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Fibromyalgia and Homoeopathy

©   Dr. Rajneesh Kumar Sharma M.D. (Homoeopathy)

  Dr. Swati Vishnoi B.H.M.S.

  Dr. Preetika Lakhera B.H.M.S.

For well formatted and illustrated article, please see attached pdf file.

fibromyalgia and homoeopathy.pdf

Contents

Definition. 2

Etymology 2

Epidemiology 2

Causes 2

Hormonal imbalance. 2

Stress 2

Trauma. 2

Insomnia or Sleep Disorders 2

Depression. 2

Pathophysiology 2

Symptoms 4

Mental disturbances 4

Decreased pain threshold or tender points 4

Incapacitating fatigue. 4

Widespread pain. 4

Trouble sleeping. 4

Irritable bowel syndrome. 4

Neurological Symptoms 4

Diagnosis 4

Differential diagnosis 6

Treatment 6

Life Style Modifications 6

Stress Management 6

Exercise. 6

Alternative Therapies 6

Homoeopathic Treatment 6

Bibliography 8

Definition

Fibromyalgia is a chronic disorder characterized by widespread pain (Psora), tenderness (Psora/ Syphilis), and stiffness of muscles and associated connective tissue structures (Psora/ Sycosis) that is typically accompanied by fatigue (Psora), headache (Psora/ Syphilis/ Sycosis), and sleep disturbances (Psora/ Sycosis).

Fibromyalgia is not a life-threatening, deforming, or progressive disease and mostly affects muscles, ligaments, tendons and other soft fibers in the body and as a consequence, the patient feels the pain in the muscle joint areas of the body, such as the neck, shoulder, elbow and heap (Psora/ Sycosis/ Syphilis).

Etymology

Fibromyalgia syndrome, FMS, Fibromyositis

Epidemiology

Women are ten times more affected than men and often between ages 25 and 60.

Causes

Hormonal imbalance

Fibromyalgia may be caused by biochemical changes in the body and may be related to hormonal changes or menopause. In addition, some people with fibromyalgia have low levels of human growth hormone (Psora/ Syphilis), which may contribute to the muscle pain.

Stress

Stress or poor physical habituation are factors in the cause of fibromyalgia (Causa occasionalis/ Psora).

Trauma

The muscle microtrauma may lead to an ongoing cycle of pain and fatigue (Psora/Syphilis).

Insomnia or Sleep Disorders

Most people with fibromyalgia experience insomnia or non-restorative sleep (Psora). Disordered sleep might lead to lower levels of serotonin (Psora/ Syphilis), which results in increased pain sensitivity (Psora/ Syphilis), possibly simulating fibromyalgia.

Depression

The fibromyalgia may accompany low-grade depression (Psora/Syphilis) as there may be a link between the two illnesses. Chronic pain can cause anxiety (Psora) and depression (Psora/ Syphilis), worsening fibromyalgia symptoms.

Pathophysiology

The decreased levels of serotonin lead to lowered pain thresholds or an increased sensitivity to pain (Psora/ Syphilis). Serotonin is linked with a soothing, anxiety-reducing reaction.

The lowered pain thresholds in fibromyalgia patients may be caused by the reduced effectiveness of the body's natural endorphin painkillers and the increased presence of a bio substance, called Substance P. Substance P amplifies pain signals (Psora/ Sycosis).

Fibromyalgia may be due to sudden trauma to the brain and spinal cord (Causa occasionalis/ Psora).

Typical changes in sleep-pattern and neuroendocrine transmitters such as serotonin, substance P, growth hormone and cortisol regulate the autonomic and neuro-endocrine system. Fibromyalgia may be due to their disturbances (Psora/ Sycosis/ Syphilis).

