Information about conditions is provided as a service to our patients for educational purposes only. "If you understand your condition, you will be able to do the things necessary to rehabilitate much faster." Please feel free to print the information so that you can refer to it often. Sharing of information is quite risky, however. Do not presume that information is meant for you if you have not seen the doctor and received a specific diagnosis. Some conditions share similar symptoms but require very different treatment. If you have friends or family who may have similar symptoms, please schedule an appointment to see the doctor.


Fibromyalgia Syndrome: A non-joint rheumatic disease of unknown origin diagnosed by the presence of widespread pain accompanied by tenderness at specific spots throughout the body. According to the established diagnostic criteria established by the American College of Rheumatology, there must be at least 11 of 18 specific points. Symptoms include generalized fatigue; chronic headache; sleep disturbances; irritable bowel syndrome; depression and anxiety; numbness; and a change of symptoms by activity, weather, and stress. Sleep deprivation is common and is likely a significant factor in fibromyalgia.

Symptoms of fibromyalgia vary from person to person.

Common symptoms include:

  • generalized fatigue or tiredness
  • reduced physical endurance
  • generalized aches and pains of muscles, tendons and ligaments
  • muscle tightening or spasms
  • pain in specific areas of the body, especially: neck shoulders chest back (upper and lower) hips and thighs
  • insomnia or poor sleep
  • sensations of numbness or swelling (although swelling is not actually present)
  • chronic headaches, including migraines
  • morning stiffness, worst on first arising

Factors that may trigger or worsen symptoms include:

  • weather changes, especially cold, damp weather
  • stress or anxiety
  • overexertion
  • medical illness
  • surgery

Fibromyalgia Trigger Points

Fibromyalgia is a complex, chronic, and debilitating condition characterized by widespread musculoskeletal stiffness and pain, in conjunction with specific tender ("trigger") points, generalized fatigue, and sleep disturbance. People with this syndrome may also experience gastrointestinal disorders, arthritis, or symptoms such as depression and anxiety.

Supplements that help:

  • Vitamin B Complex -43+ 2x/day.
  • Vitamin C --4,000 to 10,000 mg daily
  • Multi- Minerals - 2 per day.
  • Herbs: 303s - Valerian Root to aid sleep

Treatment Recommendations:

  1. Chiropractic adjustments and adjunctive treatments are very effective.
  2. Melatonin taken 5 hours before bed is essential to improving sleep. Good sleep hygiene should including a relaxing environment, no pets, comfortable mattress, comfortable temperature, no noise and no lights. You should not consume any late evening alcohol, liquids, meals, caffeine or perform exercise.
  3. You must perform a low impact, low load, and repetitive exercise program stating at 5 minutes a day, and gradually increasing to 30 minutes a day, four times a week. This can be via brisk walking, biking or swimming. This exercise will increase and enhance general fitness, posture, flexibility, improve blood flow to the muscles, and contribute to an overall sense of well being.
  4. Diet in general should be low carbohydrate, low calorie and low sodium.

Treatment frequency is usually daily for 3-7 days and then three times a week for 3-6 weeks. After that, realignment of the vertebra must be performed to prevent eventual return of this condition. It can be accomplished in 30-60 days of reduced frequency management. Often once a week treatment is sufficient at that point to restore alignment. Thereafter, this condition can be reasonably avoided with monthly correction of spinal alignment.

After the first few days of treatment, you will be given a sheet of stretching exercises to do at home. This is to help reduce the treatment time and speed healing. It is very important for you to do these daily as prescribed. If you have any questions about them or difficulty or pain on performing them, please tell the doctor right away.

Several days following the initiation of treatment, more aggressive exercise routines will be proscribed for you. You will be taken to the rehabilitation center and instructed on how to use the computer monitored exercise routines specifically designed for this condition. The routines are monitored for completion and graduated in difficulty after certain numbers of routines have been completed. You will be expected to perform these routines after treatment during the initial part of the restorative phase and throughout the rehabilitative phase of your treatment. Our goal is to help you get well and stay well. We know from experience that most mechanical conditions return gradually over a period of months and become more advanced each time. The only way this can be prevented is with exercise. We expect you to be successful.

We offer treatment of these conditions at various levels for all patients. We expect that you will follow this treatment plan through to its logical conclusion of restoration of complete function and rehabilitation. Our management system is designed to help you remember all of your appointments and to be fully compliant with all of our recommendations. At any time, should you decide to discontinue the process, please just let us know so that we don't become a bother.

LIFE STYLE CHANGES: Long periods of stress should be avoided. Do not sleep or lie on your stomach and avoid activities that hyper extend the neck. Water intake should be increased substantially

HOME REMEDIES AND RECOMMENDATIONS: Utilize ice packs on the neck back for 10 minutes at a time and moist heat packs on the muscles of the upper back at 20 minutes at a time, not simultaneously and not more often than once per hour. This should continue until the arm pain or numbness disappears. Hot tubs provide buoyancy and may be used after 5 days of onset for temporary relief. Exercises should be specific and in a particular order and performed only under direct supervision of the doctor during the first 3 weeks and then by proscription only. Improper exercise can prolong or arrest recovery.

Expectations We understand that you have come here for help. We have spent many years learning the best ways to solve the problems of mechanical back and neck pain. We expect you to comply with our recommendations and follow our treatment schedule completely regardless of the treatment plan you have. We expect you to set all of the recommended appointments at times convenient for you and we expect you to keep all of them. We expect you to respond favorably and know that your 100% compliance is the determining factor. We also expect you to attend our next class on Absolute Spinal Health. The staff can give you a schedule of the next class.

Other Information At our class on Absolute Spinal Health, we discuss mechanical conditions of the back, neck and spine and teach you ways to prevent mechanical conditions from occurring. We also offer a wide variety of health information at our web site. All patients are welcome to use our information to improve your life and maintenance your spinal health.

Maintenance: Regular spinal adjustments are important to reduce the symptoms of fibromyalgia. Patients who receive monthly spinal manipulation and therapy report fewer complications with fibromyalgia. It is important that you follow your physician's advice about the frequency of treatment for your particular condition.


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