Coping

Use humor to cope

There is humor in fibrofog, so learn to enjoy it. Example: "Fibrofog is great. You can buy one book and read it repeatedly and still keep being surprised." Being able to laugh at yourself will help others to deal with your lapses as well. Brushing your teeth with a tube of polysporin will seem funny in a few days. Honest.

Fibromyalgia Tip -- 10/29/2007

Here in the Northern Hemisphere where it's Autumn leading into Winter and the temperatures are getting colder we find ourselves having a harder time functioning and slipping into flare-ups. Here's a tip to help you.

Coping with flare-ups

A flare is what we call it when all of our symptoms seem to intensify, so that we find ourselves in more pain, and functioning at a much lower level that usual. Flares can be brought on by stress, either physical or emotional, changes in weather, over-exertion, etc. Try to pace yourself and avoid intense periods of activity. When a flare hits, don't push yourself. Your body is telling you that it needs a time-out.

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Strategies with Food and Activity -- September 20, 2007

Strategies with Food and Activity
Brought to you by Bally Total Fitness
http://www.ballynutrition.com

Don't sit in the backseat. Often family, work or just everyday life takes priority over your needs. Keep your needs at the top of your list and don't let them take the backseat. The key to getting in the front seat is planning. Write down all of your responsibilities. Look for spaces to add exercise; a trip to the grocery store or an extra half hour for lunch. Pencil those events in and stick to it in order to keep your needs in the forefront.

Tip ~ Get dressed - every day!

Don't let yourself go just because you're not getting out as much as you used to. Get dressed -- every single day -- in something nice - shoes and jewelry, and even make-up if you wear it. Not only does it give you a psychological boost, but being dressed makes it harder to just crawl back into bed. It's too easy to lapse into slobbery when you're not feeling well. And slopping around leads to a loss of self-respect and of self-esteem.

Fibromyalgia Education Campaign Launches

National Fibromyalgia Association launched a new national educational campaign aimed at increasing understanding of fibromyalgia among patients, healthcare providers and the public. Click here to read more...

The Painful Truth About Fibromyalgia

AUDIO from Medialink and Pfizer: The Painful Truth About Fibromyalgia

Lyrica (Pregabalin) News Video

New Treatment Emerges For Pain Of Fibromyalgia

NBC 5's Meredith Land from Dallas/Fort Worth TX Reports

A drug used to treat shingles and diabetes is now being used to treat the debilitating pain of fibromyalgia. See video here

There is hope, help for fibromyalgia syndrome

By Dr. Nikolas R. Hedberg

August 14, 2007

Have you been diagnosed with fibromyalgia and are not feeling better, or were not informed of the cause of your condition? Were you just put on antidepressants or anti-inflammatory drugs?

Fibromyalgia did not emerge in the medical literature until the late 20th century and still does not have clear diagnostic criteria. Those of us practicing alternative medicine offer a clearer picture of the causes and treatment options for fibromyalgia.

In 1990, the American College of Rheumatology published its criteria for fibromyalgia syndrome, which consists of two parts: chronic, widespread pain that has been present for three months; and pain elicited by palpation of specific tender points, specifically 11 of 18 sites.

Authors began to report more symptoms by the early 1990s, including fatigue, irritable bowel, headache, cold sensitivity, atypical patterns of sensation, exercise intolerance, anxiety, depression, irritable bladder, dysmenorrhea and symptoms associated with increased nervous system activity.

Muscle biopsies of FMS patients revealed no changes in muscle tissue, which exploded the theory of fibromyalgia being an inflammatory disorder of soft tissues. It was also found that antidepressants did help to reduce patient symptoms by lowering nervous system hyperactivity. No underlying cause of fibromyalgia was ever found, and thus the cluster of symptoms became fibromyalgia syndrome.

To clump all these symptoms together into one is fatally flawed and has left many patients with no help and more medications. Michael J. Schneider and David M. Brady, in the Journal of Manipulative and Physiological Therapeutics, July/August 2006, classified fibromyalgia into "Classic FMS" and "Pseudo FMS." Classic FMS consists of sleep disorders, anxiety syndrome, depression, alterations of brain and central nervous system chemistry, and brain injury/trauma.

