Coping With Fibromyalgia
February 8, 2010
Fibromyalgia (FM) is one of the most common conditions associated with chronic pain affecting up to 5% of the population. It is characterized by pain in the muscles and joints and is associated with generalized, whole body muscle stiffness, body aches, sleep disruption, and headache. Stress is often a component of FM. Women are 2-3 times more likely to suffer from FM.
So the question is raised, “what can I do to reduce the pain and suffering that I feel from FM?” The answer is multifactorial as there are many treatment approaches reported to be helpful. Perhaps the most prevalent is exercise. This seems logical as often, the presence of pain is misinterpreted as a reason to rest or reduce activity. This inappropriate thought leads to de-conditioning or weakening of muscles, stiffness in joints, lowered aerobic capacity and a host of negative physical and mental effects that can have negative effects on quality of life. Because many patients with FM are “out of shape,” the worst approach with exercise is jumping into it too quickly. The post-exercise soreness when people first engage in a new activity can be profound if the introduction into exercise is too vigorous, and again, the pain intensity may be misinterpreted as a reason to discontinue any and all future exercise programs.
Therefore, the key to success is realizing pain thresholds are reached faster in the FM patient and hence, a slow but steady introduction into exercising is needed.
For example, start out with a walking program of 5 minutes, 1-3 times a day, and gradually increase it to 10, 15, 20 and eventually, 30 or more minutes per session. Stretching exercises of the overly tight postural muscles like the hamstrings, calf muscles, hip flexors, lower, middle, and upper back muscles are very helpful. Applying light resistance during the stretch using a “slow motion” approach improves results.
In general, low-impact activities like water exercise, swimming, bicycling, and elliptical (low setting) are great options. Using light dumbbells/hand weights emphasizing high rep/low weight is also very effective.
Another highly successful type of exercise are balance stimulating exercises. That is, using a rocker board, wobble board, gym ball, and/or foam pad to incorporate balance challenges into the exercise process is very effective. Consistent exercise is a key to success.
Also, don’t set your goals too high as you may be setting yourself up for disappointment. Rather, make realistic goals and “grow” with the exercise process, changing and modifying goals on a monthly or quarterly basis.
We realize that there are many healthcare options available. If you, a friend or family member require care for fibromyalgia, we would be honored to offer our services.
To learn more about Fibromyalgia, register for a Free, In- Office Evaluation. If you are looking for faster service, feel free to give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $245 Value).
Article by Dr. Eric Chludzinski, DC. Dr. Chludzinski is the founder of Hudson Center for Spinal Care located in Bayonne and Scotch Plains, New Jersey. In preparation for his career, Dr. Chludzinski attended St. Peter’s College in Jersey City, NJ graduating in 1998 with a Bachelor of Science in Natural Science. He continued his studies at Life University School of Chiropractic in Marietta, GA graduating in the class of 2002 as a Doctor of Chiropractic. Dr. Chludzinski services all of Union County and Hudson County, including Jersey City, Hoboken, Harrison, Kearny, Newark, Elizabeth, Westfield, Clark, Fanwood, Plainfield, Watchung, Mountainside, Berkeley Heights, and South Plainfield.
Can Chiropractic Help With Fibromyalgia
December 17, 2009
Fibromyalgia (FM) is one of the most commonly diagnosed soft tissue conditions in most branches of health care, including chiropractic. A paper was recently published with the primary purpose to review the existing literature / published research to determine what aspects of chiropractic treatment are the most commonly used and, to determine the quality of those treatment approaches. The emphasis of the study was to look at non-drug, conservative forms of therapy, rather than medication based approaches.
Commonly utilized chiropractic treatment options found to be beneficial include massage, muscle strengthening exercises, acupuncture, spinal manipulation, movement/body awareness, vitamins, herbs, and dietary modification. Cognitive behavioral therapy, not typically a chiropractic specific form of care, was also reported to be of significant benefit, as well as aerobic exercise. This study places chiropractic in a very favorable position in the management of FM.
