Fibromyalgia

Fibromyalgia is also called “chronic widespread pain” in recent medical articles. It is defined by “tender points” on physical examination in soft tissues above and below the waist. Fibromyalgia is not considered to be a disease of the joints. It is reported more often in women than men. It is not an autoimmune disease and does not turn into Lupus or any other autoimmune condition but may co-exist with them. Currently there are no blood tests for Fibromyalgia. There are genetic, cellular, hormonal, nutritional and brain factors involved. There frequently is a history of physical trauma and prior injuries predisposing a person to Fibromyalgia. Commonly there is a sleep disturbance, persistent or chronic fatigue, irritable bowel syndrome and depression. Fibromyalgia can begin in childhood or later in life. Narcotic medicines are not recommended for Fibromyalgia and have not been shown to be helpful. Some prescription, non-narcotic medicines can sometimes be helpful. A Functional Medicine evaluation looking at gastrointestinal, liver and detoxification, hormonal and nutritional factors through specialized testing is important. Since there is more than one cause, treatments need to be individualized.

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