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Category Archives: Fibromyalgia
Postural Orthostatic Tachycardia Syndrome (POTS) – More Complex in Chronic Pain
POT’s is a syndrome where one is unable to maintain blood pressure standing and so often faint – and is often associated with attacks of tachycardia. Finding this situation in a chronic pain patient, greatly complicates the situation, and makes … Continue reading
Fibromyalgia and Going For Surgery Advice.
This advice is being circulated and I’m putting it here so it won’t be lost in ensuing weeks.
Posted in Fibromyalgia
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Opioid and Tranquilizer Deadly Mix- How Did We End Up That Way? – Bipolar and/or PTSD
It has been said Opioids and tranquilizers can increase risk of overdose death five fold. In my population, there is a subgroup of cases with bipolar disorder. Indeed, a meta-anlysis found 21 – 25% of Fibromyalgia disorder have it and … Continue reading
Posted in Drugs, Fibromyalgia
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Some Fibromyalgias are Treatable Arthritis
I have a patient with psoriatic arthritis that had widespread pains. His rheumatologist told him it was “fibromyalgia” He developed such bad bronchitis I had to put him on steroids – at which point his “fibromyaglia” pains went away. He … Continue reading
How Can You Tell If Duloxetine (Cymbalta) or Pregabalin (Lyrica) will Work?
Both duloxetine and pregabalin work by restoring brain down pain inhibition. Hence the work in people who have deficits in this system. There is a simple test to confirm functioning.
Posted in Drugs, Fibromyalgia, pain mechanisms
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Fibromyalgia Common in Thyroid Disease
In Hashimoto’s thyroiditis, quoted FM rate is 30-40% ; present study found 62%. Thyroid antibodies, abdominal girth, and duration disease among other things, contribute to FM possibility.
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Pain News – Short Snaps June 2017
June 2017 Pain News: I put them up as short snaps because not going to blog note them – hope you like. You will probably not find many in news elsewhere.
Reasons Why Vit D Helps Chronic Pain Coming Clearer – Vit D Genes
A Fokl DNA gene polymorphism in the Vitamin D receptor would reduce its sensitivity to vitamin D. Vitamin D supports many metabolic processes beyond calcium and gene variations are even associated with certain cancers. In athletes, the FF Fokl genotype … Continue reading
Posted in Back Pain, Drugs, Fibromyalgia, pain mechanisms, Uncategorized
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Dry Eyes More Common In Certain Chronic Pains and Made Worse by Low Vitamin D – Replacement Helps
Prior I wrote about a Dry Eye- Mouth Syndrome (DEMS) that has some joint involvement. DEMS is associated with thyoid antibodies suggesting an autoimmune process (1). Now It was found more commonly in irritable bowel, chronic pelvic pain and irritable … Continue reading
Posted in Drugs, eyes, Fibromyalgia
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Twin Chronic Pain Study – Low DHEA Metabolite and High BMI and ?Cortisone
Twin study shows low Epiandrosterone, a metabolite of dehydroepiandrosterone (DHEA). Could supplementation help?
Posted in Fibromyalgia, pain mechanisms
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Celiac is More Painful Than Thought – and What Does That Mean?
In seeing new pain patients, I became painfully aware that Celiac or at least gluten sensitivity has a definite presence- so much so that I always looked for it. Now, it looks like “anybody is fair game” now that even … Continue reading
Posted in Abdominal pain, celiac, Fibromyalgia, Leg Pains, neuropathic
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Why are Pain Severity Readings Omitted From Recent Fibromyalgia(FM) Studies?
