Dublin based
Acupuncture & Shiatsu
Specialist

Fibromyalgia

Fibromyalgia

August 13th, 2010 | Posted in 2 Pain, Injuries, Sports

Fibromyalgia What it is

 

Imagine aching all over your body and having muscles that are too sore to be touched, or waking up after 12 hours sleep still feeling exhausted with a cloudy head and irritable bowels. This is the reality of people who have fibromyalgia. Because of its wide range of symptoms, it is quite difficult to diagnose.

In fibromyalgia, sensory messages to the brain are intensified, making even a warm bubble bath, cotton sheets, friendly handshakes feel like torture. Counter-vailing messages from the brain are too weak to shut off the pain response. The combined effect is to ‘turn up the volulme on pain’.

It runs in families and genetic variations may play a role, but lifestyle  and temperament also play a part.  Often sufferers are workaholics or people who push themselves to the limit, despite years of escalating pain. Then a trigger—a car accident, a viral infection—pushes them over the edge and knocks their nervous systems out of whack.

Fibromyalgia is a condition involving pain throughout the body, heightened sensitivity to touch and fatigue— characterised by generalised pains in the connective tissues of the body and specific area of knotted  muscle fibre – called “trigger points” – which are especially painful. It is generally treated with a combination of analgesics and vigorous massage.

There is no obvious source of pain—no injuries, worn joints or pinched nerves. Instead it is one of a number of poorly understood disorders, such as chronic fatigue and gulf-war syndromes that are caused by ‘central sensitization’ or imbalances of chemicals and hormones in the nervous system.

 

Symptoms of Fibromyalgia include:

  • Some degree of pain is always present. The pain has been described as burning or gnawing, or as soreness, stiffness or aching.
  • While pain may begin in one region, such as the shoulders, neck, or lower back, it eventually becomes widespread with generalized aching and stiffness of the trunk, hip, and shoulder girdles.. Patients may complain of joint pain and perceive that their joints are swollen; however, joint examination yields normal findings.
  • Other patients complain of generalized muscle aching and weakness.
  • Patients may complain of low back pain, which may radiate into buttock and legs.
  • Others complain of pain and tightness in the neck and across the upper posterior shoulders.
  • Some patients complain of muscle pain after even mild exertion.
  • Stiffness is usually present upon waking in the morning; usually it improves during the day, but in some patients, it lasts all day.
  • Patients may complain of numbness of the hands and feet.
  • They may also feel colder overall than others in the home, and some may experience Raynaud’s-like phenomena or actual Raynaud’s phenomenon.
  • Patients complain of feeling fatigued and exhausted, and wake up tired.
  • They also awaken frequently at night and have trouble falling back to sleep.
  • Symptoms are made worse by stress, anxiety, cold, damp weather, and overexertion.
  • Patients often feel better during warmer weather and vacations.
  • sleep disorders,
  • intestinal and bowel problems,
  • emotional fluctuations. 

Acupuncture is well known for its pain relieving effects and can have a great effect on the symptoms of Fibromyalgia.

However, fibromyalgia, unfortunately, is often not observed by the patient until it becomes a major problem in their lifestyle and consequently is not diagnosed until some significant time after its initial onset and thus a lapse in its treatment occurs, which ultimately means that it will take longer to effect a recovery.  In fact, many months or even years will have elapsed with much use of pain killers—with or without a diagnosis—before a sufferer decides to seek acupuncture help and consequently, patience and perseverance are necessary to rebalance the energetic system and to effect a recovery. Acupuncture can “work wonders”, but it is not “miraculous”. Some effects will be felt immediately, which give relief, but effecting a cure will require regular treatment for a period of time.

Acupuncture and Chinese medicine provide relief of symptoms by balancing yin and yang, and adjusting the circulation of qi and the blood. Local measures such as heat, therapeutic massage, cupping, moxibustion in specific regions also help to reduce the pain. A regular plan, with long-term, consistent integrative treatment is necessary in patients with fibromyalgia.

An acupuncturist will treat the presenting symptoms of pain and discomfort but will also treat the underlying causes of energetic disharmony which are the origin of the dis-ease.  The individual’s symptoms – as each person’s combinations of symptoms are unique – are assessed and a treatment plan specific for each individual, including sleep improvement and low-impact exercise, is arrived at through in-depth discussion and examination between the patient and acupuncturist.

There is no set way of treating Fibromyalgia as it depends on what symptoms are present and what works for the person.  The best way to treat it is by using a combination of different methods.

  • Pain Management. using specialists—acupuncturists, doctors, physio/massage therapists, (occupational therapists and psychologists) —who will give advice regarding physical activity, deep breathing techniques, relaxation and stress management as well as controlling your condition so you don’t become overwhelmed by it. Acupuncture has been recognised by the World Health Organization, in particular (among other benefits) for its ability to treat pain. See article on Pain.
  • Pain Killers; e.g. non-steroidal, anti-inflammatory drugs such as ibuprofen, and medicines to boost levels of serotonin to improve sleep and low mood. Antidepressants may be prescribed but are for sleep and pain symptoms rather than actual depression.
  • Exercise: yoga, swimming or walking, starting slowly and building up levels gradually. As well as positive effects on muscle joints and circulatory system, exercise also releases endorphins which make you feel good.
  • Hydrotherapy and Balneotherapy: baths in mineralised water as in a thalassotherapy pool.
  • Massage: has relaxing effects and is popular among fibromyalgia sufferers.
  • Magnesium: for the production and transportation of energy within the body’s cells.
  • Essential Fatty Acids Omega 3 and 6 as anti-inflammatories.
  • Glucosamine helps joints stay mobile.
  • Antioxidant supplements Vit C or E are vital as they help mop up the damage caused by inflammation.
  • Multi Vitamins with B Vitamins for the immune system.
  • Diet: a healthy, balanced diet and avoidance of stimulants and depressants such as caffeine or alcohol, and sugar based food can help with IBS.
  • Mindfulness: Try to set some time aside to do some deep relaxation each day.The key to dealing with fibromyalgia is finding out what works for you. Keep active and accept that you’re going to have good days and bad days and pace yourself accordingly. By listening to your body, it is possible to keep a hold on the condition.