Treatments For CFS ME And Fibromyalgia
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You can have ME/CFS and fibromyalgia. Many people do. ME/CFS and fibromyalgia have similar treatments. Both can involve medications, specialist therapies like CBT or physical therapy, CAM treatments, supplements, and lifestyle changes including diet, exercise, and pacing.
Wolfe F, Walitt B, Katz R, Häuser W. Symptoms, the nature of fibromyalgia, and Diagnostic and Statistical Manual 5 (DSM-5) defined mental illness in patients with rheumatoid arthritis and fibromyalgia. PLoS ONE. 2014;9(2):e88740. doi:10.1371/journal.pone.0088740
Fibromyalgia can be difficult to treat. At this time, there is no cure but there are medications and treatments that can reduce symptoms. Working with a health care provider who is familiar with the condition and has knowledge of the latest treatments is the best way to treat it.
Chronic fatigue syndrome (CFS) is another complex disorder that is very similar to fibromyalgia. Although they are two separate conditions, the latest research suggests that there may be a connection between fibromyalgia and CFS.
As with fibromyalgia, there are no x-rays or specific blood tests that can be used to diagnose CFS, however, your health care provider may order tests to rule out other health problems. A thorough health history and physical examination are often sufficient for diagnosing CFS.
Presently, there is no cure for CFS. Treatment is directed toward minimizing the most problematic symptoms. Treatment is generally a combination of medications, supplements, and complementary and supportive therapies. Again, working with a health care provider who is familiar with the condition and has knowledge of the latest treatments is the best way to manage CFS.
Jackie Yencha is somebody who gets things done -- as much as possible. She has been coping with fibromyalgia and chronic fatigue most of her life. But she pushed through college, got married, is raising two kids, and holds a top-level volunteer position with a fibromyalgia advocacy agency. She and her family even organize a charity golf tournament every year to honor her mother, who died of a rare cancer.
Improving a patient's sleep is an important part of easing fibromyalgia fatigue, Rose tells WebMD. \"We know from research that sleep improves mood, pain, and in general how people feel during the day. Regardless of the reasons for the chronic fatigue, if we can get some control over quality of sleep, we're likely to see positive benefits to mood, fatigue, concentration.\"
Steven Berney, MD, chief of rheumatology at Temple University Health System in Philadelphia, agrees. \"In fibromyalgia, all treatments are geared toward helping people sleep better,\" he tells WebMD. \"If we can improve their sleep, patients will get better.\"
Indeed, living with fibromyalgia is more than just popping a pill, says Martin Grabois, MD, chairman of physical medicine and rehabilitation at Baylor College of Medicine in Houston. \"A good deal is self-treatment. Patients have to be active, not passive.\"
Exercise. Getting regular exercise is also important, Rose says. \"Any time you have pain, insomnia, and fatigue, I always say exercise. Exercise has a profound effect on mood, weight, and fatigue. Water exercise is easier on joints, so it's a lot more tolerable for fibromyalgia patients.\"
Pace yourself. Moderation is important if you have fibromyalgia, says Grabois. \"When people feel good, then they tend to do too much -- then pay the price later. Others give up on exercise altogether, because they don't sleep well, feel fatigued, and exercise makes the fatigue worse.\"
The FDA has approved three drugs to treat fibromyalgia: Lyrica, Cymbalta, and Savella. Lyrica is an anti-epileptic drug. Cymbalta -- an antidepressant -- is in the category of drugs known as selective serotonin and norepinephrine reuptake inhibitors (SNRIs). Savella is also an SNRI.
Consider complementary therapies. Alternative therapies like massage and acupuncture have helped some people living with fibromyalgia. Be sure to talk to your doctor before trying natural or complementary therapies, Rose advises.
It is also common for people with ME/CFS to have other co-occurring conditions such as fibromyalgia, mast call activation disorder and connective tissue problems. These do not rule out a diagnosis of ME/CFS, but managing them can help improve overall quality of life.
Dr. Natelson is one of the most respected medical experts in the world on chronic fatigue syndrome and fibromyalgia. Trained in neurology, Dr. Natelson is also expert at infectious and immunological causes of fatigue and works with other faculty to develop an individualized plan for wellness.
In the average patient, after two years of treatment, the average improvement in quality of life was 90 percent. Pain decreased by over 50 percent on average. Many patients no longer even qualified for the diagnosis of CFS or fibromyalgia after treatment! Interestingly, many of the same principles for treating fibromyalgia also apply to myofascial pain syndrome
What these processes have in common is that most of them can suppress a major control center in your brain called the hypothalamus. This center controls sleep, your hormonal system, temperature, and blood flow / blood pressure. When you don't sleep deeply, your immune system also stops working properly and you'll be in pain. When we realized this, the myriad symptoms seen in CFS/fibromyalgia suddenly made sense. It also gave us a way to effectively treat you!
A half-century of work by Dr. Janet Travell, the White House physician for Presidents Kennedy and Johnson and author of the Trigger Point Manual showed that the same problems caused by hypothalamic suppression resulted in muscles getting stuck in the shortened position. Chronic muscle shortening then causes myofascial and fibromyalgia pain, with chronic pain then being amplified in the brain (called Central Sensitization). As she laid the groundwork for effective treatments these processes, our research team dedicated our published study to her memory. These are the five key areas that need to be treated for Chronic Fatigue syndrome, fibromyalgia and muscle pain to resolve:
\\r\\n\\tDr. Benjamin H. Natelson is the only neurologist on the East Coast expert in the diagnosis and care of patients with severe fatigue and/or body-wide pain for which there is no apparent medical explanation. These are called ME/CFS and FM, respectively -- abbreviations for myalgic encephalomyelitis/chronic fatigue syndrome and fibromyalgia. In caring for such patients, Dr Natelson is an acknowledged expert in reducing fatigue, managing pain, and brain fog. Recently, due to the fact that some Covid survivors have these symptoms, Dr Natelson has extended his care to the post-Covid survivor with fatigue and/or brain fog.
\\r\\n\\tIn addition to providing clinical care, Dr. Natelson has a commitment to understanding the causes of these illnesses and coming up with novel treatments for them. He continues to have federal funding for his research. He has served as President of the Academy of Behavioral Medicine Research, has been awarded the Melvin Ramsey Society medal, the Rudy Perpich Award, and most recently the Medical Excellence Award from the Fibromyalgia Care Society of America. He has over 260 papers published in peer review journals plus three books for the layperson.
Dr. Benjamin H. Natelson is the only neurologist on the East Coast expert in the diagnosis and care of patients with severe fatigue and/or body-wide pain for which there is no apparent medical explanation. These are called ME/CFS and FM, respectively -- abbreviations for myalgic encephalomyelitis/chronic fatigue syndrome and fibromyalgia. In caring for such patients, Dr Natelson is an acknowledged expert in reducing fatigue, managing pain, and brain fog. Recently, due to the fact that some Covid survivors have these symptoms, Dr Natelson has extended his care to the post-Covid survivor with fatigue and/or brain fog.
In addition to providing clinical care, Dr. Natelson has a commitment to understanding the causes of these illnesses and coming up with novel treatments for them. He continues to have federal funding for his research. He has served as President of the Academy of Behavioral Medicine Research, has been awarded the Melvin Ramsey Society medal, the Rudy Perpich Award, and most recently the Medical Excellence Award from the Fibromyalgia Care Society of America. He has over 260 papers published in peer review journals plus three books for the layperson. 59ce067264
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