Tag Archives: body

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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Car Accidents and Mild Traumatic Brain Injury

Whiplash treatment in san francisco We have been providing treatment for whiplash in San Francisco for almost 20 years now. The scenario below is very common with whiplash trauma:

When you woke up today, you thought this was like any other Friday. You’re on your way to work, and traffic is flowing smoother than normal.  Suddenly, someone crashes into the back end of your car and you feel your head extend back over the headrest and then rebound forwards, almost hitting the steering wheel with your forehead. It all happened so fast. After a few minutes, you notice your neck and head starting to hurt in a way you’ve not previously felt.   When the police arrive and start asking questions about what had happened, you try to piece together what happened but you’re not quite sure of the sequence of events.  Your memory just isn’t that clear. Within the first few days, in addition to significant neck and headache pain, you notice your memory seems fuzzy, and you easily lose your train of thought. Everything seems like an effort and you notice you’re quite irritable. When your chiropractor asks you if you’ve felt any of these symptoms, you look at them and say, "…how did you know? I just thought I was having a bad day – I didn’t know whiplash could cause these symptoms!"

            Because these symptoms are often subtle and non-specific, it’s quite normal for patients not to complain about them. In fact, we almost always have to describe the symptoms and ask if any of these symptoms “sound familiar” to the patient.

            As pointed out above, patients with Mild Traumatic Brain Injury (MTBI) don’t mention any of the previously described symptoms and in fact, may be embarrassed to discuss these symptoms with their chiropractor or physician when they first present after a car crash.  This is because the symptoms are vague and hard to describe and, many feel the symptoms are caused by simply being tired or perhaps upset about the accident.  When directly asked if any of these symptoms exist, the patient is often surprised there is an actual reason for feeling this way.

The cause of MTBI is due to the brain actually bouncing or rebounding off the inner walls of the bony skull during the “whiplash” process, when the head is forced back and forth after the impact. During that process, the brain which is suspended inside our skull, is forced forwards and literally ricochets off the skull and damages some of the nerve cells most commonly of either the brain stem (the part connected to the spinal cord), the frontal lobe (the part behind the forehead) and/or the temporal lobe (the part of the brain located on the side of the head). Depending on the direction and degree of force generated by the collision (front end, side impact or rear end collision), the area of the brain that may be damaged varies as it could be the area closest to initial impact or, the area on the opposite side, due to the rebound effect. Depending on which part of the brain is injured, the physical findings may include problems with walking, balance, coordination, strength/endurance, as well as difficulties with communicating (“cognitive deficits”), processing information, memory, and altered psychological functions.

The good news is that most of these injuries will recover within 3-12 months but unfortunately, not all do and in these cases, the term, “post-concussive syndrome” is sometimes used.

We realize you have a choice in where you choose your health-care services.  If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

To schedule an appointment with one of our San Francisco Whiplash Doctors, please call 415-392-2225. Mention this blog post and receive a complimentary consultation.

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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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