Category Archives: Fibromyalgia

Introducing Chiro-Trust.org

As of Feb 1, 2014 there is a new online resource available for consumers, chiropractors, and medical providers that provides high quality information on many of the common conditions chiropractors treat on a daily basis. 

The name of the website is Chiro-Trust.org

chiro-trust.org

 

Here are links to some of the articles:

Can Chiropractic Help The Post Surgical Patient?

Chiropractic Whiplash Management

Fibromyalgia Holistic Care

Chiropractic and Sinus Headaches

The most common conditions chiropractors treat are low back pain, neck pain, whiplash, headaches, carpal tunnel syndrome, Fibromyalgia, shoulder pain, hip, knee and ankle pain, and more.

Make sure to check Chiro-Trust.org for up to date information on these conditions and how chiropractic can help.

To find out more about Chiro-Medical Group and Chiro-Medical Express, and our multi-disciplinary approach to treating these conditions, check us out online or call 415-392-2225.

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Fibromyalgia Nutrition Recommendations

fibromyalgia in san francisco

Fibromyalgia Treatment & Nutrition

We have been providing Natural Fibromyalgia Treatment in San Francisco for over 22 years.

Fibromyalgia (FM) is truly a challenging condition to manage, as anyone with this condition will attest to! In the past, we’ve discussed many management strategies, including dietary suggestions. Although much of the Fibromyalgia nutrition information is not supported by a lot of “scientific study,” the National Institute of Health through the NCCAM (National Center for Complementary and Alternative Medicine — formed by Congress to evaluate and appraise alternative treatments) provides information on dietary recommendations and supplements. They also provide dietary guidelines and define the benefits and effectiveness for FM patients and us doctors to follow. This month, we will dive deeper into nutritional considerations as this can REALLY make a huge difference for the FM patient!

 

                Since fatigue, sleep quality, and muscle pain are three VERY common FM complaints, the FM patient can track their response to different dietary approaches as they add, modify, or delete various foods and/or supplements from their diet. We recommend “grading” these three symptoms daily on a 0-10 scale (0=good and 10=bad) as this can REALLY help the FM sufferer keep track of various changes that are made in the diet and is extremely useful for future reference.

 

                FOODS: Since many FM sufferers have “sensitivities” to certain foods (reported to be as high as 42% of all FM patients), eliminating these foods makes GREAT sense.

 

                First, it is REALLY IMPORTANT that you KEEP A FOOD JOURNAL for future reference (using the 0-10 scale) as it is impossible to remember all the reactions or responses to various foods even a day or two later, but especially a week or month later! Some common food offenders include MSG (commonly found in Chinese food – simply ask for the MSG to be NOT included when you place your order), certain preservatives, eggs, gluten (grains like wheat, oats, barley and rye), dairy, as well as other common allergens (such as chocolate, nuts, shellfish, and others). Common symptoms may include headaches, indigestion (irritable bowel syndrome), fatigue, and sleep interruptions. When using an “elimination diet,” it is important to make sure you’re getting the essential nutrients in your diet, in which supplementation can help.

 

                Secondly, make it easier to eat in a healthful way! Have fruits and vegetables cut up and ready to eat so when you’re hungry, you can QUICKLY satisfy that urge. Lean meats or proteins are also VERY important! Remember, a well balanced diet gives you the “ammo” needed to fight fatigue, hurt less, help you sleep more deeply, and give you energy. By doing so, you will be able to stay more active and productive. Accept the fact that unless you pre-prepare the foods, you will instinctively reach for pre-packaged, no prep time, “fast food” options that most likely have poor nutritional content. Look for healthy foods that do not require a lot of preparation such as buying pre-washed, pre-cut vegetables. Some deli sections have pre-prepared foods like beet salad or quinoa that can be purchased in small quantities to add variety to your diet.

 

                Third, plan for WHEN you eat. It is well known that eating small meals frequently during the day helps increase energy levels, such as at 9-10am and 2-3pm, especially if you’re feeling tired. Make sure the word “SMALL” is understood or else you’ll gain weight and not be hungry for the next meal! ALSO, DON’T SKIP BREAKFAST, AND DON’T EAT LATE AT NIGHT!!! Our metabolic rate (which regulates how efficiently we digest and breakdown our food) is highest in the morning and slowest at night. Try to include some protein and whole grains with your breakfast such as a boiled egg and oatmeal as this keeps the blood sugar from spiking and provides energy that lasts longer. Next month, we will look at supplementation including vitamins, minerals, and herbs that GREATLY help as well.