Chiropractic is unique in that it encompasses many non-drug, non-surgical forms of treatment, making it appealing to many who do not want to risk the chances of drug related side effects and post-surgical complications. Patients with FM require a multi-dimensional treatment approach and a health care provider versed in whole-body, holistic concepts is in the best position to help this population.
Fibromyalgia can be primary where the specific cause is not well understood or secondary to an underlying injury or condition. Sometimes, it is difficult to determine the exact cause as other conditions can be present and/or arise simultaneously with FM making it difficult to differentiate between primary and secondary. When other conditions are present, sometimes attending those specific conditions will improve the status of FM and focus on treatments that address all of the patient’s physical and emotional health issues yields the most patient satisfying results.
To learn more about Fibromyalgia, register for a Free, In- Office Evaluation. If you are looking for faster service, feel free to give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $245 Value).
Article by Dr. Eric Chludzinski, DC. Dr. Chludzinski is the founder of Hudson Center for Spinal Care located in Bayonne and Scotch Plains, New Jersey. In preparation for his career, Dr. Chludzinski attended St. Peter’s College in Jersey City, NJ graduating in 1998 with a Bachelor of Science in Natural Science. He continued his studies at Life University School of Chiropractic in Marietta, GA graduating in the class of 2002 as a Doctor of Chiropractic. Dr. Chludzinski services all of Union County and Hudson County, including Jersey City, Hoboken, Harrison, Kearny, Newark, Elizabeth, Westfield, Clark, Fanwood, Plainfield, Watchung, Mountainside, Berkeley Heights, and South Plainfield.
Fibromyalgia – What is it… Exactly?
November 17, 2009
There are many conditions that can be attributed to specific causes with a clear origin and means of diagnosis. However, there are also conditions that are obscure and can only be diagnosed by eliminating other, more common conditions. Fibromyalgia (FM) is one of those conditions where the degree of pain and disability can be profound and life quality interrupting, yet all the tests come back negative and there are no other conditions to explain the collection of symptoms. It is at that point when the diagnosis of fibromyalgia is typically made.
FM is typically a chronic (symptoms have been present for at least 3 months) condition where the patient complains of widespread, generalized muscle, ligament and tendon pain accompanied with fatigue and multiple tender points on the body that hurt with only light pressure. To be considered “widespread,” it usually affects both sides of the body and is both above and below the waist. It occurs in approximately 2% of the population in the US and women are 3-4 times more likely to develop FM. The risk of FM increases with age and can be secondary to other physical or emotional trauma, or it can occur all by itself. No obvious pattern usually exists as signs and symptoms can vary depending on weather, stress, physical activity, and even the time of day.
Sleep quality is an issue that seems well agreed upon as regardless of the number of hours in bed, the deep, restorative stages of sleep are seldom reached. Other sleep disorders frequently associated with FM include sleep apnea and restless leg syndrome.
Causation for the most part is unknown but genetics (family traits), infections (can trigger or worsen FM), and after physical or emotional trauma (eg., post-traumatic stress disorder) have been linked to FM. An explanation as to why it hurts so much centers around a theory called “central sensitization.” This is basically a low threshold for pain because of increased sensitivity in the brain to the incoming pain signals. Certain chemical (neurotransmitters) changes in the brain have been identified resulting is hypersensitivity creating an overreaction to pain signals.
The American College of Rheumatology has established two diagnostic criteria that include 1) widespread pain lasting at least 3 months, and 2) at least 11 out of 18 positive tender points using just enough pressure to whiten the fingernail bed. There are no direct blood tests to confirm a diagnosis of FM but other conditions can affect or cause FM can be diagnosed with blood testing. These include thyroid disease (thyroid function blood tests), inflammatory arthritis such as rheumatoid (ESR), and a complete blood count to assess anemia and infection.
To learn more about Fibromyalgia, register for a Free, In- Office Evaluation. If you are looking for faster service, feel free to give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $245 Value).
