Fibromyalgia secrets

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Fibromyalgia is the most common autoimmune disease: Most prevalent disease in women.

Fibromyalgia commonly starts of with neck pain. This disorder targets young women and the neck pain will usually get misdiagnosed as neuralgia. In reality it is Myofacial pain which if treated early on will stop the progression of FMS. the diagnosis of myofacial pain is confirmed by palpating tender areas under the skin, usually located in muscles. On pressing the tender point the pain, experienced by the patient, is reproduced. There are no tests needed to confirm this diagnosis. The best way to get rid of this pain is by rubbing any oil on the tender area and stretching it. If the pain goes away by the procedure described you have the diagnosis.

If the disease is not treated properly then the FMS will slowly spread to adjacent muscles. It will start to cause symptoms of numbness, weakness, difficulty in concentration and non restful sleep. These people wake up tired and feel stiffness in the morning. Because of the pain they develop temper tantrums. As most doctors will be unable to reach this diagnosis the patients will be labeled as a malingerer. Many patients have been brought to me and the family believed they were hysterical and they have walked out of the clinic with a better diagnosis.

Once the patient is diagnosed and told that they do not have Multiple sclerosis or Cancer most will heal naturally.

I treat the severely affected patients with trigger point injections and these chronic patients respond well to this procedure.

What are the common causes of this disorder? The number one case is stress, I think every woman in this world suffers from stress. The second cause is trauma, this can be a slap on the face, a car accident any small injury at work or just carrying heavy luggage at the airport. I have personally developed myofacial pain from these above described causes.

Fibromyalgia is the most common cause of pain in the world after Myofacial pain. I consider both Myofacial pain and Fibromyalgia as interlinked disorders, They are one and the same by treatment, patients symptoms and pathology. Trigger points and tender points occur in both the conditions, usually most authors will connect the tender points with Fibromyalgia and Trigger points with Myofacial pain. I have found trigger points in all my patients with fibromyalgia.

Are there any vitamin or hormonal deficiency seen in FMS patients? You will be surprised to know that vitamin B-12 deficiency is very common in FMS. Don't think about getting tested instead get the sublingual replacement. If by getting the cynocobalamin injection the symptoms of fatigue disappear then you were suffering from B-12 deficiency. This deficiency will also result in the patient having hypothyroidism. Those suffering from B-12 deficiency will also gain weight, have trouble awakening from sleep in the morning. There was a time in the US that all doctors would give regular B-12 injections to their patients, those in the third world still use B-12 replacement regularly. However with the birth of managed care B-12 injections were not reimbursed to the doctor and the gatekeepers started demanding a low B-12 level before they would allow authorization for reimbursement of these injections. So the B-12 injections have gone out the door in the developed world.

I have seen that FMS will start usually on the left side of the arm and leg, rarely the right side will be affected. These patients will mimic all types of neurological diseases and will have seen doctors all over the world. The one diagnostic clue is that with all the problems they have a normal neurological examination.

I was introduced to the diagnosis of FMS at the University of Arizona in Tucson. In later years I started to see MS. Parkinson, SLE, rheumatoid patients all also had FMS. These patients would do so much better after their FMS was treated. In one Parkinson patient who lived in a remote part of nowhere, I would drive to his home and inject him in the pelvis. His wife reported that soon after the injections this patient would be able to ambulate.

After I started my practice at Nanotech I met a old friend whose father had Parkinson plus and he walked in a extreme flex posture. I palpated his spine and was reassured by the Family that the local orthopedic surgeons had informed that that short of surgery this case was irreversible. So I proceeded with a trigger point injection and following his next visit there was no pain and the extreme flexed posture of this Parkinson patient had reversed to upright.

A interesting phenomena is seen in FMS patients that in some of these patients a complaint of pain is seen during a approaching storm . This pain is due to the fact that a low pressure has developed which causes the muscles to swell. From this cause you can think that by asking the patient to sit a warm water tub will increase the pressure on the muscles and help relieve the pain.

Chronic fatigue syndrome and Fibromyalgia are overlapping conditions and are usually associated and occur together in the same patient.

In one of our patients who had a severe hearing disorder a simple inactivation of her trigger point relived the hearing problem in a nanosecond.

A man with a ALS like disorder was treated for trigger point inactivation and the ALS syndrome disappeared.