 

                If you, a friend or family member requires care for Fibromyalgia, we sincerely appreciate the trust and confidence shown by choosing our services!

To schedule an appointment for Fibromyalgia Treatment in San Francisco call 415-392-2225.

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Fibromyalgia Diagnosis: What Is It?

 

           

Fibromyalgia in San Francisco

Fibromyalgia Diagnosis and Treatment

We have been providing natural solutions for Fibromyalgia in San Francisco for over 20 years now.

Confirming the diagnosis of fibromyalgia (FM) is challenging, as there are no blood tests to verify accuracy of the diagnosis like so many other disorders. However, blood tests are needed when FM is suspected to “rule in/out” something else that may be mimicking FM symptoms. Also, FM is often associated with other disorders that are diagnosed by blood testing, so it is still necessary to have that blood test. So what is the CURRENT recommendation for diagnosing FM?

 

            The American College of Rheumatology (ACR) developed criteria for diagnosing FM in 1990 and has updated it since then. The original 1990 criteria included the following: 1) A history of widespread (whole body) pain for three months or more; and 2) The presence of pain at 11 or more of 18 tender points which are spread out over the body. The main criticism regarding this approach has come from the poor accuracy and/or improper methods of testing the 18 tender points. As a result, this examination portion of the two main criteria has been either skipped, performed wrong, or mis-interpreted. This left the diagnosis of FM to be made based on symptoms alone. Also, since 1990, other KEY symptoms of FM have been identified that had previously been ignored including fatigue, mental fog (“cognitive symptoms”), and the extent of the body pain complaints (“somatic symptoms”).

 

            As a result, it has been reported that the original 1990 approach was too strict and inaccurate because too many patients with FM were missed – 25% to be exact – by using this method. In 2010, the diagnostic approach was modified by using two different questionnaires: 1) The “Widespread Pain Index” or (WPI), which measures the number of painful body regions; and 2) the development of a “Symptom Severity” scale (SS). The MOST brain fog” common with FM, unrefreshed sleep, fatigue, and the  number of “somatic symptoms” (other complaints). The Symptom Severity scale (SS) incorporates these four categories and is scored by adding the totals from each category.  By using both the WPI and the SS, they correctly classified 88.1% of FM cases out IMPORTANT FM diagnostic variables included the WPI score and scores of “cognitive symptoms,” which includes the “of a group of 829 previously diagnosed FM patients and non-FM controls!

 

            What’s important is that this NEW approach does NOT rely on the “old” physical exam requirement of finding at least 11 of 18 tender points. Because FM patients traditionally present with highly variable symptoms, removing the challenge of determining the diagnosis by physical examination is very important! Plus, now we can TRACK the outcomes of the FM patient to determine treatment success both during and after care. Since the 2010 approach has been released, it has been published in multiple languages and is starting to be used in primary care clinics. Recently, in July 2013, a study reported that the Modified ACR 2010 questionnaire is highly sensitive and specific for diagnosing FM, and its future use in primary care was encouraged. What is most exciting about this is that a referral to a rheumatologist may not be needed since this tool can be easily administered by primary care physicians, which include chiropractors!

 

            In past health updates, we have discussed the need for a “team” of health care providers to best manage the FM patient. This multidisciplinary approach offers the FM patient multi-dimensional treatment strategies that encompass manual therapies, physical therapies, nutritional strategies, pharmacology, exercise, and stress management, cognitive management, and behavioral management. Now, with the release of the Modified ACR 2010 criteria, we can diagnose FM more accurately, track progress of the patient, and make timely modifications to the treatment plan when progress is not occurring. This is a “win-win” for the patient, providers/health care team, and the insurer!

 

            If you, a friend or family member requires care for FM, we sincerely appreciate the trust and confidence shown by choosing our services!

           

Altadonna Communications ©

To schedule an appointment for Fibromyalgia Treatment in San Francisco call 415-392-2225

Since 1992

                         

 

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Fibromyalgia Treatment and Deep Tissue Laser

Deep Tissue Laser in SF

Deep Tissue Laser Therapy in San Francisco

We have been providing natural treatment for Fibromyalgia (FM) in San Francisco for over 20 years.  During this time we have found that  FM patients often respond favorably to a combination of chiropractic adjustments, plant based nutrition, low tech spinal exercises, and now deep tissue laser therapy.