Classic FMS patients have low serotonin levels, which is our "feel-good" neurotransmitter. Serotonin is the target of many antidepressant medications, but it can be boosted without drugs. 5-HTP and vitamin B6 can support serotonin levels as well as meditation and psychotherapy. Serotonin can become depleted after a major traumatic event or chronic stress.

Pseudo FMS is broken down into three categories:

1. Organic diseases: anemia, Lyme disease, hypothyroidism, rheumatoid arthritis, cancer and multiple sclerosis

2. Functional disorders: im-proper diets, functional nutritional deficiencies, intestinal dysbiosis, dysfunction of liver detoxification.

3. Musculoskeletal disorders: Multiple trigger points, joint dysfunction, muscle imbalances, postural distortion, undiagnosed disk/facet lesions.

Have you had a thorough examination and the necessary testing to rule out any of these possible causes? Were you tested for dysbiosis (abnormal ratios of bacterial flora in the intestines)? What about your liver's ability to detoxify or a thorough thyroid evaluation? I routinely test for these types of metabolic disorders and find the underlying cause of FMS patients. You don't have to live with fatigue, depression, chronic pain and anxiety. There are answers for you.

Originally posted at: citizens-times.com

Mood elevators

Laughter really is good medicine. Call someone who makes you laugh. Rent a comedy film or watch a TV sitcom you enjoy. It´s hard to feel bad when you´re laughing.

Living with Fibromyalgia

Living with Fibromyalgia, First Drug Approved

Getty Images Symptoms of fibromyalgia include fatigue, pain in muscles and joints, difficulty sleeping, and morning stiffness.

After meeting on the Internet in 1997, Lynne Matallana and Karen Lee Richards discovered they had a lot in common. They both had seen numerous doctors before being diagnosed with fibromyalgia, a chronic condition characterized by fatigue and widespread pain in muscles and joints. They both had trouble finding medical information and support for coping with the illness. Seven months after meeting, they started gathering with five other people with fibromyalgia who also wanted to bring awareness to the issue.

"We called ourselves 'the pillow posse' because we would meet and have our pillows to support our aching bodies," Matallana says. Those gatherings grew into the National Fibromyalgia Association (NFA), an organization that now provides support, research information, medical education, and messages of hope to millions.

Fibromyalgia affects 2 to 4 percent of the population, according to the American College of Rheumatology (ACR). It mostly affects women, and tends to develop in early to middle adulthood. But men and children also can have it.

Read more by clicking here

Sensitive to Pain?

Study: Fibromyalgia Patients Are More Sensitive to Pain

Fibromyalgia patients are more sensitive to pain than people who do not have the condition. After reviewing 111 fibromyalgia studies published between 1970 and 2006, researchers concluded that fibromyalgia patients may process pain differently and seem to have lower pain thresholds than the general population. According to the review published in the May 15, 2007 Annals of Internal Medicine, the increased sensitivity to pain is derived from problems with how pain is processed in the central nervous system (brain and spinal cord).

Fibromyalgia affects approximately two percent of the United States population (3.4 percent of women and 0.5 percent of men), according to researchers. Based on what is already known and supposed about fibromyalgia, researchers also felt that emotional or psychiatric disturbance or both may alter pain processing to produce fibromyalgia in many patients.

~ By Carol & Richard Eustice, About.com Guides to Arthritis

_{Photo by Pauline Vos (iStockphoto)}

Thursday May 17, 2007

Sleep problems and pain

When people with FMS sleep they rarely reach the deep sleep stage, which is why they still feel exhausted. The worst sleep nights often lead to the most painful days. This is because the growth hormone that helps to heal troubled tissues is released during that critical stage of sleep - which FMS patients rarely achieve.

Fibromyalgia Tips -- 3/23/2007

Tissue over-growth

If you find that you are getting ingrown hair, fibroids or adhesions – or even heavy, splitting cuticles – then you are seeing the results of tissue overgrowth, which is a typical FMS symptom. Ingrown hairs can and need to be treated with antibiotics or lanced if infected. Adhesions can lead to a lot of discomfort, but corrective surgery can actually lead to even more adhesions. Modern laser surgery techniques like the laparoscopy have improved on this to some extent.

