Fibromyalgia is one of those conditions that no practitioner feels comfortable managing. It’s poorly understood by medical science and people who suffer from it are generally very fed-up with seeing dozens of different practitioners and not getting results. As a former sufferer of CFS (Chronic Fatigue Syndrome), Glandular fever and fibromyalgia, I’ve had a lot of time to think about these conditions and here’s my say as an educated professional in how this condition needs to be treated.
To officially diagnose fibromyalgia a doctor must be able to identify at least 11 out of 18 different characteristic painful pressure points on the body. As a practitioner I am dissatisfied with this method of diagnosis. I could take any healthy person off the street and could get a painful response from touching any one of those 18 points because those points are all located on classic trigger point locations on muscles that people very commonly over use. Fibromyalgia is not an idiopathic disease that can be diagnosed by one simple test, is a conglomeration of symptoms all being created by various causes all working together. If your primary focus is to treat symptoms then you’re never going to get anywhere. Focus on the causes.
You can’t treat fibromyalgia or CFS directly; you have to treat all of the problems around it first. It’s like untying a knot; you don’t start in the middle where the knot is at its tightest point. You start where the knot is at its loosest and work your way in. You will find as you loosen up the surrounding problems, the center of the knot becomes looser and more manageable.
Musculoskeletal/mechanical misalignments, neurological inhibition, chemical poisoning, metabolic disorders, mitochondrial dysfunction, emotional strain, there are so many things can become a tangled mess with one another acting just like individual ropes creating our metaphorical knot. A good practitioner will know they can’t treat all of these things by themselves. A team of several professionals will normally be required to untie this knot but it is vitally important that they are all coordinated with each other and can give priority over which ropes need to be untied first and how.
Some knots take a long time to untie, especially when the knot may still be in the process of tangling itself up. They can be extremely complicated and in such a mess that it’s no wonder a lot of practitioners have a very hard time managing patients with fibromyalgia and CFS. The rules to untie this knot however can be simple.
- Some ropes in the knot have to be loosened before others will give way.
- Always start where the knot is at its loosest.
- Educate the patient on how they can help untie their own knot.
- Make sure to coordinate with other practitioners so that all the ropes are being pulled in the right way at the right time.
- Keep your chin up. Untying tough knots tests everyone’s patience; don’t let it wear you down.
You may never be able to fully untie the fibromyalgia knot, it’s big, it’s complicated and some ropes can be so rigid they won’t budge. But Fibromyalgia can be managed and you can enjoy your life with it, you just need to know what the knot looks like.
By: Daniel Carner
Bachelor of Health Science – Musculoskeletal therapy
Casey Allied Health
54 Kangan Drive, Berwick 3806