Fibromyalgia: The Muscle Pain Epidemic - Is it Chronic Fatigue Syndrome by Another Name?
April 23, 2003
By Leon Chaitow N.D., D.O., M.R.O.
Author's Note: The majority of the research discussed in this article derives from the USA where the distinction between Chronic Fatigue Syndrome (CFS) and Myalgic Encephalomyelitis (ME) is largely unknown, and since there is still disagreement amongst experts as to whether CFS is the same as ME or not - and it seems likely that this argument will run for some time - this text will therefore bracket the condition(s) as CFS (ME).
In marked contrast to the time it has taken for research into ME and CFS to emerge, there has over the past few years been an explosion in the medical literature featuring Fibromyalgia Syndrome (FMS).
The more the condition has been researched (FMS) the more obvious it has become that there is a vast overlap between it and ME/CFS.
The Most Common Symptoms Found in Fibromyalgia Are: (1,2,3,4)
• 100% of people with FMS have muscular pain, aching and/or stiffness (especially in the morning)
• Almost all suffer fatigue and badly disturbed sleep
• Symptoms are almost always worse in cold or humid weather
• The majority of people with FMS have a history of injury - sometimes serious but often only minor within the year before the symptoms started
• 70% to 100% (different studies show variable numbers) are found to have depression (though many consider that this is more likely to be a result of the muscular pain rather than part of the cause)
• 73% to 34% have Irritable Bowel Syndrome
• 56% to 44% have severe headaches
• 50% to 30% have Raynaud’s phenomenon (hands go dead white and cold)
• 24% suffer from anxiety
• 18% have dry eyes and/or mouth (Sicca syndrome)
• 12% have osteoarthritis
• 7% have rheumatoid arthritis
• An as yet unidentified number of people with FMS have had silicone breast implants and a newly identified Silicon Breast Implant Syndrome (SBIS) is now being defined
• Between 3 and 6% are found to have substance (drugs/alcohol) abuse problems
Other Conditions Which Are Extremely Common with Fibromyalgia Include:
Allergies, chronic rhinitis (almost constant runny nose), easy bruising, night cramps, restless leg syndrome, dizziness (sometimes caused by the widely prescribed anti-depressant medication given to help the sleep problems in FMS), sleep apnea (breathing seems to stop while asleep), dry eyes and mouth, bruxism (teeth grinding), extreme sensitivity to light (photophobia), premenstrual syndrome, digestive disturbances, viral infections, Lyme disease (resulting from tick-bite), itchy skin - with or without a rash, loss of hair, sensitive bladder, mouth ulcers, generalized muscular stiffness, ‘foggy’ brain (difficulty in concentrating and poor short term memory), dyslexia (wrong words come out or what is read is not understood), panic attacks, phobias, mood swings, irritability, a feeling of hands and feet being swollen without evidence of fluid retention.
The Official Definition of/criteria for FMS (5)
Many people suffer from generalized, muscular aching and pain, however this only officially becomes the medical condition labeled ‘Fibromyalgia Syndrome’ (FMS) when this aching muscle pain is accompanied by pain produced when pressure is applied to certain specific body areas. The most commonly accepted definition is that the person affected needs to show:
1. History of Widespread Pain
Pain is considered widespread when all of the following are present: pain in the left side of the body, pain in the right side of the body, pain above the waist and pain below the waist. In addition there should be pain in the spine or the neck or front of the chest, or thoracic spine or low back.