Fibromyalgia Tips -- 3/10/2007

Fluctuating body temperature

Unexplained, low-grade fever seems typical for people with fibro. Make a habit of taking and recording your temperature daily at a couple of different times. Many of us tend to have a regular body temperature that is abnormally low. This can mean that the standard "normal" temperature can feel like fever to you. If you typically read low, you want your doctor to understand this.

Fibro diagnosis

Disbelieving doctors

Many doctors simply refuse to believe that fibromyalgia exists, or instead use it as a catchall term for anyone with aches and pains that he or she is unable to diagnose. If you have been tested by your doctor, and haven´t got a diagnosis yet, or if your doctor blames your symptoms on depression, you may have one of the disbelievers. Try another doctor – preferably a rheumatologist – to get a genuine diagnosis.

How Fibromyalgia Happens

Researchers have been unable to determine the exact cause of fibromyalgia; however, there are a number of theories as to the possible cause. Neurochemical Imbalances It is believed that there is a faulty regulation of two neurochemicals of the central nervous system, namely substance P and serotonin. Substance P is a chemical that is responsible for amplifying pain signals in the body. Research has shown that some people with fibromyalgia have up to three times the normal level of substance P compared to someone who does not have fibromyalgia. This may lead to errors in pain processing. An example is when something that should not be painful, such as a hug or pat on the back, is perceived by your body as being painful. It’s not that you cannot tolerate pain, but rather that your body is sensing more pain than it actually should be. Serotonin is a chemical that is important for mood, sleep and pain. Researchers believe that serotonin is either in lower than normal amounts or is not being used properly by the body in people with fibromyalgia. Antidepressant medications such as fluoxetine hydrochloride (Prozac), paroxetine (Paxil), sertraline hydrochloride (Zoloft), and citalopram hydrobromide (Celexa) can help the body use serotonin more efficiently so that it can then help with mood, sleep and pain issues. Autonomic Nervous System Stress Response (HPA axis) The autonomic nervous system is that mechanism in the body that helps regulate all the “automatic functions,” such as heart rate, breathing, blood pressure and digestion. The autonomic nervous system also is responsible for controlling the stress response, often referred to as our “fight or flight” response. During a time of stress, the body secretes chemicals, such as adrenaline and cortisol, which help you remain alert in a time of stress to be able to deal with the stressor or escape it. Think of a time when you have been faced with a stressor. How did your body respond to that stress? Did you have an increased heart rate, fast and shallow breathing or did you ‘forget’ to breathe? Were your palms sweaty or did your stomach feel nauseous? These are just a few of the symptoms that can occur under a time of stress. Researchers have found that people with fibromyalgia either tend to run at a slightly higher than normal level of stress or may take a little longer to recover from a stressful event. You may not feel as though you are in a stressful situation. Dealing with chronic pain and fatigue on a daily basis, however, certainly is stressful. This ongoing stress can lead to changes in the brain that alter the way pain signals are processed, leading to increased sensitivity. Symptoms from stress can exaggerate the fibromyalgia symptoms. That is why stress management is a very important key in managing fibromyalgia symptoms. Sleep Problems Proper sleep is necessary to provide healing of the body as well as mental clarity and physical endurance. There are two very important types of sleep called NREM and REM. NREM stands for non-rapid eye movement sleep, or non-dream sleep, and is important for physical recovery of the body. There are several stages of NREM sleep with the deeper stages numbered 3 and 4, also known as delta sleep. REM sleep stands for rapid eye movement sleep, which is when dreams occur, and is important for our mental recovery. About 90% of people with fibromyalgia do not get into the deep restorative NREM sleep stages 3 and 4. It is during this “delta” sleep that the body secretes a growth hormone called somatomedin C. This chemical is important in adults because it is responsible for directing the repair of muscles. People normally experience micro muscle trauma just from moving around during the day. Muscle is normally restored with the help of somatomedin C secreted in the proper amounts. Your body secretes adequate amounts of growth hormone in two ways: 1) by getting into the deep stages of sleep, possibly with use of a proper medication, 2) by getting aerobic exercise which is directly related to the amount of growth hormone that is secreted. Genetics Researchers are continuing to study the possible role genetics may play in fibromyalgia. Article is from: The National Pain Foundation

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Tip of the day! - 1/22/07

Get dressed - every day!

