Archive For The “Fibromyalgia” Category

Fibromyalgia and the Importance of Support

By | January 17, 2012

Fibromyalgia is in many ways the prototypical chronic disease. There are many forms of treatment but no cure. In conditions like this how you treat people is often as important as what you do and the practical advise that patients get from fellow suffers is often more useful than any prescription. It is for all […]

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Fibromyalgia and the Nature of Pain Itself: Part 5, Antidepressants

By | August 10, 2011

While narcotics seem to have no role in the treatment of fibromyalgia, antidepressants seem to be uniquely effective. Even more striking is the effect produced when a tricyclic antidepressant is combined with an SSRI or an SNRI. This synergistic effect suggests that these two groups of drugs are targeting different receptor subgroups or processes. If […]

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Fibromyalgia and the Nature of Pain Itself: Part 4, Narcotic Insensitivity

By | August 9, 2011

Another interesting feature of fibromyalgia is that narcotics are completely ineffective. While some patients will say that in the beginning oral opiates “help me get through my day” even though they do not relieve the pain, many studies have shown that narcotics impede the natural recovery of these patients. In my opinion, if you for […]

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Fibromyalgia and the Nature of Pain Itself: Part 3, Groups vs. Solo Exercise

By | August 8, 2011

One of the things that becomes clear after talking to chronic pain patients in general and fibromyalgia patients in particular, especially those in a period of crisis is their profound social isolation. Even those who are married with families seem to drop out of normal family life during periods of increased pain. When evaluating exercise […]

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Fibromyalgia and the Nature of Pain Itself: Part 2, Physical Activity

By | August 7, 2011

Continuing our examination of body-mind interactions a discussion of the therapeutic benefit of physical activity in fibromyalgia seems in order. While exercise is important for health, in no other condition I treat, is daily physical activity so crucial. When patients are in “crisis” and they report that their pain is too severe to even move, […]

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Fibromyalgia and the Nature of Pain Itself: Part 1, Periodicity

By | August 6, 2011

As I promised on Thursday I am going to begin a series of blogs on fibromyalgia to highlight some common features of different chronic pain syndromes, their classification and treatment. Fibromyalgia is a fascinating pain syndrome, which offers unique insights into pain, personality and body-mind interactions. It is interesting because it is as close to […]

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Fibromyalgia: An Overview (B)

By | May 29, 2011

Fibromyalgia has for years been a confusing syndrome for patients and physicians alike. Patients often feel misunderstood and marginalized. Physicians are often confused about where the fibromyalgia ends and other comorbid conditions begin. Some even doubt the existence of the disease, severely straining the doctor patient relationship. Recent advances in diagnosis and treatment are however, […]

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