2. Pain in 11 of 18 Tender Point Sites on Finger Pressure
There should be pain on pressure (around 4kg of pressure maximum) on not less than 11 of the following sites:
• Either side of the base of the skull where the subocciptal muscles insert
• Either side of the side of the neck between the 5th and 7th cervical vertebra, technically described as between the ‘anterior aspects of inter-transverse spaces’
• Either side of the body on the midpoint of the muscle which runs from the neck to the shoulder (upper trapezius)
• Either side of the body on the origin of the supraspinatus muscle which runs along the upper border of the shoulder blade
• Either side, on the upper surface of the rib, where the second rib meets the breast bone, in the pectoral muscle
• On the outer aspect of either elbow just below the prominence (epicondyle)
• In the large buttock muscles, either side, on the upper outer aspect in the fold in front of the muscle (gluteus medius)
• Just behind the large prominence of either hip joint
• On either knee in the fatty pad just above the inner aspect of the joint.
Don Goldenberg, M.D., lists other similarities between fibromyalgia and chronic fatigue syndrome:(8)
There is no known cause
There are no highly effective treatments
There are chronic symptoms which include fatigue, myalgias, neurocognitive dysfunction, mood disturbances and sleep disturbances
The population most affected is women aged between 20 and 50
How Disabling is Fibromyalgia (FMS)?:
100 out of 394 patients (that is 25.3%) with FMS (all female) and 12 out of 44 males (27%) were shown in a recent survey to be sufficiently badly affected by the condition as to be unable to work - they were effectively disabled.(8a)
Almost all the others surveyed claimed that their FMS affected their job performance very badly. In Canada a single insurance company, London Life, reported in 1989 that it was issuing monthly long-term disability payments to over 630 people with a diagnosis of fibromyalgia - involving a total of around a million dollars a month.
Change the Name, Change the Attitude
An example of why the naming of a condition matters can be seen from the word ‘fibrositis’ the previously used name for fibromyalgia. When a word ends in ‘itis’ in medicine it signifies that there is an inflammatory process involved. No evidence has ever been produced that the muscular aches and pains of fibrositis and/or fibromyalgia have much to do with inflammation.
Anti-inflammatory drugs therefore do not influence the condition and because of this many doctors assumed that the condition was a fiction - and that the symptoms complained of were unimportant or were imaginary.
By changing its name to ‘fibromyalgia syndrome’ the ‘inflammation’ element was removed and with this came the possibility for research and a wider understanding of the processes involved. The change in name has been accompanied by a rash of research and review articles in the medical journals - with a few in 1985 but around 100 in 1990.
CFS (ME) and FMS: Are They the Same? (9)
There is disagreement amongst experts as to whether or not ‘fibromyalgia syndrome’ and ‘chronic fatigue syndrome’ are the same condition.
Both CFS(ME) and FMS often seem to begin after an infection or a severe trauma (physical or emotional) , and as indicated above the symptoms are very similar. The only obvious difference seems to be that for some people the fatigue element is the most dominant while for others the muscular pain symptoms are greatest (and for an unfortunate few both are markedly present).
In other words, for many people the diagnosis CFS(ME) and FMS seem to be interchangeable terms, although there are certain symptoms (fever, swollen glands for example) which are found in a higher percentage of CFS(ME) patients than those with FMS, which makes the comparison less precise.
Some doctors insist that the psychological aspects of these conditions [FMS as well as CFS(ME)] is the most important cause and they use the terms ‘masked depression’ and ‘somatoform disorder’ to describe such conditions. This is resented by those afflicted by CFS(ME) or FMS who see the psychological and emotional symptoms as being the result of their fatigue, pain and general ill health, and not as causes.
‘Foggy Brain’ Symptoms (10)
Memory lapses, inability to concentrate, dyslexic episodes [inability to recall simple words], are all part of many people’s fibromyalgia (and of most people’s chronic fatigue) and modern technology has now identified what may be happening in the brain with these conditions.
Among the abnormalities so-far found in the brains of many patients with FMS and CFS(ME) are reduced blood flow and energy production in key sites of the brain. While any such changes might themselves merely be symptoms of the syndrome it is thought by many researchers that the most important imbalance in these conditions probably lies in the brain and central nervous system itself.
New technologies for visualizing the brain in a non-invasive manner (SPECT, BEAM, PET) show that there are few if any differences in the scans of patients with CFS(ME) and FMS.
