Posts Tagged ‘fibromyalgia’
I was asked about treatments for Fibromyalgia. Pain clinics have injections and pharmaceuticals that often help, but not always enough. I approach from a different angle.
Fibromyalgia is a collection of many different maladies that are magnifying each other. They are very difficult to untangle. Treating all aspects of the pain is the key to success.
I have actually “cured” fibromyalgia only 4 times, but usually I can decrease the pain enough that other measures will work better than before.
The key is understanding that pain often is nerves misbehaving, magnifying the intensity of unpleasant stimuli. This is neuropathy or neuralgia. These conditions are made much worse by nutritional deficits.
B1, B6, B12 and Folate are key nutrients for nerve function. Controlling diabetes is also important. Low calcium, potassium or magnesium cause cramping and pain. These should ALL be checked.
Vitamin D is often overlooked as essential for nerve function. Low vitamin D will cause depression, malaise, nerve malfunction and increased pain. I aim for a vitamin D level of 70 ng/ml – higher than needed for bone health, but completely safe. If your level is very low you may need megadoses, well above 5000 IU daily.
Take Control Naturally with Vitamin D3, as well as B1, B6, B12, Folate, Calcium, Potassium and Magnesium.
Jay Ginther, MD
Several years ago researchers discovered that women with breast cancer had much lower blood levels of Vitamin D than women without breast cancer. Another study showed that, among women being treated for breast cancer, those with low Vitamin D levels were only half as likely to survive. Patients with other cancers show similar patterns.
Now we have a study which points out that this does not prove that low Vitamin D causes cancer. True. The new theory is that cancer causes low Vitamin D levels. However, there is no proof of that either, and I find it hard to believe. What does this all mean?
Glucocorticoid Induced OsteoPorosis is more common than we thought. Individuals with Rheumatoid arthritis, fibromyalgia, and other inflamatory diseases often need Prednisone and other steroids (glucocorticoids). 3 months of Prednisone 5 mg or more daily induces GIOP. 3-6 months of Prednisone at over 2.5 mg daily can also lead to GIOP. And both of these are total lifetime dose.
Many inhalers for asthma and COPD also contain steroids. Steroids suppress OsteoBlasts, the cells that make new bone to replace resorbed bone. A year or more of inhalers is thought to be the threshhold for ill effects.
Now we are finding out about “Cortisone” (glucocorticoid) Injections into knees and other joints.
This week I spoke to doctors and nurses who run Pain Clinics. The obvious connection is Vertebral Fractures requiring Kyphoplasty or Vertebroplasty. If you only do the procedure, you have not solved the problem. You must treat the Osteoporosis too, preferably with the Anabolic, Forteo, if you want to avoid further fractures.
Vitamin D is the other connection. Successful treatment of chronic pain often requires enough Vitamin D3 to bring the 25-hydroxy Vitamin D level to at least 40ng/ml. This is not yet widely known. Not all clinics are testing for Vitamin D levels. They should be!