Many patients who were awaiting joint replacement were treated for trigger point inactivation and it relived their joint pain and they did not need the joint surgery.

Recurrent chest pain pain has been successfully treated with trigger point inactivation.

A few patients who were awaiting abdominal surgery were and had symptoms of gastric swelling , pain after food were treated by TP inactivation with complete reversal of their symptoms.

TMJ of jaw pain is a common symptom of FMS and is treated by inactivating TP in the jaw muscles.

Chronic Multisymptom Illnesses

Chronic multisymptom illness is an umbrella term describing the spectrum of widespread regional and organ-specific symptoms and syndromes that frequently coexist in individuals. In other words, if a patient complains of chronic widespread pain or is diagnosed with fibromyalgia, he or she is likely experiencing fatigue, headaches, depression or some combination of additional symptoms.

In 1998, the Centers for Disease Control and Prevention published a study exploring nonspecific symptoms experienced by Air Force veterans during deployment or following their return from the Gulf War. Researchers surveyed nearly 4,000 veterans who complained of a similar constellation of symptoms, but turned up no laboratory findings or physical abnormalities. As such, they developed a new term - Chronic Multisymptom Illness - to describe this �mystery� illness and came up with the following criteria:

Presence of one or more chronic symptoms lasting for more than 6 months
Symptoms must fall into at least two of the following categories: fatigue; mood and cognition (feeling depressed, difficulty remembering or concentrating, feeling moody, feeling anxious, trouble finding words, difficulty sleeping); and musculoskeletal ( joint pain, joint stiffness or muscle pain).

(Fukuda, K., et al. Chronic multisymptom illness affecting Air Force veterans of the Gulf War. JAMA. 1998 Sep 16;280(11):981-8.)

CMI is a term used to classify groups of people with this collection of symptoms and syndromes for research purposes or in literary descriptions of these illnesses. Typically, people are diagnosed with one or more of the syndromes that fall under the umbrella of CMI (fibromyalgia, chronic fatigue syndrome, TMJD, etc.) as opposed to being diagnosed with �CMI.�

The challenge of diagnosis

The challenge for patients and health care providers is to determine whether the symptoms a patient is experiencing are due to a disease with identifiable causes and specific treatment (e.g., cancer, infection) or, non-specific or unknown causes.

Studies have shown that approximately 50-60 percent of visits to primary care physicians result in no identifiable cause, even with exhaustive testing. This can be equally frustrating for patients who are looking for answers and doctors who have few treatment options, which is often the case with fibromyalgia, chronic fatigue syndrome, irritable bowel syndrome and all of the illness classified under CMI.

What is this called when people have symptoms with no identifiable cause?

It's just as difficult for doctors to tell patients they don�t know what is wrong with them as it is for patients to hear it. Until a cause can be identified, doctors often describe the illness in terms of the primary symptom and include a medical term before or after that symptom to indicate an unknown cause. For example, if a person has muscle pain with no clear etiology (cause), doctors may say they have �idiopathic� (we don't know the cause) myalgia (muscle pain) or myalgia NOS (not otherwise specified).

In other instances, we just indicate the area of the body an individual has pain, for example:

Headache
Low back pain
Chronic pelvic pain

More recently, we have identified a number of constellations of symptoms - which we call "syndromes� - so these conditions may be more easily diagnosed and treated. In the case of CMI, these syndromes overlap and occur together more commonly than by themselves.

The graphic below shows the overlap of different syndromes.

There is more to come I will describe the diagnostic pitfalls the legal issue and the treatment protocols. Until I get to typing this you can find this info in the e-book below.

Dr Imran Khan Board Certified Neurology Psychiatry USA, Medical Director, Nanotech Medical & Neurology Center 56 E-2 WAPDA Town, Lahore -Pakistan tele: 0322-4569778

Dr Khan served in the United States Public Health Service, appointed by the President of the United States. Promoted by the Surgeon General of USA to a Lt. Commander in the USPS. Served in the United States Civil Service as a Research Fellow at the National Institutes of Health, Bethesda. Trained at University of Arizona, Royal Postgraduate Medical School London and Institute of Neurology Queens Square London. This website designed by Dr Khan a certified network engineer by Cisco Systems.

Chronic Multisymptom Illnesses

The challenge of diagnosis

What is this called when people have symptoms with no identifiable cause?

The graphic below shows the overlap of different syndromes.

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