Article by Dr. Eric Chludzinski, DC. Dr. Chludzinski is the founder of Hudson Center for Spinal Care located in Bayonne and Scotch Plains, New Jersey. In preparation for his career, Dr. Chludzinski attended St. Peter’s College in Jersey City, NJ graduating in 1998 with a Bachelor of Science in Natural Science. He continued his studies at Life University School of Chiropractic in Marietta, GA graduating in the class of 2002 as a Doctor of Chiropractic. Dr. Chludzinski services all of Union County and Hudson County, including Jersey City, Hoboken, Harrison, Kearny, Newark, Elizabeth, Westfield, Clark, Fanwood, Plainfield, Watchung, Mountainside, Berkeley Heights, and South Plainfield.
Post-Traumatic Fibromyalgia
October 7, 2009
Fibromyalgia (FM) has a long reputation for being a controversial diagnosis. Some health care providers (HCPs) feel FM is a legitimate condition that warrants treatment and research while others feel it’s a “garbage can diagnosis” that HCPs throw patients into when they’re not sure what diagnostic label to use for a patient’s condition. Regardless of the personal beliefs of individual HCPs, there have been two general classifications of FM – primary and secondary. Primary FM occurs when there is no underlying health condition participating in the patient’s overall health status and onset of FM. Secondary FM results from an underlying condition that contributes significantly to the patient’s health status, such as irritable bowel syndrome and over time, gives rise to the onset of FM.
Posttraumatic FM belongs to the secondary FM classification when the traumatic related injury results in the patient developing FM. A Canadian study reported that 25-50% of FM patients reported a traumatic event just before the FM symptoms began. This study surveyed different specialty physician groups to determine which issues were most important in causing the onset of widespread chronic pain after a motor vehicle trauma. Five factors were studied to determine how important each was to the HCP in arriving at a FM diagnosis in a case study of a 45 year-old female with a whiplash injury who developed chronic generalized pain, fatigue, difficulties in sleeping and diffuse muscle tenderness. These five factors included:
- The number of FM cases diagnosed weekly by the HCP
- The patient’s gender
- The force of the initial impact
- The patient’s psychiatric history before the trauma
- The initial injury severity
Also described as important were the patient’s pre-injury health status, fitness level and psychological health. All HCP groups were reluctant to blame the car accident as causing FM, but rather placed more importance on the patient attitude, personality, and level of emotional stress. The least important of the five points were numbers 3 and 5. The orthopedic group also included “ongoing litigation” as a cause but as a group, they were the least likely to agree on the FM diagnosis (29%) in the 45 year old case study. Rheumatologists were highest at 83%, followed by general practitioners at 71%, and physiatrists at 60%. A most interesting observation was that once the data was analyzed, ONLY the patient’s pre-accident psychiatric history remained in the model of predicting agreement or disagreement with the FM diagnosis.
Posttraumatic FM can result from any type of trauma, not just motor vehicle collisions. Other “secondary” FM causes besides trauma, can include systemic conditions such as irritable bowel syndrome, chronic fatigue syndrome, and other internal disorders that in part, alter the person’s ability to obtain restorative sleep. Hence, an important focus of treatment should be placed on helping the FM patient obtain restful sleep. Chiropractic management strategies have included manipulation, mobilization, soft tissue therapies, physiological therapeutic agents such as electrical stimulation, ultrasound, the training for home use of traction, the use of nutritional counseling and supplementation, and the training of exercise. Many studies support success with this multidimensional approach to treating FM as chiropractic attacks the FM condition from multiple directions, often yielding highly satisfying results. We are committed to help you or a loved one that may be suffering with FM, and sharing this information may be one of most significant acts of kindness you can give.
To learn more about Fibromyalgia, register for a Free, In- Office Evaluation. If you are looking for faster service, feel free to give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $245 Value).
