Fibromyalgia the Chiropractic Approach

Fibromyalgia is a condition characterized by widespread, migrating, and often debilitating pain and fatigue which prevents patients from accomplishing everyday tasks. It affects mostly women between 20 and 50 years old.

The National Foundation for Fibromyalgia estimates that as many as 12 million Americans suffer from Fibromyalgia, yet remain undiagnosed because of its elusive nature.

Although it is most common in middle-aged women, Fibromyalgia has become increasingly common in children. Musculoskeletal pain represents the most common problem seen by pediatric rheumatologists. Between 25-40% of children with chronic pain fulfill the criteria for Juvenile Fibromyalgia Syndrome.

National Arthritis Foundation

Fibromyalgia is the second most common disorder seen by rheumatologists and is more than twice as common as rheumatoid arthritis.

Women are ten times more likely than men to suffer from Fibromyalgia.

“The average Fibromyalgia patient suffers for five years and spends thousands of dollars on medical bills before receiving an accurate diagnosis. As a result of misdiagnosis, more than half of all patients undergo unnecessary surgery.” 

Devin Starland, M.D.

One of the frustrations experienced by patients and doctors alike is that there are no known medical or laboratory tests which can detect Fibromyalgia

“Fibromyalgia diagnosis remains difficult because there are currently no diagnostic laboratory tests for fibromyalgia.”

NATIONAL ARTHRITIS FOUNDATION

Fibromyalgia is diagnosed based on the following criteria:

1. Pain in each of the four quadrants of the body for at least 3 months.
2. At least 11 of 18 tender points forat least 3 months.

Studies have shown that 96% of patients with Fibromyalgia have more than four tender points and 94% have more than seven.

“The medications used to treat pain and inflammation for most rheumatic disorders is not of great help in Fibromyalgia. Aspirin and NSAIDS (non-steroidal anti-inflammatory drugs), such as Ibuprofen, do little to reduce pain. Even more powerful drugs such as corticosteroids do not seem to help the pain, stiffness, and fatigue of Fibromyalgia.”

NATIONAL ARTHRITIS FOUNDATION

Drugs that are given include a variety of over-the-counter and prescription pain killers, tricyclic antidepressants, and tender point injections, each of which comes with an assortment of adverse reactions, and long-term damage to the body.

Ibuprofen, which includes products such as Advil, Motrin and Nuprin, has been a leading cause of kidney damage. As

many as 20% of the 125,000 cases of kidney damage are the direct result of Ibuprofen.

Tricyclic anti-depressants known by brand names such as Elavil and Sinequan produce side effects of drowsiness, constipation, dry mouth, and weight gain.

The use of acetaminophen, sold under brand names such as Tylenol and Anacin 3, has been associated with digestive orders and kidney disease.

"Between 30-40% of all hospital admissionsfor bleeding ulcers are caused by aspirin.”

Aspirin is a leading cause of peptic ulcers, kidney disease, Reye’s syndrome in children, and is responsible for several thousand deaths in the United States each year.13

Fibromyalgia is a complicated condition that likely has more than one cause — although most researchers agree that the primary cause is a breakdown in the normal function of the central nervous system, which creates an abnormal perception of pain. 

“The cause of Fibromyalgia must involve one or more abnormalities by which the central nervoussystem interprets pain signals.” 

FIBROMYALGIA AWARENESS & INFORMATION

“Fibromyalgia appears to result from a central nervous system derangement — the peripheral tissues and tender points are secondary phenomena.”

SOFT TISSUE RHEUMATIC PAIN TEXT

“The actual cause of Fibromyalgia is likely an interaction of many processes involving neurological conditions that affect blood flow, sleep, muscle use, and the transmission of pain.”

COPING WITH FIBROMYALGIA

“An interpretive defect in the centralnervous system may be responsiblefor abnormal perception of pain in the absence of recognizable tissue injury.”

