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Most people have no idea what Fibromyalgia. Inform them of what it is and how to treat it.

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  1. 1. FIBROMYALGIA What is it? Conventional Treatments Natural Alternatives
  2. 2. What is Fibromylagia? <ul><li>It is a rheumatic </li></ul><ul><li>disorder </li></ul><ul><li>characterized by </li></ul><ul><li>chronic muscular pain </li></ul><ul><li>with no obvious </li></ul><ul><li>physical cause. </li></ul>
  3. 3. It is a systemic condition (one that affects the whole body). Can cause organs to not work properly.
  4. 4. Fibromylagia <ul><li>Is a syndrome which is based on a common set of symptoms. </li></ul><ul><li>It is not a disease (an interruption of body function with signs and symptoms). </li></ul>
  5. 5. FIBROMYALGIA Statistics
  6. 6. <ul><li>Primarily affects women 30 to 50 years of age. </li></ul><ul><li>It is 9 times more common in this group than any other. </li></ul><ul><li>Estimated that 15 to 20% of all patients seen by a Rheumatologist have Fibromyalgia. </li></ul><ul><li>Aspirin, acetaminophen, and ibuprofen are NOT effective at relieving pain. </li></ul>
  7. 7. <ul><li>May originate from food allergies which is </li></ul><ul><li>not surprising since we have been exposed </li></ul><ul><li>to more chemicals in the last 50 years than </li></ul><ul><li>throughout the rest of human history. </li></ul>
  8. 8. Symptoms of FIBROMYALGIA
  9. 9. <ul><li>Chronic Joint aching and stiffness </li></ul><ul><li>Dizziness </li></ul><ul><li>Palpitations </li></ul><ul><li>Soft tissue swelling </li></ul><ul><li>Sleep disturbances </li></ul><ul><li>Pain </li></ul><ul><li>Fatigue – primarily upon waking </li></ul><ul><li>Anxiety </li></ul><ul><li>Depression </li></ul>
  10. 10. <ul><li>Temporal Mandibular Joint pain (TMJ) </li></ul><ul><li>Restless leg syndrome </li></ul><ul><li>Sleep myoclonus (a sudden rapid contraction of a muscle or group of muscles during sleep or as one is falling asleep. </li></ul>
  11. 11. Most Common Symptoms <ul><li>Chronic Fatigue Syndrome </li></ul><ul><li>Tension Headaches </li></ul><ul><li>Dysmenorrhea (painful menstruation) </li></ul><ul><li>Gastrointestinal disturbances (Irritable Bowel Syndrome) </li></ul>
  12. 12. Symptoms Aggravated By <ul><li>Activity or inactivity </li></ul><ul><li>Weather (humidity or moisture) </li></ul><ul><li>Stress </li></ul><ul><li>Lack of sleep </li></ul><ul><li>Sinus allergies </li></ul>
  13. 13. Symptoms Aggravated By <ul><li>Food allergies – wheat or dairy </li></ul><ul><li>Tight clothing or belts can restrict blood flow of oxygen </li></ul><ul><li>Cold/heat </li></ul><ul><li>Poor posture </li></ul>
  14. 14. The 2 Major Symptoms <ul><li>Wide spread pain for more than 3 months </li></ul><ul><li>The presence of a defined number of tender points. </li></ul>
  15. 15. Primary Symptoms <ul><li>Pain on both sides of the body </li></ul><ul><li>Pain above and below the waist </li></ul><ul><li>Pain in the neck, chest, mid and low back is present. </li></ul>PAIN PAIN PAIN PAIN
  16. 16. Evaluation Process
  17. 17. <ul><li>Must have at least 11 out of </li></ul><ul><li>18 tender points to be </li></ul><ul><li>diagnosed with Fibromyalgia. </li></ul><ul><li>The points are as follows: </li></ul>
  18. 18. Front of the Body <ul><li>Lower vertabra of the neck </li></ul><ul><li>Area of second rib </li></ul><ul><li>Area of the thigh bone </li></ul><ul><li>Area of the middle of the knee joint </li></ul>
  19. 19. Back of the Body <ul><li>Base of the skull </li></ul><ul><li>Muscles of the neck and upper back </li></ul><ul><li>Muscles of mid back </li></ul><ul><li>Side of elbows </li></ul><ul><li>Muscles of the upper and outer buttocks </li></ul>
  20. 20. FIBROMYALGIA Are You at Risk?