The machine we use at our clinic is the LiteCure LCT-1000. Here is an excerpt from our website that describes the benefits of deep tissue laser for musculoskeletal conditions such as Fibromyalgia:

Deep Tissue Laser Therapy™ with the LiteCure LCT-1000 is an innovative, scientifically based, therapeutic modality, specifically designed to offer advanced pain relief and expedited healing times through a process known as photobiostimulation.

The LCT-1000 works by flooding tissues with photons, energizing the damaged cells and increasing circulation to the painful area. This produces a cascade of healing responses in your body, rapidly reducing inflammation, thereby reducing or even eliminating your pain.

To find out if you are a candidate for Fibromyalgia Treatment in SF please call 415-392-2225. Mention this blog post for a complimentary consultation.

By Eben Davis

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Fibromyalgia and the Immune System: Study


Fibromyalgia pain treatment in SFWe have been providing treatment for Fibromyalgia in San Francisco for over 20 years.

 Fibromyalgia
(FM) is a condition with a polarized audience comprised of those who believe
it’s real and those who don’t. This interesting political-like conflict is, in
a large part, centered around the topic we discussed last month concerning the
causes of FM. This month’s article will focus specifically on the immune system
and its relationship to FM.

“EXTRA, EXTRA, READ ALL
ABOUT IT! New research published on 12-17-12 in BMC Clinical Pathology
describes cytokine abnormalities were found in FM patients when compared to
healthy controls.”
OK!
But what does that mean?

            Very simply, this study reports that
immune dysfunction is part of the cause of FM. The most exciting part is that
this study identified a BLOOD TEST (finally!) that, “…demonstrates value as a
FM diagnostic tool.” Looking at this closer, the researchers used multiple
methods to examine cytokine (proteins that help regulate our immune response)
blood levels in FM patients. They found the FM group had, “…considerably lower
cytokine concentration than the control group, which implies that cell-mediated
immunity is impaired in fibromyalgia.” This study’s findings of an immune
response abnormality strays from previous study findings which largely pointed
to the central nervous system (CNS – brain & spinal cord) as the origin of
the FM syndrome. This makes some sense as the study of immunology (in this
case, “neuroimmunology” – the combination of neurology and immunology) has only
been around for about 10 years, and as such, may hold some important answers as
more evidence is uncovered to further support this potential “paradigm shift”
in considering the primary cause of FM. The authors offer further excitement as
this focus could lead to a better understanding of the cause of other
neurological conditions such as multiple sclerosis (MS)! They go on by
describing how body temperature, behavior, sleep, and mood can all be
negatively affected by “pro-inflammatory cytokines” (PIC) which are released by
certain types of activated white blood cells during infection. PIC have been
found in the CNS in patients with brain injury, during viral and bacterial
infections, and in other neurodegenerative processes (like MS)!

            To further support this advance in
understanding, the National Institutes of Health (NIH) reported, “…Despite the
brain’s status as an immune privileged site, an extensive bi-directional
communication takes place between the nervous and the immune system in both
health and disease.” They describe multiple signaling pathways that exist
between the brain and the immune system that function normally throughout our
lifetime. When immune, physiological, and psychological “stressors” occur,
cytokines and other immune molecules stimulate interactions within the
endocrine (our hormone) system, nervous system and immune system. To prove
this, brain cytokine levels go up following stress exposure and similarly go
down when treatments are applied that alleviate stress. They list other conditions
such as stroke, Parkinson’s, Alzheimer’s disease, MS, pain, and AIDS-associated
dementia as being similarly affected as well. They also report that cytokines
and other neuro-chemicals play a role in our neuro-development throughout our
lifespan, help regulate brain development early in life and brain function
throughout life, and how this all changes in the aging brain. There are also
interactions of these immune chemicals that result in gender differences on
brain function and behavior.

            Needless to say, it will be very
interesting
to watch for additional developments along this line of
research as it pertains to the FM patient and future treatment recommendations!
Also, immune stimulation by chiropractic adjustments has been postulated as a
benefit and this too may be better understood using this new research approach!

            If you, a friend or family member
requires care for FM, we sincerely appreciate the trust and confidence shown by
choosing our services!

