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Fibromyalgia

What is fibromyalgia?

Fibromyalgia is a condition that is characterized by widespread musculoskeletal pain and fatigue. It affects approximately 2% of the US adult population. There are roughly 6 million diagnosed cases making fibromyalgia the third most common rheumatologic disorder. It is usually a chronic condition that is a multi-system disorder. Fibromyalgia is often classified as a syndrome meaning there are frequently a host of symptoms that are common among sufferers. In addition to widespread pain and fatigue, patients who have fibromyalgia also complain of sleep disturbance, headache, dizziness, irritable bowel, genitourinary symptoms, depression, abnormal skin sensations such as numbness and tingling (paresthesia), predisposition to allergic reactions, morning stiffness, ocular sensitivity, and loss of balance (poor proprioception). Talk to your health care provider about other symptoms that you are experiencing as they may be related to the syndrome. Although the exact etiology (origin of the condition) is unknown, there are certain factors that are often attributed to the cause. These include disrupted sleep pattern, history of trauma or infection, immune abnormality, endocrine aberration, reduced blood flow to muscles, and/or altered serotonin levels. It is important to remember that fibromyalgia may be secondary to an underlying disease state; it is important to discuss this with your doctor making him or her aware of all of the symptoms you are experiencing.

How is fibromyalgia diagnosed?

Currently there are no tests that definitively diagnose fibromyalgia; research is being conducted in order to determine biochemical markers that detect metabolic anomalies. Additionally, there are several preliminary studies that indicate that brain imaging studies may support the diagnosis; however, neuroimaging is not yet widely accepted. Generally the condition is diagnosed via clinical examination (based on history, physical examination and palpation) performed by a qualified health care provider.

What are the options for treating fibromyalgia?

Effectively treating fibromyalgia requires a multimodal approach. When at all possible, find a treatment plan that is minimally invasive without drugs or surgery. More invasive options should only be entertained after the conservative methods fail to produce the desired result. Our clinic offers an evidence based treatment strategy that consists of exercise programs, soft tissue techniques, physiotherapy, massage, behavior modification counseling, nutritional counseling, and joint adjustments (also known as joint manipulation). Acupuncture is an alternative treatment method not provided in our clinic. On the more invasive end of the spectrum are pharmacotherapeutic options such as muscle relaxants (cyclobenzaprine), antidepressants (amitriptyline and nortriptyline), selective serotonin-reuptake inhibitors, benzodiazepines and analgesics. Certain individuals may experience temporary reduction in pain from trigger point injections. Talk to your health care provider about the strategy that will best suit your needs. The best approach to treating fibromyalgia is one that is individualized.

References

  1. Mease P. Fibromyalgia syndrome: a review of clinical presentation, pathogenesis, outcome measurements, and treatment. J Rheumatol Suppl. 2005 Aug; 75:6-21.
  2. Peterson EL. Fibromyalgia-management of a misunderstood disorder. J Am Acad Nurse Pract. 2007 Jul; 19(7):341-8.
  3. Clauw DJ. Fibromyalgia: more than just a musculoskeletal disease. Am Fam Physician. 1995 Sep 1; 52(3):843-854.
  4. Buskila D et al. Biology and therapy of fibromyalgia. Genetic aspects of fibromyalgia syndrome. Arthritis Res Ther. 2006; 8(5): 218.
  5. Katz DL et al. The pain of fibromyalgia is due to muscle hypoperfusion induced by regional vasomotor dysregulation. Med Hypotheses. 2007; 69 (3): 517-24.
  6. Cook DB et al. Imaging pain in fibromyalgia. Curr Pain Headache Rep. 2007 Jun; 11(2): 190-200.
  7. Maquet D et al. Benefits of physical training in fibromyalgia and related syndromes. Ann Readapt Med Phys. 2007 Jul; 50 (6): 363-8, 356-62.
  8. Citak-Karakaya I et al. Short and long-term results of connective tissue manipulation and combined ultrasound therapy in patients with fibromyalgia. J Manipulative Physiol Ther. 2006 Sep; 29 (7): 524-8.
  9. Field T et al. Fibromyalgia pain and substance P decrease and sleep improves after massage therapy. J Clin Rheumatol. 2002 Apr; 8(2): 72-8.
  10. Morris, CR et al. Integrative Therapy for Fibromyalgia: Possible strategies for an Individualized Treatment Program. Southern Medical Journal. Feb 2005; 98(2);177-184.
  11. Hains, G et al. A combined ischemic compression and spinal manipulation in the treatment of fibromyalgia: a preliminary estimate of dose and efficacy. J Manipulative Physiol Ther. 2000 May; 23 (4): 225-30.
  12. Staud R. Are tender point injections beneficial: the role of tonic nociception in fibromyalgia. Curr Pharm Des. 2006; 12 (1): 23-7.

Dr Scott Bentson

His background in biomedical engineering/physics and specialized training as a Chiropractic Sports Physician (CCSP) gives Dr. Scott Bentson a unique perspective and area of expertise when it comes to biomechanics and pain management.
His passion for helping people to feel their best combined with this specialized expertise has made him a chiropractor who is in high demand. Dr. Bentson lives and practices in Bethlehem, PA and enjoys sharing this practice with his wife and the creator of YouAnew Lifestyle Nutrition, Dr. Kristen Bentson.

Affiliations

Lehigh Valley Chiropractic Affiliations