Article by Dr. Eric Chludzinski, DC. Dr. Chludzinski is the founder of Hudson Center for Spinal Care located in Bayonne and Scotch Plains, New Jersey. In preparation for his career, Dr. Chludzinski attended St. Peter’s College in Jersey City, NJ graduating in 1998 with a Bachelor of Science in Natural Science. He continued his studies at Life University School of Chiropractic in Marietta, GA graduating in the class of 2002 as a Doctor of Chiropractic. Dr. Chludzinski services all of Union County and Hudson County, including Jersey City, Hoboken, Harrison, Kearny, Newark, Elizabeth, Westfield, Clark, Fanwood, Plainfield, Watchung, Mountainside, Berkeley Heights, and South Plainfield.
Fibromyalgia and Cord Compression?
September 21, 2009
Bayonne and Scotch Plains Chiropractor Comments: Fibromyalgia is a difficult problem to diagnose or determine its cause. Since exercises, diet, and weight loss can be so helpful to fibromyalgia patients, we may think they can completely solve the problem.
Chiropractors recognize the importance of good spinal posture in affecting a variety of health problems, including fibromyalgia. It’s important to not think of the disease as having a single solution, but rather as a more complex entity, needing a comprehensive approach. But is there any research on the spine being involved in patients with fibromyalgia?
Recent research (Holman AJ. Positional cervical spinal cord compression and fibromyalgia: a novel comorbidity with important diagnostic and treatment implications. J Pain 2008; May 20 epub.) has looked into a specific problem seen in fibromyalgia patients: spinal cord compression. The scientist took MRIs of fibromyalgia patients with the neck in different positions such as max forward and backward bend. These positions can show the spinal cord is compressed/pinched where a neutrally positioned MRI or CT scan may not. In the study, 71% of patients with fibromyalgia had positional cervical spinal cord compression.
So what does this mean? It means if you have fibromyalgia there may be an undetected cervical compression problem that may also be affecting you.
Good neck posture and mobility are keys to good health. We can diagnose your condition and see if there is a spinal component to your problem that may have been overlooked. Sometimes it’s the low back pain that keeps us from exercising and ultimately getting rid of the fibromyalgia-inactivity-pain cycle. And, as the research above suggests, maybe the problem is in the neck and this needs to be addressed in a specific and comprehensive manner. Sometimes immobility in one area of the spine is compensated for in another, which can make your ability to heal somewhat lessened. Maybe the neck has been a concern of yours for a long time since the fibromyalgia symptoms came on following a neck trauma such as a whiplash. If you also suffer from headaches and have spinal pain, these are important clues that some of your symptoms may be spinally related.
It’s important to view your fibromyalgia symptoms from a global perspective, and not just think of one isolated issue as the root cause, and the only place where treatment needs to be directed.
To learn more about Fibromyalgia, register for a Free, In- Office Evaluation. If you are looking for faster service, feel free to give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $245 Value).
Article by Dr. Eric Chludzinski, DC. Dr. Chludzinski is the founder of Hudson Center for Spinal Care located in Bayonne and Scotch Plains, New Jersey. In preparation for his career, Dr. Chludzinski attended St. Peter’s College in Jersey City, NJ graduating in 1998 with a Bachelor of Science in Natural Science. He continued his studies at Life University School of Chiropractic in Marietta, GA graduating in the class of 2002 as a Doctor of Chiropractic. Dr. Chludzinski, DC services all of Union County and Hudson County in New Jersey
Chiropractic Treatment Considerations For Fibromyalgia
September 3, 2009
Bayonne and Scotch Plains Chiropractor Comments: Fibromyalgia (FM) is a chronic condition characterized by widespread pain and tenderness in the musculoskeletal system. Patients with FM suffer from a multitude of complaints that may include not only widespread muscle aches and pains but also complaints such as those related to the digestive system (stomach complaints, bowel problems, etc.). There are many treatment approaches available for joint and soft tissue management but few have looked at the long-term benefits.