To schedule an appointment for Fibromyalgia Treatment in San Francisco call 415-392-2225

 

Altadonna Communications ©      

 

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Fibromyalgia – Do We Really Know The Cause?


Fibromyalgia body pain treatment SF
We have been offering natural solutions for Fibromyalgia in San Francisco for over 20 years.

Fibromyalgia
(FM) is a condition that is characterized by widespread pain, fatigue and an
increased pain response. Symptoms can include tingling of the skin, muscle
spasms, weakness in the arms and legs, nerve pain, muscle twitching, bowel
disturbances, chronic sleep disturbances, and more. So, what can cause such a
widespread, whole body condition? Though the “cause” of FM is unknown, several
hypotheses have emerged. Here is what we know:

 

1.     The brains of FM patients: Structural and functional differences
have been identified in the brains of FM vs. healthy individuals. What is
unclear is whether these identifiable brain changes cause the FM symptoms or
are the result of an unknown cause. Some experts have reported that the
abnormal brain findings may be the result of childhood stress, or prolonged,
severe stress at any time in life. An area commonly affected is called the
hippocampus, which plays a crucial role in maintaining cognitive functions,
sleep regulation, and pain perception.

2.
Lower pain threshold: Due to an increased reactivity of
pain-sensitive nerve cells in the spinal cord and brain (called “central
sensitization), FM patients feel pain sooner and worse than non-FM subjects.

3.
Genetic predisposition: It has been reported that FM is often
found in multiple family members. This genetic propensity also includes other
conditions that often co-exist in FM patients such as chronic fatigue syndrome,
irritable bowel syndrome (IBS), and depression.

4.
Stress & lifestyle: Stress by itself may be an important
cause of FM. It is not uncommon to develop FM after suffering from
post-traumatic stress disorder. An association between physical and sexual
abuse both in childhood and adulthood has also been identified. Poor lifestyle
issues including smoking, obesity, and lack of physical activity increase the
risk of developing FM.

5.   Dopamine dysfunction: Dopamine is a chemical needed for
neurotransmission and plays a role in pain perception. It is also connected to
the development of restless leg syndrome (RLS), which is a frequent complaint
of FM patients. Medications found effective for RLS such as pramipexole (also
used for the treatment of Parkinson’s disease) can be helpful for some FM
patients.

6.  Abnormal serotonin metabolism: Another neurotransmitter, serotonin,
regulates sleep patterns, mood, concentration, and pain and can be involved in
causing FM. Decreases in other neurotransmitters (especially norepinephrine),
when combined with serotonin depletion, can especially cause FM (more so in
women than men). Hence, medications like duloxetine (Cympalta) originally used
to treat depression and painful diabetic neuropathy, have been found to help FM
patients, especially women.

7.
Deficient growth hormone (GH) secretion: Abnormal levels of GH have been found in
FM patients, but studies report mixed results when treating FM with GH.

8.
Psychological factors:
Strong evidence supports
the association of FM and depression. Similarities include neuroendocrine
abnormalities, psychological characteristics, physical symptoms and similar
treatment benefits using the same approach (medication, counciling, etc.).

9.
Physical Trauma: Trauma can increase the risk of FM. One
report found a direct association with neck trauma and increased risk of
developing FM.

10.   Small
bowel bacterial overgrowth
:
This can contribute to FM and may explain the association with IBS. The
autoimmune response to the presence of bacteria resulting in FM symptoms has
been hypothesized in these cases.

            CONCLUSION:
As previously stated, it is clear that a “team” of providers is needed to
effectively treat FM. We’d be honored
to be part of your team and we have medical doctors that specialize in FM that we can refer you to if needed.

            If you, a friend or family member
requires care for FM, we sincerely appreciate the trust and confidence shown by
choosing our services!

To schedule an appointment with one of our San Francisco Fibromyalgia experts please call 415-392-2225. Our chiropractors are capable of quarterbacking or just being a part of your FM team.

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Fibromyalgia Facts and Learning Quiz


Fibromyalgia clinic in san franciscoWe have been providing treatment for Fibromyalgia in San Francisco for over 21 years.

Fibromyalgia
(FM) has quite a history! There is evidence that dates as far back as
Hippocrates in ancient Greece,
when he described a mysterious condition affecting the muscles which portrays
FM quite accurately!

