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Monday, February 20, 2012

Fibromyalgia: I Have It… Now What?


Brought to you by: Mendez Chiropractic Center


“…I was told by my doctor that I have fibromyalgia and I don’t know what to do.  I’ve noticed that over the last couple of years that I’ve been having a progressively harder time doing simple tasks that I used to take for granted like folding laundry, ironing, cooking, cutting up vegetables, sewing, driving a car, holding a book, and even sleeping has become very challenging.  I have to take many breaks while I’m doing these tasks and even take a nap in the middle of the day.  I never used to have to do that!  My family doctor initially seemed interested in helping me. He listened to me, took some blood, took some x-rays, and then said ‘….everything looks fine.’ His conclusion was that I must have fibromyalgia – I’ve never even heard of that! He prescribed many different drugs.  One was to help me sleep but all it did was knock me out to the point where I couldn’t get up in the morning and felt so groggy that I couldn’t function. Then, he tried this other one and I felt like I wanted to crawl out of my skin!  I’ve tried 3 or 4 different drugs and the side effects were all worse than what I’m dealing with, without the drugs.  He finally concluded, ‘…you’ll just have to learn how to live with it.’  Well, thank you very much, doctor!  Tell me HOW to do that?”

That feeling of helplessness and not knowing what to do next is a common complaint among fibromyalgia (FM) sufferers and the fact is, many patients with FM simply CAN’T just “…learn to live with it,” and need guidance.

One such patient recently presented in such situation. After a detailed history, the chiropractor checked her vital signs, performed a physical exam that included observation, palpation, range of motion, physical performance testing, orthopedic and neurological tests and then sat down to discuss the findings and what specific things chiropractic could offer her.  The chiropractor laid out a treatment that consisted of the following:

· Leg length correction: she had a 12mm short right leg, a tipped pelvis with a compensatory curve in the low back.  Heel lifts were recommended.
· Foot orthotics: she had flat feet and rolled in ankles that were altering her gait pattern.
· Exercises: she was quite deconditioned (out of shape) and needed help with flexibility, strength and endurance, balance/coordination, and aerobic function.
· Spinal manipulation:  She had areas in her spine that were not properly moving and she had to compensate and use other parts too much, setting up faulty movement habits.
· Nutritional counseling:  She was consuming too many glutens (wheat, oats, barley, rice) which can make you feel tire/fatigued/”wiped out” all the time.  She was placed on a strict gluten-free diet and encouraged to use of several nutrients.
· They discussed “realistic goals.” This was probably the MOST important part for her.  She was told NOT to expect a “cure” but rather, a means of “controlling” FM. It was emphasized that expecting “too much” will set her up for disappointment and treatment failure.  They discussed ways she could control or minimize the symptoms of FM and what the role of chiropractic played in that management process.  They also discussed finding a family doctor who was willing to work with her chiropractor.

Her doctor reports she is doing very well, independent of regular doctor visits, and is for the first time in a long time, happy with her ability to control her FM condition.

Monday, February 13, 2012

What Is This Pain in My Neck!

Brought to you by: Mendez Chiropractic Center


“When I woke up this morning, I couldn’t move my neck!  Every time I try to move it, I feel sharp pain on the left side of the neck shooting down into the shoulder blade.  It just came out of nowhere!”





Chances are, you are suffering from a common condition called torticollis, which literally means, “twisted neck” after the Latin terms of “torti” (twisted) and “collis” (neck).  The common name for this is “wry neck,” and it’s basically a painful muscle spasm, like a “Charlie-horse” but located in the neck muscles.  Usually, a person wakes up in the morning with this and the cause is often related to sleeping with the window being open or a fan or air conditioner blowing on you.  It can also relate to a “cold settling in the muscle” after a cold or flu virus.  Trauma such as falling or a car accident can also cause torticollis. However, most of the time, patients with torticollis are not sure what caused the abrupt onset of symptoms.

Usually, torticollis will gradually improve over a 2 week time frame. However, it only takes a few days to a week (at the most) if you receive chiropractic adjustments.  Most importantly, without treatments, the sharp pain can last a week and can severely limit your activity, often prohibiting work as well as your desired “fun” activities.  Hence, most people prefer having this treated as opposed to “waiting it out.” In some cases, it can last longer than a month and in rare cases even longer, so getting this treated is highly recommended.  Also, try to get in for a treatment immediately before the muscle spasm really sets up.  We find this to be the most effective approach.  Here are a list of symptoms and treatment suggestions for torticollis:

Acute Torticollis Symptoms
· Muscle spasms
· Neck and shoulder pain
· Neck and spine contortion (neck twisted to right or left side of body)

Pain Relief Treatments for Acute Torticollis
· Chiropractic neck and spinal adjustment
· Analgesics
· Heat packs
· Muscle relaxants
· Rubs and ointments (Icy Hot, BioFreeze)
· Massage with essential oils
· Reiki
· Sleep / Relax
· Supportive cervical collar