:

1)      General – those treatments directed at the whole body such as anti-inflammatory measures.  These include (but are not limited to) medications (corticosteroids, NSAID’s – such as Advil, Aleve) and nutrients (ginger, turmeric, boswellia, Vitamin D, and others).  Other anti-inflammatory measures include diet, such as the Paleo Diet or “caveman diet.”  This diet eliminates grains or flour-based products from the diet.  That means no more breads, pastas, crackers, cookies – anything made with flour.  This approach emphasizes consuming fruits, vegetables, grass-fed lean meats and fish.  The main ingredients in grains that are of concern in the Paleo Diet are gluten and lectins

2)      Central – those treatments directed at the chemical factors in the brain that control mood, depression, anxiety and so on.  These include (but are not limited to) medications (tricyclic antidepressants, muscle relaxers like Cyclobenzaprine, SSRI, SNRI and Trmadol) and certain nutrients (neurotransmitter support such as 5-HTP – tryptophan, DHEA, phenylalanine, and others).

3)      Psychotherapy and active behavioral therapy – treatments that are supportive of nervous system such as cognitive behavior therapy, aerobic exercise, patient education, multidisciplinary therapy, hypnotherapy, biofeedback, and strength training.

4)      Passive physical intervention – chiropractic therapy, massage therapy and other forms of manual therapy, and acupuncture.

If you, a friend or family member requires care for FM call our chiropractic office in Springfield, VA at (703) 912-7822.