One study included both the short and the long term effects using connective tissue manipulation and the combination of ultrasound (US) with high-voltage electrical stimulation. The level of pain, the degree of restorative sleep, and the impact FM has on functional activities using a 0-10 scale, were followed with 20 female patients diagnosed with FM. Treatments included 20 sessions of daily soft tissue manipulation (muscles, joint capsules, and other connective tissues) applied to the back region. The combined US therapy was applied to the upper back region, every other session. The benefit of the treatment was evaluated initially, after the 20 sessions, and again after one year. All three issues tested (pain intensity, impact on functional activities, and complaint of non-restorative sleep) improved and remained improved at the end of 1-year. The benefits from the treatment lasted, at minimum, 3 months and 21% of the participants (3 subjects) were still pain free after 1 year. None of the follow-up subjects obtained additional medical and/or manipulative treatment though 5 (36%) began to use medications during that time period while 64% did not require any medications. Patient satisfaction using the 0-10 scale was high, reported at 7.14 (10 = highest satisfaction).
Another study utilized 15 subjects with 30 treatments, ¬performed at a 2-3x/wk frequency, of ischemic compression and spinal manipulation. The ischemic compression included thumb pressure applied to each tender point for 10 seconds applying progressively greater pressure up to patient tolerance. This was repeated until the point was no longer tender using 4kg of force or, the trial ended, whichever occurred first. Spinal adjustments were applied to the neck and mid back area of the spine. Three methods of measuring clinical change (pain intensity, sleep quality, and fatigue) were utilized at the initial, 15th and after the 30th treatment. A minimum of 50% improvement in score was required to be considered a good respondent. After 30 treatments, 9 were considered good respondents, while 6 were not. In the respondent group, the percent change/improvement was 77.1% in pain, 63.5% in quality of sleep, and 74.8% improvement in fatigue. At a 1-month follow-up, continued pain reduction was reported, unlike a similar trail testing the benefits of two popular medications (amityiptyline and cyclobenzaprine).
To learn more about Fibromyalgia, register for a Free, In- Office Evaluation. If you are looking for faster service, feel free to give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $245 Value).
Article by Dr. Eric Chludzinski, DC. Dr. Chludzinski is the founder of Hudson Center for Spinal Care located in Bayonne and Scotch Plains, New Jersey. In preparation for his career, Dr. Chludzinski attended St. Peter’s College in Jersey City, NJ graduating in 1998 with a Bachelor of Science in Natural Science. He continued his studies at Life University School of Chiropractic in Marietta, GA graduating in the class of 2002 as a Doctor of Chiropractic. Dr. Chludzinski services all of Hudson County and Union County.
Where Can I Find Information About Fibromyalgia?
August 25, 2009
Bayonne and Scotch Plains Chiropractor Comments: Fibromyalgia (FM) is a very common condition that affects approximately 5% of the female population. A partial list of symptoms associated with FM include widespread pain and includes fatigue, non-restorative sleep, generalized stiffness, memory problems, poor balance, headache, numbness/tingling, painful muscle cramps/spasms, depression, anxiety, back pain, jaw pain, and hypersensitivity to: noise, lights, odors (perfumes), and weather changes. It is important to note that FM is NOT a psychiatric disorder, and can be diagnosed and treated, though promising a cure is not realistic.
There are many websites and articles that one can access through the internet. This is not an endorsement for any one site but rather, a review of one site that is available. The “Fibromyalgia Information Foundation” (www.myalgia.com) offers a lot of information that is very informative and usable. This includes information on the condition, the diagnosis, treatment, exercise advice and more. For example, under “Treatment of FM,” it is stated that there is no “cure” for FM. Rather, the goal of treatment is to teach the patient to gain “control” over the condition rather than to have the condition control the patient. There are four major areas of treatment to concentrate on which include pain management, exercise, sleep, and psyche. For pain management, there are lists of different medications, manual therapies and physical agents that can be of benefit. Exercise is emphasized to be gentle stretching after warming up and not to exercise too aggressively, so as to avoid irritation. In addition to stretching, light non-impacting aerobic exercise such as walking, water exercises, and/or stationary bike are recommended with a gradual increase in dose. Starting out at short 3-5 minute sessions, 2-3 times per day and gradually increase the session duration to three, 10 minute sessions/day, then to 2 -15 minute sessions and eventually one 20-30 minute session/day may be wise.