  21. 21. <ul><li>Tension headaches </li></ul><ul><li>Masked depression </li></ul><ul><li>Guilt and anguish </li></ul><ul><li>Stress </li></ul><ul><li>Lack of quality of sleep </li></ul><ul><li>Constant fatigue or pain </li></ul>
  22. 22. <ul><li>Irritable bowel syndrome (malabsorption problems) </li></ul><ul><li>Infection of any type (viral, bacterial, yeast, Epstein Barr, mononucleosis) </li></ul><ul><li>Parasites </li></ul>
  23. 23. <ul><li>Cancer </li></ul><ul><li>Immune Response problems </li></ul><ul><li>Under active Thyroid </li></ul>
  24. 24. Biochemical Causes <ul><li>Abnormal blood flow </li></ul><ul><li>decreases cellular </li></ul><ul><li>oxygen and nutrient </li></ul><ul><li>levels from low ATP </li></ul><ul><li>levels (the energy of </li></ul><ul><li>life). </li></ul>
  25. 25. <ul><li>This results in a </li></ul><ul><li>deficiency of </li></ul><ul><li>substances to make </li></ul><ul><li>ATP (energy </li></ul><ul><li>phosphate) which </li></ul><ul><li>Your muscles need to </li></ul><ul><li>function. </li></ul>
  26. 26. <ul><li>This deficiency leads </li></ul><ul><li>to increase muscle </li></ul><ul><li>protein breakdown to </li></ul><ul><li>make more ATP. This </li></ul><ul><li>can cause pain in the </li></ul><ul><li>muscles. </li></ul>
  27. 27. Aluminum Toxicity <ul><li>Aluminum blocks the </li></ul><ul><li>absorption of </li></ul><ul><li>phosphate for ATP </li></ul><ul><li>production. </li></ul>
  28. 28. Whiplash or Trauma <ul><li>Trauma </li></ul><ul><li>Other past muscle injuries (ie. Auto accidents </li></ul><ul><li>Whiplash can lead to pain months later </li></ul>
  29. 29. Fibromyalgia Onset After Trauma <ul><li>60% after a auto accident </li></ul><ul><li>12.5% after a work related injury </li></ul><ul><li>7.1% after surgery </li></ul><ul><li>5.4% after a sports injury </li></ul><ul><li>14.3% after various types of trauma </li></ul><ul><li>85% still have fibromylagia symptoms 2 years after the trauma/injury </li></ul>
  30. 30. Conventional Treatments
  31. 31. Antidepressants – Amitriptyline - Cyclobenzaprine <ul><li>Known to give short term relief </li></ul><ul><li>Adverse side effects </li></ul><ul><li>Long term effects unknown </li></ul>
  32. 32. Anti-Inflammatories <ul><li>No more effective </li></ul><ul><li>than placebos! </li></ul>
  33. 33. Holistic Treatment
  34. 34. Rule Out Other Diseases <ul><li>Doctor must determine that </li></ul><ul><li>symptoms are not from other </li></ul><ul><li>systemic diseases such as: </li></ul><ul><li>rheumatoid arthritis, gout, </li></ul><ul><li>hypothyroidism, Lupus, Lyme </li></ul><ul><li>disease, and Hepatitis. </li></ul>
  35. 35. Treat Conditions that Aggravate Fibromyalgia <ul><li>Candida – Acidophilus </li></ul><ul><li>Viruses – vitamin C </li></ul><ul><li>Parasites – garlic, black walnuts </li></ul><ul><li>Decreased immune system – garlic, astragalus, echinacea </li></ul>
  36. 36. <ul><li>Sleep disturbances – melatonin, skullcap, and valerian root </li></ul><ul><li>Overall fatigue – vanadyl sulfate </li></ul><ul><li>Cleansing bloodstream – burdock root, dandelion, and red clover teas </li></ul><ul><li>Circulation and brain food – ginko biloba </li></ul><ul><li>Muscle pain – cayenne pepper and wintergreen oil (1:3 topical solution) </li></ul>
  37. 37. Counseling <ul><li>This is a real condition, not an “in your head” as many are told </li></ul><ul><li>It is benign, not fatal </li></ul><ul><li>Quality of life can be improved </li></ul><ul><li>Focus on achieving goals, not on daily pain and suffering </li></ul>
  38. 38. Eliminate Aluminum Products in your Day to Day Life <ul><li>Canned Foods </li></ul><ul><li>Soda </li></ul><ul><li>Non coated cookware </li></ul><ul><li>Antiperspirants </li></ul><ul><li>Make sure to read labels </li></ul>
  39. 39. Malic Acid <ul><li>Natural substance found in apples and plants. </li></ul><ul><li>Important in ATP production </li></ul><ul><li>Decreases aluminum levels in the brain and body </li></ul><ul><li>Deficiency of malic acid can cause exhaustion </li></ul><ul><li>Some patients report a reduction of pain within 48 hours to a week from the consumption of malic acid alone </li></ul>