            FM is a complex condition that
includes fatigue and chronic muscle, tendon, and ligament pain that is
wide-spread (NOT contained to one small region). Generalized pain and fatigue
are the hallmarks of FM, which can range from mild to severe disability.
However, there are many misconceptions about FM.

            How much do you THINK you know about
FM? Try the self-test below. For each statement, decide if the statement is
true or false. The answers can be found below…

  1. FM
    shortens one’s life span.
  2. A
    patient may see several doctors before finding someone willing to help them.
  3. FM
    can affect children, though it is most common in adults ages 20-55.
  4. To
    properly diagnose FM, you must have at least 11 of 18 tender points.
  5. With
    FM, you should not exercise if your body hurts.
  6. A
    multi-discipline treatment approach usually works best (chiropractic, primary
    care, massage therapy, and others).
  7. If
    you have FM, you were probably born with it.
  8. Women
    usually develop FM more often than males.
  9. The
    presence of pain associated FM signifies muscle deterioration.
  10. It
    is easy to confuse FM with other diseases.

            FM is present in 2-4% of the
population and affects everyone differently, so each case is best managed by an
individualized form of treatment. In other words, one treatment approach for
every FM patient is NOT the proper approach. For some, fatigue is the primary
issue, while for others, it’s the sleep disturbance, irritable bowel syndrome.
or bladder problems that require the most attention. There is frequently a
co-existing psychological condition that may include depression, anxiety,
and/or a stress-related condition, such as post-traumatic stress disorder. In
reference to the 10 statements above, FM does NOT shorten one’s life span, but
it does affect quality of life. The primary goal of treatment is to help the FM
patient gain control of their condition. It truly can take multiple visits to
different doctors before finding one that’s willing to work with you and
coordinate care with other “team” providers to give you the best quality care.
FM can affect children, though it’s rare – it’s primarily the 20-55 year old
age group with a 9:1 ratio favoring the female population. The “old” 11 of 18
tender point diagnostic requirement has been replaced by “widespread,
generalized pain,” NOT limited to specific points. Exercise is one of the BEST
self-management strategies and should be encouraged. Though a genetic component
has been identified, FM is NOT something you are “born with.” The pain
associated with FM is NOT indicative of muscle deterioration. FM is often
confused with other diseases and the diagnosis is made by eliminating the other
more easily diagnosable disorders. Chiropractic is a VERY important part of the
management team in the care of the FM patient.

Answers:
1. False; 2. True; 3. True; 4. False; 5. False; 6. True; 7. False; 8. True; 9.
False; 10. True.

            If you, a friend or family member
requires care for FM, we sincerely appreciate the trust and confidence shown by
choosing our services!

Altadonna Communications ©

To schedule an appointment for Fibromyalgia Treatment in San Francisco please call 415-392-2225.

 

 

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Fibromyalgia and Nutrition Recommendations

Fibromyalgia experts san francisco CAFibromyalgia
(FM) management involves many treatment approaches. As was pointed out last
month, the importance of sleep quality, hormonal balance, infection management,
nutritional supplementation, exercise and more was discussed as the “SHINE”
approach. This month, we are going to explore how important diet is in the
management of FM.

As far as Fibromyalgia and Nutrition goes…

                It’s been said that one of the
most powerful tools the FM patient has in their possession is their FORK
because, “…food becomes cells.” That is to say, the food we eat is used to
build cells, tissues, and support our organ systems. The National Fibromyalgia
Association
(NFA) has reported that all FM patients have some common
physiological abnormalities that include:

  1. Too
    much Substance P (a pain producing neurotransmitter).
  2. Too
    little tryptophan (an essential amino acid that helps make serotonin which
    helps mood and many other things).
  3. Not
    enough serotonin (a brain neurotransmitter that fights depression)..
  4. Abnormalities
    in muscle cells, especially the mitochondria that provides energy (ATP) to the
    cell.