Regarding sleep, all FM patients complain of interrupted, non-refreshed sleep and improving this pattern is important. If an underlying condition such as whiplash, back, neck, or shoulder pain is the cause of interrupted sleep, that condition should be managed. A sleep study to determine if sleep apnea is an issue and the use of a C-pap unit can be quite helpful in gaining restorative sleep. Multiple medications are listed with dose recommendations that can be shared with your primary care provider. Regarding the “psyche”… Because chronic pain can result in depression, anger, fear, withdrawal and anxiety, management of these issues is important. Early detection and treatment is ideal. Interventions can include activity management such as ergonomic modifications both at work and home such as weight lift/carry limits, computer station re-design, the use of headsets vs. phones, and modifying other irritating postures should be considered. A de-emphasis of medications and long-term health care provision without clear goals is important. Unless an underlying psychological condition is present, counseling may be non-productive. However, biofeedback and some behavior modification may benefit some patients that are having trouble coping with the pain and its effect on their life.
To learn more about Fibromyalgia, register for a Free, In- Office Evaluation. If you are looking for faster service, feel free to give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $245 Value).
Article by Dr. Eric Chludzinski, DC. Dr. Chludzinski is the founder of Hudson Center for Spinal Care located in Bayonne and Scotch Plains, New Jersey. In preparation for his career, Dr. Chludzinski attended St. Peter’s College in Jersey City, NJ graduating in 1998 with a Bachelor of Science in Natural Science. He continued his studies at Life University School of Chiropractic in Marietta, GA graduating in the class of 2002 as a Doctor of Chiropractic. Dr. Chludzinski services both Hudson County and Union County.
A Comprehensive Approach to Fibromyalgia
August 20, 2009
Bayonne and Scotch Plains Chiropractor Comments: Fibromyalgia affects millions of Americans each year. The back and neck pain, sleep problems, headaches and so on add up to a syndrome that has a lot of disease over-lap. Patients with headaches are more likely to suffer from fibromyalgia. Irritable bowel syndrome is also more common. It’s important not think of all of these different symptoms as different diseases. In fibromyalgia, the nervous system is feeding pain signals more quickly to your brain. Even if your injuries are relatively minor, this heightened sensitivity makes them more painful.
Irritated spinal nerves can cause back pain but also refer pains into the arms and chest, or the knee and leg. These are not all separate problems. In many patients with fibromyalgia, they have several areas of their spine that show signs of injury. Multiple spinal injuries can give a “widespread pain” picture, which is fibromyalgia. Many patients do not realize that spinal problems can also refer pain to the stomach, and neck injuries can cause headaches. These all seem like separate problems needing different solutions. The spine is the common factor in many fibromyalgia cases.
Since widespread muscle pain is characteristic of fibromyalgia, some patients choose rest to ease their pain. This can be disastrous. Rest feels good temporarily, but weakened muscles only make joint problems worse. Rest for greater than two days can actually worsen back pain. Many fibromyalgia patients choose to decrease activities and not exercise. This can create even greater pain. Several studies have shown that graduated exercise programs can help ease muscle pain in patients with fibromyalgia. This is also the best way to help the joints of the spine and other areas, which might also be causing pain. Preserving movement is key to keeping your quality of life at a high level.
When you combine exercise with good nutrition, including anti-oxidants, you’ll have the best chance to treat your fibromyalgia symptoms more naturally. Eating a diet that does not promote inflammation is as important as maintaining an optimal weight. You cannot heal on soda pop and hamburgers.