1/22/07

Don’t let yourself go just because you’re not getting out as much as you used to. Get dressed – every single day – in something nice - shoes and jewelry, and even make-up if you wear it. Not only does it give you a psychological boost, but being dressed makes it harder to just crawl back into bed for a nap. It’s too easy to lapse into slobbery when you’re not feeling well. And slopping around leads to a loss of self-respect and of self-esteem.

For more Fibromyalgia tips, visit http://Fibromyalgia.lifetips.com

Fibromyalgia Tips--An easy cleaning system

Fibromyalgia Tips

An easy cleaning system

The Fly Lady system for housecleaning calls for first eliminating all unnecessary clutter, then spending small 15 minutes chunks of time each day tending to problem spots. After 15 minutes, you rest. If you feel up to it, do another 15 minutes. Even on bad days, most of us can do anything for about 15 minutes. http://www.flylady.net will guide you through an easy system for maintaining a home with ease -- honest. Many people have tried it when they felt that their houses had gone beyond redemption and found that it really worked.

Weight Loss

I wanted to share with you that over the past 8-12 months I've lost weight and I've noticed a difference in the way I feel.

I've noticed less pain on my joints and a little bit more energy.

It's not because I was trying. It just happened.

So, if you can focus this year on becoming more healthy and eating better you might be able to lose weight and feel less pain.

I think maybe I've changed my diet a little to cause the weight change. I've been eating out less and eating at home more.

One of the other things I've read in my research is that we eat emotionally. Many find certain foods a comfort and eat those foods when they're stressed.

When you notice you're stressing and grabbing for your comfort food instead do some activity like walking or some other activity that you can handle.

You'll be happy you did!

Until next time!

Kimberly

Women and Pain: What a Pain!

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Women and Pain: What a Pain!

By Annette Kornblum

Childbirth, menstrual cramps, yeast infections.

Women experience pain in ways that no man can. They routinely report more chronic and severe sensory and emotional discomfort in more body parts than men do and experience more pain following injuries.

Even conditions that are not gender specific, such as irritable bowel syndrome, headaches, TMJ (temporomandibular joint) pain, urinary tract infections, arthritis, and fibromyalgia hit women harder, more often, and are less easily relieved than in men, according to Roger Fillingim, a professor of psychology at University of Florida in Gainesville.

Chronic pain, which partially or totally disables 50 million Americans, is a major public health problem in the United States, according to the American Pain Society.

Forty-five percent of all Americans seek care for persistent pain at some point in their lives. While some 36 million Americans missed work in the past year due to pain, women are 50 percent more likely to call in sick than men.

Pain: A Female Complaint?
While pain has long been considered a troublesome female complaint rather than a legitimate symptom that something physically is wrong, experts say the problem is not in a woman's head; it seems to be in her nerves as well.

In studies in which women and men are subjected to the same irritant, women usually give it a higher pain rating. In rat studies, females were more than twice as prone to develop nerve pain than the males.

Why is chronic pain more common in women? At a conference co-sponsored by the Society for Women's Health Research, Georgetown University Medical Center rheumatologist Daniel Claw said women are more sensitive to pain. Claw added that certain autoimmune disorders such as lupus and pain amplification syndromes turn up more frequently in women.

Pain hits women especially hard because of the insomnia, fatigue, loss of appetite, muscle atrophy, and depression that goes along with many such disorders, says James Campbell, a professor of neurosurgery at Johns Hopkins University in Baltimore.

For years scientists have debated the relative importance of brain function, genes, and hormones in causing contrasting pain sensations among men and women. "There is a definite need to better understand all the neurophysiological and psychosocial factors in how we experience pain," says Fillingim. Scientists believe the brain circuitry that regulates pain response and relief differs in women and women.

Women are Wired Differently
Women's hypersensitivity is partly because their brains are wired differently, says Jeffrey Mogil, an assistant professor of psychology at the University of Illinois at Urbana-Champaign.