  40. 40. Helpful Vitamins & Mineral <ul><li>Higher doses of all vitamins and minerals are needed </li></ul><ul><li>Consideration is based upon current diet and nutritional needs </li></ul><ul><li>B1 (thiamine) deficiency symptoms are similar to fibromyalgia (confusion, muscle fatigue, depression, numbness, and tingling in the hands and feet) </li></ul><ul><li>Vitamin B daily </li></ul><ul><li>Phosphate </li></ul><ul><li>3000 mg Vitamin C daily </li></ul>
  41. 41. Therapeutic Doses <ul><li>9 tablets of 200 mg of Malic Acid/day </li></ul><ul><li>9 tablets of 50 mg of Magnesium/day </li></ul><ul><li>3 tablets/meal </li></ul><ul><li>The minimum per day is 6 tablets. </li></ul>
  42. 42. What to Consume <ul><li>Consume at least 4 to 5 small meals daily </li></ul><ul><li>Steady stream of protein and complex carbohydrates </li></ul><ul><li>Increase fruits, vegetables, whole grains, raw nuts, seeds, and fish </li></ul>
  43. 43. <ul><li>Make sure to </li></ul><ul><li>consume enough </li></ul><ul><li>good quality water a </li></ul><ul><li>day. The amount in </li></ul><ul><li>ounces is equal to </li></ul><ul><li>your body weight </li></ul><ul><li>divided by 2. </li></ul>
  44. 44. Stretching <ul><li>To be performed before and after any exercise routine </li></ul><ul><li>In moderation and continued regularly </li></ul>
  45. 45. Aerobic Exercises <ul><li>Short, low level routines every day are better than high energy routines three times per week </li></ul><ul><li>Increase duration slowly and gradually </li></ul><ul><li>This decreases symptoms and aids in sleep quality </li></ul>
  46. 46. <ul><li>Biking progressively </li></ul><ul><li>longer, raising heart </li></ul><ul><li>rate over 150 bpm for </li></ul><ul><li>at least 20 minutes </li></ul><ul><li>will reduce symptoms </li></ul><ul><li>extraordinarily </li></ul>
  47. 47. <ul><li>Any extended </li></ul><ul><li>Cardiovascular </li></ul><ul><li>exercise will decrease </li></ul><ul><li>pain and increase </li></ul><ul><li>psychological well </li></ul><ul><li>being </li></ul>
  48. 48. <ul><li>Take hot showers or baths to relieve </li></ul><ul><li>morning stiffness </li></ul>
  49. 49. Sleep Habits <ul><li>Quality sleep is a must to combat this condition </li></ul><ul><li>Same time to bed and to wake everyday </li></ul>
  50. 50. <ul><li>Avoid too much or too little sleep </li></ul><ul><li>Avoid sleep medication </li></ul><ul><li>If it is to be used it should be done for a short duration and a low dosage </li></ul>
  51. 51. <ul><li>No alcohol, chocolate, or coffee </li></ul><ul><li>No medications that might affect sleep such as beta blockers, stimulants, or nasal decongestants </li></ul>
  52. 52. <ul><li>Poor posture causes </li></ul><ul><li>stress to the joints. </li></ul><ul><li>This inflames the </li></ul><ul><li>pain sensors and </li></ul><ul><li>Causes: </li></ul><ul><li>Pain </li></ul><ul><li> </li></ul><ul><li> Sensitivity </li></ul>
  53. 53. <ul><li>Continually poor posture causes shortened muscles </li></ul><ul><li>Correct posture takes the pressure off of the pain sensors making you feel better </li></ul>
  54. 54. Chiropractic <ul><li>Perform spinal adjustments to improve spinal function and alleviate the stress on your system. </li></ul><ul><li>Provide nutritional advice, recommending a change in diet and perhaps the addition of vitamins. </li></ul><ul><li>Offer advice on posture, ergonomics (work postures), exercises and relaxation techniques. This advice should help to relieve the recurring joint irritation and tension in the muscles of the neck and back. </li></ul><ul><li>If your problem is symptomatic of a health problem that needs the care of another discipline, your doctor of chiropractic will refer you to an appropriate specialist. </li></ul>
  55. 55. <ul><li>THANK YOU FOR </li></ul><ul><li>YOUR TIME </li></ul><ul><li>Dr. Michael Vanella </li></ul>