Medications and surgery are not the first line of treatments for fibromyalgia. In fibromyalgia you need to treat your symptoms with a comprehensive and natural approach that addresses problems in a global manner.
By using chiropractic adjustments to make sure the spine is flexible and pain-free, you can engage in more rigorous activities or exercises. As exercise becomes less painful, strength can be improved. Diet and proper rest round out the holistic approach.
To learn more about Fibromyalgia, register for a Free, In- Office Evaluation. If you are looking for faster service, feel free to give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $245 Value).
Article by Dr. Eric Chludzinski, DC. Dr. Chludzinski is the founder of Hudson Center for Spinal Care located in Bayonne and Scotch Plains, New Jersey. In preparation for his career, Dr. Chludzinski attended St. Peter’s College in Jersey City, NJ graduating in 1998 with a Bachelor of Science in Natural Science. He continued his studies at Life University School of Chiropractic in Marietta, GA graduating in the class of 2002 as a Doctor of Chiropractic.
Fibromyalgia and its Relationship with Central Nervous System Problems
August 10, 2009
Bayonne and Scotch Plains Chiropractor Comments: Fibromyalgia (fm) is a chronic/long term condition including generalized pain in the muscles and joints, usually on both sides of the body above and below the waist, with associated “tender points” where moderate to firm pressure causes pain classically in the following locations (but anywhere is possible):
- Back of the head
- Between shoulder blades
- Top of shoulders
- Front sides of neck
- Upper chest
- Outer elbows
- Upper hips
- Sides of hips
- Inner knees
In fact, a generalized hypersensitivity is common and it seems like you just can’t turn off your brain. It can begin with a physical or an emotional event but doesn’t have to, as it can seem to come out of nowhere, as well. In the US, about 2% of the population, mostly women and especially with increasing age are affected by FM. One common underlying clinical finding is non-restoring sleep with frequent interruptions during the night. Sleep disorders that are associated with FM include restless leg syndrome and sleep apnea.
In one study, disturbance in the central nervous system (CNS) has been implicated with FM. In a group of 168 FM patients, various tests were performed including an auditory brainstem response (ABR) which tests the cranial nerve that is responsible for our hearing and balance; a test that measures for eye movements primarily when sleeping; and, a third test that measures balance functions. The following is a list of the results from the 168 patient study:
- 78% of the FM patients complained of dizziness or vertigo. Most of these cases were mild, but 4% complained of constant, severe dizziness.
- Sensorineural hearing loss was found in 15% of the FM patients.
- 51 of the subjects (30%) had abnormal ABR test findings.
- 58% had abnormal eye movement tests, and 45% had abnormal findings on the balance test.
Some studies also report that similar symptoms associated with whiplash associated disorders (WAD). Chiropractic is a very important player in the management of the FM patient. We help the patient set realistic goals and offer strategies that help to achieve those goals. Because many doctors do not support the diagnosis of FM, patients with FM need a “quarterback” to them in the management process, and chiropractic is a logical choice. We are committed to help you or a loved one that is suffering with FM, and sharing this information may be one of most evident acts of kindness you can give.
To learn more about Fibromyalgia, register for a Free, In- Office Evaluation. If you are looking for faster service, feel free to give us a call at one of our two New Jersey locations. For our Bayonne, NJ location, call 201-339-8889, and for our Scotch Plains, NJ location call us at 908-490-1800. Just tell them that you read this article and you will receive our complimentary in-office evaluation (a $245 Value).
Article by Dr. Eric Chludzinski, DC. Dr. Chludzinski is the founder of Hudson Center for Spinal Care located in Bayonne and Scotch Plains, New Jersey. In preparation for his career, Dr. Chludzinski attended St. Peter’s College in Jersey City, NJ graduating in 1998 with a Bachelor of Science in Natural Science. He continued his studies at Life University School of Chiropractic in Marietta, GA graduating in the class of 2002 as a Doctor of Chiropractic.
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