Fibromyalgia (Fibrositis / Myofascial Pain) is a syndrome involving muscular (myo) pain (-algia) and stiffness, which is usually considered to be a form of arthritis.
Sufferers are often dismissed as malingerers, as definitive clinical findings may be absent. It is a source of considerable frustration for both clinicians and patients.
Basically, the sufferer may complain of tenderness at any site the examiner touches. In order to rule out malingerers, certain sites (12 - 14 in number) have become definitive and a measuring instrument (algometer) has been developed.
Current terminology demands that fibromyalgia sufferers have tenderness at certain sites, whereas myofascial pain sufferers have trigger points, referring pain elsewhere. However, even clinicians are confused about diagnosing these conditions, under any name, or classification.
Tension and bad posture seem to accompany the condition. Sufferers may also have chronic fatigue syndrome, or Epstein Barr Virus.
Basically, a tender spot in a muscle becomes established. If upon palpation, the pain may shoot from this spot (for example the trapezius) into an adjoining area (e.g. headache). In which case some authorities believe it should be reclassified as a trigger point and be termed “myofascial pain syndrome”, instead of fibromyalgia.
Signs & Symptoms
Classically, there will be extreme tenderness upon palpation at multiple sites, especially the neck and shoulder. Movement will be difficult, painful and characteristically stiff.
In some respects the symptoms are the same as with delayed onset muscular soreness after a heavy workout, except that there was no workout and the soreness never goes away.
The muscular soreness will often correspond closely with the trigger points identified by several authorities, notably Travell and Simons. The distinguishing characteristic, is that trigger points refer pain elsewhere.
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Nutrients for Brain Support
B Complex 100 mg tid (Or Injections) Bioflavonoids* CoQ10 75 mg Lecithin* Malic Acid & Magnesium Manganese 5 mg Proanthocyanidins* Selenium* Vitamin A 10,000 IU Vitamin C 5,000 - 10,000 mg Vitamin E 400 IU
*Please refer to the respective topic for specific nutrient amounts.
Note: All amounts are in addition to those supplements having a Recommended Dietary Allowance (RDA). Due to individual needs, one must always be aware of a possible undetermined effect when taking nutritional supplements. If any disturbances from the use of a particular supplement should occur, stop its use immediately and seek the care of a qualified health care professional.
Drugs are the primary allopathic therapy to control the pain and inflammation associated with forms of Arthritis.
Most of the drugs diminish the production of prostaglandins, produced by the inflammatory process. [Vitamin E is a natural prostaglandin inhibitor.]
Today, the first line of attack comprises NSAIDs (Nonsteroidal anti-inflammatory drugs) including salicylates.
Side effects frequently include nutritional status.
Aspirin, for example, increases urinary excretion of vitamin C. Decreased vitamin status with respect to vitamin C as well as folate have been noted. There may also be extensive bleeding both with salicylates and other NSAIDs. An associated condition is anemia.
Methotrexate and Sulfasalazine (both used as NSAIDs) are associated with the greatest losses of folate and these drugs should be accompanied with daily supplements of folate.
Fluids help flush out toxins.
Organic apple juice is a good source of malic acid.
Some foods, containing solanine, may aggravate the pain and discomfort, these foods include: green peppers, eggplant, tomatoes and white potatoes.
Description Remedy Muscles ache all over: Aesculus hippocastanum Arnica montana tinct.
Over-the-counter homeopathic remedies may be single strength (of fairly weak potency e.g. 6X ) or a blend of several weaker strengths (6X, 8X, 10X).
This may comprise a single remedy, or several remedies.
Doses are administered on a 3 times daily (tid), between meals,schedule and continued for 3 days.
Liquid preparations usually use 8-10 drops per dose.
Solid preparations are usually 2 or 3 pellets per dose.
Children use 1/2 dose i.e. 1 pellet.
If there is aggravation of the symptoms, stop taking the remedy and consult a homeopath.
Murphy, R. : Homeopathic Medical Repertory. Hahneman Academy, Pagosa Springs, Colorado. 1993.
Murphy, R. : Lotus Materia Medica. Hahneman Academy, Pagosa Springs, Colorado. 1995.
Pert, J.C.: Homeopathy for the Family. The Homoeopathic Development Foundation, London. 1985 edition.
Note: The misdirected use of an herb can produce severely adverse effects, especially in combination with prescription drugs. This Herbal information is for educational purposes and is not intended as a replacement for medical advice.
Astragalus and Echinacea enhance immune function.
Black Walnut and Garlic eliminate parasites.
Ginseng is a tonic.
Licorice supports the adrenals.
Valerian is used to promote sleep.
Cayenne, Ginger and Wintergreen can provide a rubefacient benefit to sore muscles.
Hoffmann, D: The New Holistic Herbal. Element, 1983. Third edition 1990.
Aromatherapy - Essential Oils
Aniseed Essence, Basil Essence, Bergamot Essence, Chamomile Essence, Clary Sage Essence, Frankincense Essence, Lavender Essence, Lemon Essence, Neroli Essence, Orange Essence, Thyme Essence, Wintergreen Essence.
Related Health ConditionsAbstracts
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Blunt KL et al., The effectiveness of chiropractic management of fibromyalgia patients: a pilot study. J Manipulative Physiol Ther, 1997 Jul-Aug, 20:6, 389-99.
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Celiker R et al., Psychological disturbance in fibromyalgia: relation to pain severity. Clin Rheumatol, 1997 Mar, 16:2, 179-84.
Clauw DJ et al., The relationship between fibromyalgia and interstitial cystitis. J Psychiatr Res, 1997 Jan-Feb, 31:1, 125-31.
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Eisinger J et al., Protein peroxidation, magnesium deficiency and fibromyalgia. Magnes Res, 1996 Dec, 9:4, 313-6.
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Fishbain-DA et al DSM-III diagnoses of patients with myofascial pain syndrome (fibrositis). Archives-of-Physical-Medicine-and-Rehabilitation. 1989 Jun; 70(6): 433-8. (24 ref)
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Guthrie-NG et al: Comparing three techniques for the evaluation of fibromyalgia. Physiotherapy-Canada, 1994 Spring; 46(2): 94-7 (18 ref)
Hawley-D; Cathey-MA: Fighting fibrositis. American-Journal-of-Nursing, 1985 Apr; 85(4): 404-6. (17 ref)
Henriksson-CM: Living with continuous muscular pain -- patient perspectives. Part I: encounters and consequences. Scandinavian-Journal-of-Caring-Sciences, 1995; 9(2): 67-76 (27 ref).
Henriksson-CM: Living with continuous muscular pain -- patient perspectives. Part II: strategies for daily life Scandinavian-Journal-of-Caring-Sciences. 1995; 9(2): 77-86 (16 ref).
Hostmark-AT et al: Reduced plasma fibrinogen, serum peroxides, lipids, and apolipoproteins after a 3-week vegetarian diet. Plant-Foods-Hum-Nutr. 1993 Jan; 43(1): 55-61.
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Nicolodi M & Sicuteri F: Fibromyalgia and migraine, two faces of the same mechanism. Serotonin as the common clue for pathogenesis and therapy. Adv Exp Med Biol, 1996, 398:, 373-9.
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