Treatment Of Fibromyalgia

Treatment of fibromyalgia consists of a comprehensive program, where the various factors that are observed in the patient are addressed. The sleeping disturbance, if present, is treated with cyclobenzaprine (brand name: Flexeril, Flexitec) at bedtime. This medication, which is an tricyclic antidepressant, is used mainly as a muscle relaxant, but has been found in fibromyalgia patients to restore abnormal sleep patterns.

Another medication that can be used for this is the antidepressant trazodone ( brand name: Desyrel, Trazorel), which when taken at bedtime seems to help not only to normalize the sleeping pattern, but also lift the mood (antidepressant effect) and thus help with some of the myalgias (painful muscles).

Multidisciplinary treatment approach for fibromyalgia
Target symptom: Treatment modality:
muscle deconditioning swimming, aquatherapy, walking, and mild stretching exercises (better tolerated with IceWave patches from Lifewave in place)
muscle spasm and tender spots

1) Local heat treatments, massage therapy, chiropractic adjustments and physiotherapy, aquatherapy

2) trigger point injections by the physician
sleep disorder cyclobenzaprine (brand name: Flexeril, Flexitec) or trazodone (brand name: Desyrel, Trazorel), however see remarks on the use of conventional drugs under "Alternative Medicine Treatment" below
mild to moderate depression SSRI antidepressant medication (but see remarks on the use of conventional drugs under "Alternative Medicine Treatment" below)
anxiety yoga, meditation, self-hypnosis, prayer, cognitive and behavior therapy, psychological counseling; bioidentical hormone replacement will often also treat anxiety naturally (see Ref.8)

Many of the SSRI antidepressants have a similar effect as trazodone. They also help to lift depression, which is another symptom complex that the physician will treat. Physical activities in the form of swimming, aquatherapy, walking, and mild stretching exercises are instituted. Often it might be best to do this as part of a local fibromyalgia support group, as motivation could otherwise be a problem. Local heat treatments, massage therapy, minor chiropractic adjustments for spinal malalignments are all useful modalities as is physiotherapy for flare-ups of the muscle aches and pains. Trigger point injections by the physician with 1% Xylocaine (occasionally with a small amount of cortisone mixed in) may be very useful for more painful muscles.

 Meditation, self-hypnosis,yoga, cognitive and behavior modification therapy are all useful adjunctive methods to help with the associated anxiety and depression along the medications mentioned above. These latter methods help with coping strategies in the treatment of fibromyalgia (Ref. 4).

Alternative Medicine Treatment Of Fibromyalgia:

According to the interviews with a number of anti-aging doctors contained in Suzanne Somers' book "Breakthrough" (Ref.8) fibromyalgia is often associated with hypothyroidism and may include other hormone weaknesses (weak adrenal glands, low human growth hormone levels). This can be determined with appropriate blood tests (T3, T4, 24 hour urine for cortisol, DHEA, IGF-1), which your regular physician may be uncomfortable with. However, any of the anti-aging physicians listed in the back of Ref.8 would have no problems ordering and treating this. This new approach to treat fibromyalgia puts emphasis on detoxifying the body, starting a low glycemic well balanced diet, exercising regularly and keeping you away from a many conventional drugs as possible including antidepressants (including trazodone mentioned above). The reason for this is that all of the hormones including the brain hormone serotonin need to be balanced to treat fibromyalgia successfully. Insomnia is treated with a combination of melatonin capsules and Silent Nights Lifewave patches. They are FDA approved and they are also explained in the book "Breakthrough" by Suzanne Somers (Ref. 8) where newer insights of antiaging medicine have been reviewed. Although this involves placing a patch on an acupuncture point, there are no needles involved. Nanotechnology, a newer technology, is involved in the manufacturing of these patches and infrared (heat) waves from body heat are utilized to energize an acupuncture point, which in turn normalizes function of the sleep centre in the brain without the use of any drugs. As you use these patches you will fall asleep and sleep through the night without any effort. The patch helps the body to normalize melatonin production, which is the natural waking/sleeping regulator of the body. For more info on the patches see the Silent Nights Lifewave patches link above (click "products"). There are other useful patches for detoxification (30 days) and for pain control.

Here is more information about the detoxification patches: This can be done using a non-drug method stimulating the body's own glutathione and carnosine detoxification system (Y-Age patches from Lifewave). This link tells you more about this detoxification method (click "products"). These patches are FDA approved and also based on nanotechnology, a newer technology, which is involved in the manufacturing of these patches. The production of glutathione and of carnosine in the body is stimulated. These two patches are applied on alternating days (for more info see the Y-Age patches from Lifewave link above).

Here is more information about the FDA approved pain patches; they are called IceWave patches from Lifewave. This is also mentioned in the book "Breakthrough" by Suzanne Somers (Ref. 8) and again these FDA approved patches are placed over acupuncture points, there are no needles involved. This nanotechnology is part of energy medicine and with these patches pain perception is modified so that pain is reduced to half or less. Medically this would be considered an excellent pain reliever. For more info on the patches see the IceWave patches from Lifewave link above (click "products"). In the US a 5 pack of the IceWave spray is available that can be directly sprayed onto the skin in the area where the pain is located.

However, the patch technology needs to be incorporated into a holistic approach as described above under alternative medicine treatment .

Another link re. fibromyalgia treatment.

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Disclaimer:

This outline is only a teaching aid to patients and should stimulate you to ask the right questions when seeing your doctor. However, the responsibility of treatment stays in the hands of your doctor and you.

References:

1. G.Littlejohn  Aust Fam Physician 2001 Apr;30(4):327-333.

2. LS Brecher et al. J Am Osteopath Assoc 2001 Apr;101(4 Suppl Pt 2):S12-17.

3. The Merck Manual, 7th edition, by M. H. Beers et al., Whitehouse Station, N.J., 1999. Chapter 59.

4. ABC of rheumatology, second edition, edited by Michael L. Snaith , M.D., BMJ Books, 1999. Chapter 6. Fibromyalgia Syndrome.

5. B Mukerji et al. Angiology 1995 May;46(5):425-430.

6. Ferri: Ferri's Clinical Advisor: Instant Diagnosis and Treatment, 2004 ed., Copyright © 2004 Mosby, Inc.

7. Rakel: Conn's Current Therapy 2004, 56th ed., Copyright © 2004 Elsevier

8. Suzanne Somers: "Breakthrough" Eight Steps to Wellness-- Life-altering Secrets from Today's Cutting-edge Doctors", Crown Publishers, 2008

Last Modified: Nov.15, 2008

 

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