JOURNAL OF MUSCULOSKELETAL PAIN

“An oversensitive nervous system generates false alarms spontaneously or from ordinary nonpainful stimuli. Physiologists now recognize that nerves and muscles can generate abnormal impulses and the technical term for this is supersensitivity.”

CHAN GUNN, M.D.

A recent study found an increased prevalence of Fibromyalgia among workers after a neck injury. Fibromyalgia was 13 times more frequent following neck injuries than following lower extremity injuries.

Why do so many people involved in car accidents develop fibromyalgia?

In any serious car accident the sudden impact will cause the body to do two things: First, the body and head will move in opposite directions, causing the head to jerk suddenly backward (hyperextension) and forward (hyper flexion). Then, the neck muscles stiffen in an effort to prevent serious injury to the spinal cord and brain, which can cause tearing of the muscles, and stretching of ligaments and muscles in the back of the neck.

The nervous system is the master control system of the human body and every single function reflects its activity.

“An intact nervous system will lead to optimum functioning of the human body.”

DORLAND’S MEDICAL TEXT

“All body systems would be immobilized without the nervous system. It controls and regulates every bodily activity down to the workings of the tiniest cell.”

WORLD BOOK ENCYCLOPEDIA OF SCIENCE

Disturbances to the nervous system are referred to in scientific literature by several names including neuritis, dysponesis, nerve dysfunction, double-crush phenomenon, neuropathophysiology and subluxation, all of which cause interference to the nervous system.

The primary cause of nerve interference is found in the spinal column. When the vertebrae become misaligned often as the result of trauma or injury, irritation and interference occur in the nerve pathways. Nerve dysfunction caused by spinal misalignments is called “vertebral subluxations” and are well-documented in scientific literature.

“Subluxations are very real. We have documented them to the extent that no one can dispute their existence. Vertebral subluxations change the entire health of the body by causing structural dysfunction of the spine and nerve interference.” 22

Chang Ha Suh, M.D. Ph.D.

“Hyper functional or hypo functional neurons along a neural chain prevent normal nerve transmission causing disturbances in the homeostasis of the cells, tissues, and organs.”

Academy of Pain Research

“Subluxations of vertebrae occur in all parts of the spine and in all degrees. When the dislocation is so slight as to not affect the spinal cord, it will still produce disturbances in the spinal nerves passing off from the foramina.”

Dr. James Woddersee, Neurosurgeon

“The quality of healing is directly proportional to the functional capability of the central nervous system to send and receive nerve messages.”

Janson Edwards, M.D. Ph.D.

"There is little doubt that fibromyalgia pain is due to an intrinsic nerve-system dysfunction.”

Journal of Rheumatology

Chiropractic is a health care system that is founded on the premise that a proper functioning nervous system is essential to overall health and overall function of the human body.

Chiropractors have never claimed that they can “cure” Fibromyalgia and other health conditions, but research studies show that Chiropractic is effective in helping patients improve Fibromyalgia conditions.

Doctors of Chiropractic detect and correct vertebral subluxations by physically adjusting the spine. This restores the nervous system to an optimum level of function, which maximizes the body’s inherent healing ability. Chiropractic adjustments restore normal nerve function; improve spinal biomechanics, range of motion, and posture — all of which are essential in improving Fibromyalgia.

“Fibromyalgia can be caused by bad posture, and any attempt to relieve symptoms without addressing the cause is useless.”

                         Dr. Michael Van Straten

Researchers analyzed 17 studies that compared treatments and outcomes of patients with chronic pain and, though treatments varied by practitioner, the patients clearly preferred chiropractic.

A study published in the American Journal of Medicine reported that in a group of Fibromyalgia patients, who had received Chiropractic care, the majority of them obtained some type of improvement and nearly half obtained great improvement and a study of 19 Fibromyalgia patients who received Chiropractic care showed that Chiropractic has the ability to improve cervical and lumbar range of motion, spinal flexibility, and to reduce pain levels.