                With the exception of substance
P, we can control ALL of the above, at least in part, with diet and eating the
right food. The following 7 nutritional recommendations can make a significant
improvement for the FM sufferer:

  1. ELIMINATE FOOD TRIGGERS: Eliminate foods
    that irritate the digestive system. The NFA reports that 40% of FM
    patients have irritable bowel problems and food sensitivities that trigger
    abdominal pain, diarrhea, and headaches. Common food triggers include:
    monosodium glutamate (MSG), caffeine, food coloring, chocolate, shrimp,
    dairy products, eggs, gluten, yeast, milk, soy, corn, citrus, sugar and
    aspartame. Regarding aspartame and MSG – a 2010 study out of France
    reported FM symptoms subsided significantly after eliminating both from
    the diet, as they found that they stimulated certain neurotransmitters.
  2. EAT MORE TURKEY! That’s because
    turkey contains tryptophan, an essential amino acid that can help combat
    chronic fatigue and depression, which are common FM symptoms. In a large
    NFA 2007 survey of 2,596 FM patients, about 40% of the group complained of
    energy loss. Tryptophan is only acquired through food as our bodies cannot
    make it or convert it from other substances. Tryptophan is needed by our
    body to make serotonin (the “happiness hormone”) which improves our mood
    and makes melatonin, the chemical that helps us sleep deeply. Hence, to
    fight fatigue, avoid the food triggers mentioned in #1 and increase
    tryptophan, which can be found in certain protein rich foods such as
    cold-water fish (salmon, tuna, anchovies, and mackerel), nuts and seeds,
    soy (soymilk, tofu, and soybeans), turkey, and yogurt. Many of these foods
    also contain tyrosine, which increases levels of brain neurotransmitters
    dopamine and norepinephrine. These brain neurotransmitters help with cell
    messaging, alertness, and reduce cognitive “fog,” often described by FM
    sufferers. Also consider taking melatonin if sleep is an issue.
  3. EAT MORE SARDINES! Okay, turkey is
    more “palatable,” but sardines have the ability to reduce muscle pain, of
    which, according to the NFA survey, 63% of FM sufferers experience. This
    is thought to be due to coenzyme Q10 (CoQ10) deficiency, essential for
    muscle function and found in sardines and organ meats. Of course, if these
    natural food approaches don’t appeal to you, a CoQ10 supplement may be
    easier. In two studies, FM patients were found to be 40% deficient in
    CoQ10, and 30% experienced less muscle pain and fatigue after taking
    300mg/day for 9 months.

If
you, a friend or family member requires care for FM, we sincerely appreciate
the trust and confidence shown by choosing our services!

To schedule an appointment with one of our Fibromyalgia Treatment in San Francisco call 415-392-2225 and ask for a complimentary consultation.

 

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Fibromyalgia Treatment and “SHINE”

Fibromyalgia pain treatment san franciscoWe have been providing natural solutions for Fibromyalgia in San Francisco for over 20 years.

Fibromyalgia
(FM) management can be as difficult as making a definitive diagnosis.  FM is characterized by generalized body aches
and feeling exhausted, and yet, in spite of the exhaustion, the inability to
sleep is a “classic” FM complaint. Some have referred to FM as “blowing a fuse”
or as an “energy crisis,” as more energy is expended than what’s being made. FM
sufferers, as well as the caregivers, know how physically and mentally
difficult it is to manage this controversial condition. Many management
strategies that have been published; SHINE is one approach. SHINE stands for
Sleep, Hormones, Infections, Nutritional supplements, and Exercise. By focusing
treatment strategies on these 5 areas, significant benefits can be achieved.

            SLEEP:
Some feel this is the most important problem to manage in order to gain control
of FM. If we cannot reach “deep sleep,” (which is the sleep stage that is
usually reached after about the 4th hour into sleep) then the body cannot fully
rest. When discussing sleep problems with the FM patient, it is common to hear
them say, “…I wake up every 1-2 hours and can’t get back to sleep for at least
15-30 minutes.” This results in NEVER getting to the deep sleep stage and eventually,
because the body hasn’t fully relaxed often for years, everything starts
hurting. This is the hallmark of FM. Some “tips” to help us get to sleep and
stay sleeping include: keeping the bedroom cool (such as 65°), taking a hot
bath before sleep to relax your tight muscles, spraying the pillow with
lavender oil (helps promote sleep), taking 75-150mg of magnesium, avoiding
caffeine (especially later in the day), the use of Valarian Root (a muscle
relaxing herb) and/or melatonin (an amino acid that promotes sleep) can also
help. The goal is to try to get 8-9 hours of sleep a night. Establish a routine
in the evenings and go to bed at the same time or close to it.