Two important studies on approaches to help Fibromyalgia (FM) have omitted changes in Visual Analog Scale (VAS) readings in their results. Giving reading of skin tenderness adds differences with each muscle site tested and can exaggerate total difference. Suspicion is, … Continue reading
Posted in Fibromyalgia, Manual Med
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Fibromyalgia (FM) – Mitochondrial Dysfunction Helped by Metformin and Weight Loss
Adenosine Monophosphate activated Protein Kinase (AMPK) regulates cell metabolism i.e “AMPK has a central regulatory role in cell metabolism, mitochondrial biogenesis and oxidative stress response”. Recent study of FM fibroblasts found AMPK downregulated.”AMPK down-regulation [is] at least in part responsible … Continue reading
Posted in Depression, Drugs, Fibromyalgia
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Widespread Pain and Dizzy – Ear Canalithiasis? (rocks) and Repositioning Them Helps Whiplash, TMJ, and Fibromylagia
Study suggests dizzy whiplash and widespread pain cases could respond well to middle ear grit repositioning measure. This is being able to see way outside the box…
Posted in Fibromyalgia, Manual Med, Neck, TMJ
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Duloxetine For Fibromyalgia – Mixed Results
Initial study showed benefit only in first 6 weeks more than placebo and not after: Study glowingly mentions early effects but fails to mention lack of lasting effects Comment – I recently reviewed a back study that cleverly disguised their … Continue reading
Posted in Drugs, Fibromyalgia
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Fibromyalgia – Responses to Methotrexate and Steroids
Old McGill study found initial impressions of doctors and rheumatologist were wrong 2/3 of time and in particular inflammatory arthritis cases are missed. Fitzcharles, M‐A et al. “Inaccuracy in the diagnosis of fibromyalgia syndrome: analysis of referrals.” Rheumatology 42.2 (2003): … Continue reading
Posted in Fibromyalgia
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New Help for Some Fibromyalgia (FM) – Gluten Sensitivity Management
Over the past couple years there is growing evidence that maybe 1/3 of Fibromyalgia patients with IBS actually suffer from non-celiac gluten sensitivity and respond to gluten free diet – some within a few month, and some “gradually… over many … Continue reading
Posted in Fibromyalgia
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Fibromyalgia Hypervigilance May Exist – and My Model
With help of EEG (scalp)sensors, one can measure a brain response to a stimulus- often auditory. Often the brain reaction diminishes with a repeat stimulus – called sensory gating. If one were hypervigilant, you would expect the brain response to … Continue reading
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Fibromyalgia Look Alike – Myotonia Congenita
Myotonia Congenita is a rare neuromuscular disease manifest by “painful muscle cramps or myalgia as well as transient muscle weakness following myotonic stiffness”. Article describes 2 cases – one that got worse with pregnancy which is what Fibromyalgia also does. … Continue reading
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Vitamin D – Could High Doses Help Pains?
4000 u/d vitamin D lessening Chronic Musculoskeletal Pains
Posted in Back Pain, Deficits, Drugs, Fibromyalgia, myofascial pain, pain mechanisms
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Neuropathic Pain 2015 and…
Mayo clinic has a review but lacks imagination
Posted in Botox, Drugs, Fibromyalgia, neuropathic
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Fibromyalgia (FM) Falls – Stiff Ankles Contribute
A study found falls in FM related to reduced dorsiflexion (bringing toes and foot up). The question is how does one fix that.
Posted in ankle, Fibromyalgia, Leg Pains, Manual Med, myofascial pain
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Donepezil reduces stress induced widespread pain in mice so…
Donepezil (aricept) is used as an anticholinergic to help dementia. In the animal model repeated use can “cure” “ICS[Intermittent Cold Stress]-induced hyperalgesia [increased pain] and allodynia[touch pain] even after the cessation of drug treatments”
Posted in Drugs, elderly, Fibromyalgia
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Breathtaking Option for Treatment Resistant Fibromyalgia
A Water pill, Spironolactone 100-200 mg/day, can dramatically relieve pain in potentially 1/2 of Fibromyalgia cases and reduce morphine needs. -NOT CONFIRMED
Posted in Drugs, Fibromyalgia, neuropathic
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No Evidence of Hypervigilance in Fibromylagia (FM)
Implications have been made that victims of FM are nuts and think too much of their pain. Now it seems that subjects with FM are no better in awareness of changes in tactile stimulation – suggesting hypervigilance is not present.
Posted in Fibromyalgia
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