What’s Going on in the FMS Patient’s Muscles? (11,12,13)
A host of stress related adaptations and changes are likely to have taken place in the muscles of someone with fibromyalgia resulting from overuse, misuse, abuse or disuse (postural, occupational, leisure activity, repetitive use, trauma etc) plus a number of additional factors.
1. A biochemical imbalance which may be the direct result of disturbed sleep leads to inadequate growth hormone production and poor repair of minor muscle damage.
2. Low levels of a serotonin in the blood and tissues lead to lowered pain thresholds because of the reduced effectiveness of the body’s natural endorphin painkillers, and the increased presence of ‘substance P’ which increases pain perception.
3. The sympathetic nervous system, which controls muscle tone can become disturbed leading to muscle ischemia (oxygen lack) resulting in greater ‘substance P’ release and increased sensitivity.
4. Duna proposes that these two elements are combined in fibromyalgia. Disordered sleep leading to reduced serotonin leading to reduced natural pain killing effects of endorphins, combined with a disturbed sympathetic nervous system which has resulted in muscle ischemia and increased pain sensitivity. Both disturbances involve reduced pain thresholds and activation of latent trigger points, with muscle pain as the end result.
5. ‘Micro-trauma’ (tiny amounts of damage) of muscles occurs in FMS patients ( genetic predisposition is a possible cause) leading to calcium leakage which increases muscle contraction, further reducing oxygen supply. This seems to be associated with a reduction in the muscle’s ability to produce energy , causing it to fatigue and to be unable to pump the excess calcium out of the cells. A similar mechanism is said by Travell and Simons to be involved in myofascial trigger point activity. (11)
6. James Daley MD has tested just what happens in the muscles of people with CFS(ME) when they exercise. Tests involving people with FMS (by Robert Bennett MD) gave similar results showing that muscles produced a great amount of lactic acid, adding to the discomfort. Some of the patients showed low carbon dioxide levels when resting, which is an indication of a hyperventilation tendency.
There is some evidence that progressive cardiovascular training (graduated training through exercise) improves muscle function and reduces pain in FMS but this is not thought desirable (and is often quite impossible anyway because of the degree of fatigue) in CFS(ME). (12,13)
The special features of fibromyalgia seem to involve a combination of circulatory and nerve imbalances which make the muscle changes even more pronounced and the symptoms more unpleasant.
Manual therapy, nutrition, stress reduction, breathing and postural reeducation, exercise (in some cases), acupuncture, non-specific immune system modulation such as hydrotherapy , medication (herbal, homeopathic and standard), among other things, have all been useful in encouraging recovery.
Dr. Goldenberg has shown that the following methods all produce benefits in treatment of FMS:(17)
Cardiovascular Fitness Training (18)
Regional Sympathetic Blockade (21)
Cognitive Behavioural Therapy (22)
My Own Protocol
Where a condition has multiple interacting causes it makes clinical sense to try to reduce the burden of whatever factors are imposing themselves on the defense, immune and repair mechanisms of the body, while at the same time doing all that is possible to enhance those mechanisms.
In my own practice the following are the methods suggested and used in treatment of FMS not necessarily in the order listed:
1. It is vital to get the diagnosis right. Many other rheumatic- type problems can produce widespread muscular pain such as polymyalgia rheumatica. Laboratory and other medical tests can identify most conditions which are not FMS.
2. Where muscle pain exists it is necessary to discover how much of the problem might be related to myofascial trigger point activity since the pain from trigger points is relatively easy to eliminate using methods chosen from injections, acupuncture, bodywork and postural and/or breathing reeducation.
3. It is important to assess and treat any associated conditions such as allergy, anxiety, hyperventilation, yeast or viral activity, bowel dysfunction, underactive thyroid, sleep disturbance.
