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What's Ailing You?
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Fibromyalgia
The term “Fibromyalgia” was
put into use in 1976 and is used to describe a variety of symptoms from
chronic pain in muscles, tendons, and ligaments, as well as severe
fatigue, sleep disorders, irritable bowel, depression, anxiety, chronic
headaches, dizziness, confusion, severe menstrual cramps, sensitive skin,
muscle twitches, dry eyes and mouth, and numbness in hands and feet. The
diagnosis of fibromyalgia is typically given to someone who has definite
health problems for which medical doctors can give no definitive
diagnosis. Some of the most recent theories on fibromyalgia state that it
may be due to an under-responsive autonomic nervous system. This system is
the manner in which the brain controls such automatic bodily functions as
breathing and heart rate. Studies have found that fibromyalgia sufferers
have abnormally high amounts of substance P in the spinal fluid, and
therefore feel more pain than the average person at similar levels of
stimulation. Other chemical hallmarks of this disorder include low
serotonin, too much cortisol, not enough growth hormone, and
beta-endorphin levels about half of normal. All of these hormone levels
are controlled by glands which are controlled by the autonomic nervous
system.
Chiropractic and Fibromyalgia
A chiropractors’ primary goal is to normalize the function of the
nervous system by
removing interference. Proper communication between the brain and body
ensures increased body function. Dr. Fredrick Wolfe, a respected rheumatologist and well-known investigator of fibromyalgia, found patients
received more benefit from lifestyle modifications than from medical
interventions. In his study chiropractic scored among the most effective
treatments with 45.9% reporting great improvement and only 16.2% reporting
no improvement. Another study compared chiropractic, medicine and placebo.
The study did show some symptomatic benefit from medication, but reported
“manipulation also improved the patients’ overall sense of well-being”.
Yet another preliminary study reports a lessening of pain intensity, and
improvement in sleep quality and fatigue levels in women with fibromyalgia
who underwent chiropractic care.
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Wolfe F. The clinical
syndrome of fibrositis. Am J Medicine, 81(suppl 3A): 7-14, 1986.
Backstrom G, Rubin BR, When muscle pain won’t go away, Dallas, Taylor
Publishing Company, 1992.
Hains, G, et al., JMPT- May 2000;23:225-30.
Cohen H, et al. Autonomic dysfunction in patients with fibromyalgia:
application of power spectral analysis of heart rate variability. Semin
Arthritis Rheum. 2000 Feb:29(4):197-9.
Pavia ES, et al., Impaired growth hormone secretion in fibromyalgia
patients: evidence for augmented hypothalamic somatostatin tone. Arthritis
Rheum. 2003 Jan:48(1):277-8.
Parker AJ, Wessely S, Cleare AJ, The neuroendocrinology of chronic fatigue
syndrome and fibromyalgia. Psychol Med. 2001 Nov;31(8):1331-45.
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