In research on mice and rats, Mogil and his colleagues implicated a sex-specific gene. The unidentified gene(s) in this region accounts for up to 25% of the trait difference seen in female mice but not males. They also pinpointed a region of a mouse chromosome that contains a gene affecting pain sensitivity only in males.

"More and more it looks like there's actually different systems in men and women...that the physiology must differ by a protein being involved in a neural circuit in one case and not in the other," Mogil says.

Women are more sensitive to the same sensations and less tolerant than males in part because brain chemistry ebbs and flows with the menstrual cycle. New evidence suggests that certain women patients who experience more severe premenstrual pain symptoms may be hypersensitive in other ways.

Fillingim was amazed by how many patients he treated for TMJ had experienced early, painful periods. "They were out of whack from puberty," Fillingim says.

Hormones Linked to Painful Disorders
Hormones have been linked to other painful disorders such as rheumatoid arthritis, irritable bowel syndrome, and fibromyalgia. With such conditions as migraines and TMJ, the prognosis doesn't necessarily improve with age.

A study published in the April 2001 issue of Pain suggests that hormone replacement therapy can actually aggravate TMJ even in healthy menopausal women who are subjected to provocation. "The women on HRT reported being more pain-sensitive than those who were not," says Fillingim, who headed the study.

"If a woman with osteoarthritis starts HRT and notices that her pain is getting worse, she should consider getting off the drug, taking a lower dose, or switching to another alternative to see if (it is) responsible," he says.

From arthritis to migraines, scientists are also finding sex differences in how men and women respond to the pain of common diseases and disorders:

• Arthritis: Daily logs kept by 71 arthritis patients showed that women experienced significantly more severe pain. According to Keefe, who was principal investigator on the project, women are also more likely to relax, air their emotions, seek distractions and emotional support to cope. "Men don't show their feelings and don't seek out assistance as readily as women. That may very well be what's going on in this case," Keefe says.
• Cardiac Disease: Premenopausal women have higher rates of false-positive chest pain syndromes, while postmenopausal women have relatively high rates of asymptomatic or silent heart disease, says Debra Judelson, MD, medical director of the Women's Heart Institute in Beverly Hills, Calif. and former president of the American Women's Medical Association. "Women are more likely to have high blood pressure and diabetes as complicating medical problems which can change the way they experience pain," Judelson says. "They also have more abdominal, shoulder, and neck pain, shortness of breath, back discomfort, vomiting, fatigue and nausea as opposed to chest discomfort seen in men." The bottom line: up to a 40 percent higher mortality rate in younger women under 50 with heart disease than men. "Whatever symptoms they experience are not recognized as a cardio problem in the emergency room, which contributes to delays in seeking help or getting treatment," Judelson adds.
• Migraine Headaches: Boys have more migraines than girls until puberty when hormones begin kicking in. Women are three times more likely to experience migraines than men beginning at puberty when hormone fluctuations kick in. They seem to strike whenever estrogen, the neurotransmitter serotonin, and beta endorphins are low. Several studies concluded that migraine in women of childbearing age dramatically boosts the risk of ischaemic, not haemorrhagic stroke. Women who use oral contraceptives, have high blood pressure, or smoke are at greatest risk of ischaemic stroke associated with migraine.

Opioids More Effective in Women
Scientists believe that learning about sex differences in pain may require rethinking how much medication to give people based on their sex. A 2001 study found that women patients with myocardial infarction (heart attack) were less likely than men to receive aspirin in the first hour of care than men.

Evidence suggests men and women respond differently to certain drugs, including analgesics used to treat pain. Campbell indicated that one study found that for back pain, male physicians prescribed higher doses of pain medication while female physicians upped pain medication for women. As the founder of the American Pain Society, Campbell urges more, not less, prescribing of painkillers to those in need.

Despite the fact that painful problems disproportionately strike women, the bright side is that a class of pain relievers called opioids are more effective in women although Campbell insists that their effects vary with the menstrual cycle.

To get pain relief, he insists, often calls for a variety of treatments, not a single solution. "The bottom line is helping that person relieve the level of pain and suffering, sleep, and function for daily living." Claw agrees. He prescribes medications that act on neurotransmitters, exercise, and cognitive therapy.

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