4. It is useful to introduce constitutional health enhancement methods such as breathing retraining, deep relaxation methods (e.g., autogenic training ) regular (weekly or fortnightly) detoxification (fasting) days (which boost growth hormone production), hydrotherapy (neutral bath for anxiety and possibly progressive cold bathing), regular non-specific massage and acupuncture for ‘energy balancing’ and pain control.
5. Provision of suitable nutritional advice in important as well as use of supplements if necessary, such as specific amino acid supplementation for stimulating growth hormone production
6. Specific herbal help for circulation to the brain [e.g., Ginkgo biloba] and the taking of homoeopathic remedies such as Rhus tox 6C may be useful
7. Appropriate osteopathic soft tissue treatment of the muscular condition, as well as regular (daily if possible) gentle self- treatment methods are usually helpful
8. Regular exercise within tolerance, if possible including cardiovascular training and stretching movements (yoga and/or T’ai chi)
9. Medication under medical advice only, to enhance sleep patterns may be worth considering, antidepressant drugs in very low dosage commonly give some benefit
10. Patients should be encouraged to join support groups, and to read about their condition and health enhancement, and to take control of their condition, even if progress is apparently slow. Stress or general counseling may help them learn coping skills and stress reduction tactics.
1. Sydney Block Fibromyalgia and the Rheumatisms Controversies in Rheumatology Vol19(1)1993pp61-78
2. Don Goldenberg Fibromyalgia, chronic fatigue syndrome and myofascial pain syndrome. Current Opinion in Rheumatology 5:199-208 1993
3. George Duna and William Wilke Diagnosis, etiology and therapy of fibromyalgia Comprehensive Therapy 19(2)60-63;1993
4. Bruce Rothschild Fibromyalgia : An explanation for the aches and pains of the nineties Comprehensive Therapy 17(6):9-14 1991
5. Wolfe F et al The American College of Rheumatology 1990 Criteria for the classification of Fibromyalgia Report on Multicentre Criteria Committee Arthritis Rheum 33:2;160-172, 1990
6. Block S. op cit
7. Yunus M . ‘Fibromyalgia and other functional syndromes’ Journal of Rheumatology 16(sup 19)69 1989
8. Goldenberg D. ‘Fibromyalgia and its relationship to chronic fatigue syndrome, viral illness and immune abnormalities’. Journal of Rheumatology 16(sup 19)92 1989.
8a. Goldenberg D Presentation to the 1994 American College of Rheumatology meeting.
9. Harvey Moldofsky Fibromyalgia, sleep disorder and chronic fatigue syndrome. Ciba Foundation Symposium 173 Chronic Fatigue Syndrome p 262-270 1993.
10. As reported in Fibromyalgia Network (May 1993 Compendium, July 1993, January 1994).
11. David Simons Fibrositis/fibromyalgia A form of myofascial trigger points ? American Journal of Medicine 81(suppl 3A)pp93-98.
12. Report in Fibromyalgia Network May 1993 Compendium on First national Seminar for patients, Columbus Ohio, April 1990 (Robert Bennett MD presentation on muscle microtrauma - pages 23 - 25).
13. Report in Fibromyalgia Network (Compendium 2 pp48-49) on 2nd Los Angeles CFIDS Conference may 18/19 1991.
14. Frederick Wolfe, David Simons et al The Fibromyalgia and myofascial pain syndromes Journal of Rheumatology 1992;19:6pp944-951.
15. Vladimir Janda Muscles and Cervicogenic pain and syndromes. from Physical Therapy of the cervical and thoracic spine Ed.R.Grant Churchill Livingstone London 1988 pp153-166.
16. Gwendolen Jull and Vladimir Janda Muscles and Motor Control in Low Back Pain Physical Therapy of the low back. from Physical Therapy of the low back Ed.Lance Twomey Churchill Livingstone London 1987 pp253-278.