            HORMONES:
These chemicals are produced by our endocrine glands (pituitary, thyroid, parathyroid,
adrenals, ovaries/testes, and part of our pancreas. They are in balance with
each other, and somehow, in FM they often fall out of balance. Have your health
care provider perform tests (usually blood and/or urine) to determine your
hormone levels and get them balanced!

            INFECTION: The lack of sleep lowers our immune
function, and infections can occur more readily. In addition to treatments,
there are nutritionally based approaches to improve immune function, and if
recurrent illnesses are part of your FM profile PLEASE consult with us
regarding ways to boost your immune system!

            NUTRITIONAL
SUPPLEMENTS:
This topic is related to the last as there are MANY supplement
recommendations that have been found to boost immune function, increase energy,
enhance sleep quality, and more. This is an area of FM management that is
largely overlooked by traditional medical management approaches. Remember, a
“team” of providers offers the FM sufferer the best way to manage this
challenging to treat condition. Look for health care providers who are willing
to work together as a team on your behalf.

            EXERCISE:
This is a MUST! For example, in a 2010 Oregon Health &
Sciences University

study, women with FM who practiced yoga for 8 weeks had a 24% pain reduction,
30% fatigue reduction, and 42% depression reduction.

            If you, a friend or family member
requires care for FM, we sincerely appreciate the trust and confidence shown by
choosing our services!

To schedule an appointment with a Fibromyalgia doctor in San Francisco call 415-392-2225.

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Fibromyalgia and Neurotransmission

Fibromyalgia therapy in san francisco, CAWe have been providing treatment for Fibromyalgia (FM) in San Francisco since 1992.

Neurotransmission
is the method by which nerves “speak” to each other so impulses can be sent
from one part of your body to the brain and back. For example, when you touch a
hot plate by accident, it doesn’t take long before you quickly let go of the
plate. The reason you let go quickly is because of neurotransmission. Certain
types of neurons or nerves (called afferents) bring information to the central
nervous system where the information is processed and then signals are
transferred back to the target site (such as your hand touching the hot plate)
by different nerves (called efferents) telling you to immediately let go of
that hot object. It’s like the flow of traffic into a city during rush hour.
People work all day and then drive in the opposite direction on their way home
(afferents in the morning going in the city or “brain” and efferents in the
evening bringing new information home). This “give and take” process of
information coming in, being processed and going out helps coordinate our
bodily functions. This allows us to constantly adapt to surrounding changes in
temperature, stress, noise, and so on.

            Each neuron has as many as 1500
connections from other neurons, but they don’t actually touch one another.
Rather, there are “synapses” where nerve impulses stimulate the release of
calcium and neurotransmitters, which either inhibit or excite another neuron
and each neuron may be connected to many other neurons. If the total excitatory
stimuli are greater than the inhibitory stimuli, that neuron will “fire” and
create a new connection resulting in an action (like dropping the hot plate).

            Okay, sorry for the enthusiastic
description and details of neurotransmission. More importantly, how does all
this relate to fibromyalgia?  A new study
(published May 14, 2012 in NATURE by scientists at Weill Cornell
Medical College
)
discovered that a single protein (alpha 2 delta), “…exerts a spigot-like
function controlling the volume of neurotransmitters and other chemicals that
flow between the synapses of brain neurons.” This study shows how brain cells
“talk to each other” through these synapses relaying feelings, thoughts, and
actions and how this powerful protein plays a crucial role in regulating
effective communication in the brain. They found that if they added or
decreased this single protein (alpha 2 delta), then the speed of
neurotransmission increased or decreased by opening or closing the calcium
channels that trigger neurotransmission release.

            The relationship between calcium and
neurotransmission has been known for 50 years, but how to “turn on or off” the
volume is a new discovery. They hope this finding will help in the design of
new medications that will help regulate the neurotransmission in the brain,
thus help reduce the increased pain perception found in people suffering from
fibromyalgia.

            Our aim in sharing this information
with you is to keep you informed with what is on the cutting edge of research
as we’ve said many times before, a “team” of health care provision is the BEST
way to manage FM including chiropractic and primary care!

            If you, a friend or family member
requires care for FM, we sincerely appreciate the trust and confidence shown by
choosing our services!

To schedule an appointment with one of our Fibromyalgia Doctors in San Francisco call 415-392-2225.

Serving local 94111 for over 20 years.

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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