17. Goldenberg D Fibromyalgia : Treatment programs J of Musculoskeletal Pain Vol.1 3/4 1993 pp71-81.
18. McCain G et al Controlled study of supervised cardiovascular fitness training program Arthritis Rheum 31:1135-1141 1988.
19. Ferraccioli G et al EMG-Biofeedback in fibromyalgia syndrome J. Rheumatology 16;1013-1014 1989.
20. Haanen H et al Controlled trial of hypnotherapy in treatment of refractory fibromyalgia J Rheum 18:72-75 1991.
21. Bengtsson A et al Regional sympathetic blockade in primary fibromyalgia Pain 33; 161-167 1988.
22. Goldenberg D et al Impact of Cognitive-behavioural therapy on fibromyalgia Arthritis Rheum 34(suppl9):S 190, 1991.
23. Stoltz A Effects of OMT on the tender points of FMS Report in Journal of American Osteopathic Association 93(8)p866 August 1993.
24. Lo K et al Osteopathic Manipulative Treatment in Fibromyalgia syndrome J American Osteopathic Association (abstract) 92(9)1177 1992.
© 1995-2003 Leon Chaitow N.D., D.O., MRO
Senior Lecturer, University of Westminster
||Join the Discussion
i need help!!!
|Posted by: solas
Feb 4, 2009
wow where do i start. i would say, all of what you said in your letter pertains to me. horrific body pain. restless legs, irriatable bowel, horrible cronic fatigue, bruising , depression, sleeplessness,head aches, joint pain, nausea, i get sick alot if i work too much. total flue like symptoms yet, i dont have a bug. no wonder the doctors dont believe us. its an invisible mennace.ive been experiencing alot of tingling throughout my body and its not light when it shows up. sometimes i get acid reflux or whatever and i feel severe tingling in the back of my head. i never thought it was possible to feel so bad. if i had to point out the pain pictures doctors have from tears as 10 and smile as 0 i would say 11 every day. non stop. i never have a break. ever. i have such severe menstrual cramps that i can imagine giving birth being any worse. my hands and feet get cold. i remember one winter i was outside with no gloves for only a minute. all of a sudden the pain i felt in my finger tips were over whelming. this disease is destroying my life. and im only 31 years old. let me tell you a little about my life before i got here.
as a child i spent alot of time worrying about things kids shouldnt worry about. i delt with spiritual phenomenon that i wont talk about here because thats for a different forum. but this was very stressful to see the things i saw. also i was dealing with a schitzophrenic dad who was extremely paranoid and worried. my mom was gone alot working because my dad couldnt so being the oldest i took on the roll as co parent per say. depression really hit me hard entering high school. i was diagnosed severe manic depressive. this was a very difficult time. but after a while, i got help and the depression subsided, for now. also i forgot to mension that as a child i was sick alot.i got irratable bowel young. fle , colds. we lived in a very drafty home. it flooded every year so mold was extremely present. i had my tonsils out at 9, my appendix out at 14 and numerous laproscopies trying to diagnose stomach pain. i was diagnosed with endometriosis. but there was something else going on because i went on birth control and apparently it wasnt enough because the pain was still present. so i had yet another laproscope to find that i had adhesions from the appendix surgery. unfortunately i found this out too late because i wound up dropping out of high school because i was bed ridden with the pain.
anyways eventually i had the surgery and the pain was instanly gone. so i got a job and worked extremely hard . pushing my body to the limits. but i was young and for once felt great, but still dealing with depression. so i got into screen printing. which is extremely repetative and taxing on the body.i was the fastest on our team with the most accuracy. i beat all the deadlines. this became my career now for the past 13 years.now on top of getting this job i met a man there. so i fell in love. but i found that he was extremely depressed. almost dillusional at times. it made the home front very difficult. but because ide been dealing with it my whole life i knew i could help him through it. even though its been one of the most stressful things ive ever had to do in my life. this had been dicy even extreme at times up until a year ago. when i discovered saint johns wort. this was a savior for me in my most vulnerable and breakdown times. it worked fast. it made me realize that we were feeding off eachothers stress. so once i stopped worrying about him , he stopped worrying so much. so finally my home life is less stressful now. but i cant say that the past 13 years hasnt taken its toll. so anyways.back to the printing. so i made this my career. over the years i had slipped and fell and landed on my butt jerking my back, and ive hurt all sorts of other parts due to work and weakening body. and the repetition never helped.
ide say i started noticing the body pain around 22 or 23. it was light. it started in my back. i had to go to the chiropractor. it started to progressively get worse.i have this knot on my shoulder blade. when it first started out ide say it was the size of a grape. now it covers most of my shoulder blade and is moving down my back and is starting on the left side to get bad to.ive missed quite a bit of work due to getting ill andpain.just recently i had to quit my job thinking that i would be a supervisor at a new place. so i get there and because my last boss worked me like a dog before i left i missed 1 and a half days in my first month. and event though i had told my new job that i needed a break before i started, and they insisted that i start now, they fired me. so now after 13 years of building a fantastic resume, i realize that its over. i can no longer do what i know and love.recently i worked 2 5 hour days a week for my previous boss. i figured out that it took me 3 days to kinda recover from the work. and i didnt even work hard.and what i mean by kinda recover is time for my muscles to de swell enough so they wont send toxins through my body. i realized that working 40 hours a week was causing so much swelling that if i even stetched it would fatigue my body so much that i would literally get flu sick. so im working for a pizza place doing delivery. this is ok but i still struggle. and this job should be easy.really.
im over weight. but i cant lose it due to no energy, constantly getting hurt(knees, ankles,everything)but i know i have a slow metabolism. i just think with everything ive learned is that if i had adequate medical help i would be strong enough to exercise and help ease the pain.i can basically controll the irratable bowel by diet, and the restless legs by reducing stress, well kida get rid of it. i think i have horrible circulation.
so i guess i said all of this so people dont feel alone and to also help answer my question. at this point in my life im crying on a daily basis. even with this easy job its getting worse at what seems to be a quicker pace. i have no health insurance and my bills are piling up due to lack of ability to work. im afraid my electric will be shut off soon.i have been contemplating becoming a counselor and if i can get help that may be a reachable goal, but i am needing to take care of the now.
so finally my question is do i apply for dissability to get the financial and medical help i need? this is something ive been against from the begining but now im there i see no other option.and if i should apply how do i do that when i cant afford for doctors to look me over. and how do i apply and how do i fight and win to get dissability?i would appreciate your responce back. email me at email@example.com got to be a way to get help. because im way too young for this. but i cant take trudging through sement everyday either.
|Posted by: rockinghorse
Apr 7, 2011
A big step up in this shocking pain filled condition is to try food combining. It's quite amazing as it allows the stomach to work as it was designed to, which means that you are able to digest food efficiently and gain minerals, vitamins etc more effectively. The site I found was Sherry Brescia's Great Taste No Pain. She has books you can purchase and I also get her Probiotic - super shield which is the best one I've ever had and almost eliminated my asthma and allergy/nose problems within a few weeks. I've tried probiotic before but this one is stunning in its effectiveness. I've been on the food combining for nearly a year now and have lost a lot of weight, but most importantly although the pain is still there, there is definitely a significant change in the appaling severity that I had. So worth it, hope this helps someone else with this sad and terrible condition which is a daily struggle as it has helped me.
This answers 25 years of my life looking at myself as lazy
|Posted by: sharp.bleu
Feb 5, 2009
Leon Chaitow, Thank you for bringing this up. I am 38 male this makes me categorised as less potential for doctors to listen to me when I tell them that I have all these symptoms.
Starting from Headaches since Childhood.. Followed By Back pains in teenage (enough pains to wake me up everyday), then laking enrgy studying, working-out, and doing regular things in my life, I now have depression and anxiaty.. body pains are as regular as breathing, I started smoking at age of 25, I satrtded drinking at 29, I got Diabetes at 35, started antidepressent at 37...
But reading your paper and Knowing that, I am not the only one although there isn't many males with the syndrome, it still makes me feel i am not just a lazy bumm, or that I don't care. Many people never beleived me when I said I'm tired, since childhood everybody told me I'm a lazy, distracted kid.. to the extent that i started telling myself the same when i miss on any due dates..
I think your paper could be a turning point where I can Plan for a curing path which I hope will work. And if not I will work on not feeling so guilty about it.
Thanks for taking the effort going through all those references and posting your findings.
|Posted by: rinaimo
Apr 3, 2011
I have been suffering from muscle pain, fatigue, anxiety , low energy and low metabolic rate since I was a kid. I am now 40 years old and its not getting any easier. No doctor was able to diagnose me. I think I have Fibromyalgia. Need to know who and how can I be diagnosed so I am able to control the symptoms.
|Posted by: ttippy1guru
Apr 11, 2012
I have just read this write up on the condition and as somebody who was diagnosed some 6 years ago it does cover every aspect of the condition .I still struggle that the medical profession is divided and I get extemely angy when this is diagnosed as depression. I am a positive person who has always tied to fight my symptons and carry on with life and I do wish that the government would put more emphasis on finding what this condition is rather than letting it be labelled a condition of somebody with mental health problems. Yes we do get down with constant pain tiredness and brain fog. But we never started this way. I have tried many routes to supplements and pain relief. I do wish that more research could be carried out to viral infection because I think it is flu like and we are spreading the condition like flue but it is not a short term condition and more and more people are likely to catch it so it is not going away as you meet more people manifesting the conditions. It does not follow that everybody has the same symptons but there are too many that repeat with a number of patients. I have the majority of the symptons. I have the sleep apnia? spelling? the pain the coldness brain fog tiredness dry eyes numb hands poor circulation. Severe joint pain.Poor digestion heartburn. In fact it does affect all parts but I keep going and I think I am just about coping so it could be worse. Be thankful.
|Posted by: username6
Jul 19, 2012
I just read the article. Excellent work. A few things I want to add:
-I manifest nearly all the symptoms.
Regarding the thyroid: I am taking 1 drop of potassium iodine per day
It does give me more energy. On the days I forget to take it I feel sluggish
Mineral rebalancing could also be considered:
There are labs that will test your hair and give you results of any mineral imbalances
I am taking calcium, magnesium, selenium; and chelated chromium
I haven't noticed tangible results with these
I am taking 4 grams or more each day.
This has eased some of the pain
Pilates type stretching:
This is helping greatly!
It doesn't seem to be a cure (because I need to do it daily indefinitely)
But it does get rid of the pain
I stretch every area that hurts (forearms, hands, neck, thighs, hamstrings, calves, and feet)
This takes about an hour a day. I do it in a nice warm bath
I gargle with olive oil or baking soda.
They are both antiseptic if used long enough
This manages my chronic sore throat
My personal choice is not to use conventional toothpaste to avoid fluoride.
I eat much less than I used to.
This is intentional and I have more energy than when I used to over-eat.
I use the breathing techniques
They work and help me deal with stress.
I move slowly, at all times, and don't try to accomplish too much each day
I pray a lot, and rejoice, and push myself to love life
(a spiritual war- I am replacing negative emotions of anger, irritability, frustration with positive emotions of patience, cheerfulness, gratitude, kindness, and grace)
This is really hard to do, and it's ongoing.
I should also add many of the minerals and elements i take
(iodine, calcium, magnesium) are alkalinizing.
And the iodine is also a very powerful detoxifying agent
This needs caution, a doctor ought to be involved.
Iodine, can be toxic, if taken incorrectly.
But it has greatly helped alllieviate the brain fog, and given me a lot more energy.