The most common concomitants of fibromyalgia are anxiety and depression. Chronic pain may be due to abnormal pain processing caused by numerous interplaying reactions like-

  • Central sensitization (Psora/ Syphilis)
  • Blunting of inhibitory pain pathways (Psora/ Syphilis)
  • Alterations in neurotransmitters (Psora)

These disturbances lead to unusual neuro-chemical processing of sensory signals in the CNS (Psora), and in turn, lower the threshold of pain and amplify the normal sensory signals causing constant pain (Psora).

Fibromyalgia is frequently associated with mood disorders (Psora). This advocates a major role of stress response and neuroendocrine abnormalities.

The hypothalamic pituitary axis is a critical component of the stress-adaptation response. In fibromyalgia syndrome, stress adaptation response is upset and leads to stress-induced symptoms (Psora).

Symptoms

Mental disturbances

  • Anxiety or depression, even suicide (Psora/ Syphilis)
  • Widespread pain for more than 3 months (Psora/ Syphilis/ Sycosis)
  • Mood change (Psora)
  • Difficulty concentrating- fibro fog (Psora/ Syphilis)
  • Tenderness in the neck, shoulder, knee, elbow, or upper buttocks or thigh areas (Psora)
  • Fatigue that interferes with work and daily activities (Psora)
  • Long lasting morning stiffness (Psora/ Sycosis)
  • Muscles feel overworked or pulled (Psora)
  • Tiredness in the morning or late in the day (Psora)
  • Difficulty falling or staying asleep, waking up feeling tired (Psora)
  • Bloating (Psora/ Sycosis)
  • Constipation (Psora/ Sycosis)
  • Diarrhea (Psora)
  • Abdominal pain (Psora)
  • Dryness in mouth, nose, and eyes (Psora)
  • Headaches, sometimes migraines (Psora)
  • Numbness and tingling in hands, arms, feet, legs or face (Psora)
  • Muscles twitch, burn, or have deep stabbing pain (Psora)
  • Incontinence (Psora/ Causa occasionalis)
  • Hypersensitivity to cold and/or heat (Psora)

Decreased pain threshold or tender points

Incapacitating fatigue

Widespread pain

Trouble sleeping

Irritable bowel syndrome

Neurological Symptoms

Diagnosis

Presence of 11 to 18 tender points indicates fibromyalgia syndrome. A pain inducing instrument called dolorimeter may be used to insert exactly 4 Kg weight on tender points.

  • Physical examination-
    • History of widespread pain has been present for at least three months.
    • Pain in both sides of the body pain above and below the waist. Pain is considered widespread when all of the following are present-
      • Pain in 11 of 18 tender point sites on digital palpation (both side of the body)- Occiput (2), Low cervical (2), Trapezius (2), Supraspinatus (2), Second rib (2), Lateral epicondyle (2), Gluteal (2), Greater trochanter (2), Knee (2)

  • Serum FM/a® - The FM Test – to see the markers produced by immune system blood cells in fibromyalgia
  • Complete blood count (CBC)
  • Blood glucose
  • Thyroid function test
  • Lyme titers
  • Antinuclear antibodies (ANA)
  • Rheumatoid factor (RF)
  • Erythrocyte sedimentation rate (ESR)
  • Serum Calcium
  • Vitamin D
  • Creatinine phosphokinase
  • C- Reactive Protein (CRP)
  • Renal function Test (KFT)
  • Liver function tests (LFT)
  • X-rays
  • Nuclear Scan
  • CT scan
  • Muscle biopsy
  • Osteoarthritis
  • Bursitis
  • Tendinitis
  • Thyroid disturbance
  • Lyme disease
  • Chronic fatigue syndrome
  • Cognitive behavioral therapy
  • Relaxation training
  • Group therapy
  • Walking
  • Jogging
  • Sports
  • Chinese herbal medications
  • Chinese herbal tea
  • Acupuncture
  • Tai-chi

Differential diagnosis

Treatment

Life Style Modifications

Stress Management

Exercise

Alternative Therapies

Homoeopathic Treatment

Fibromyalgia in general- abrot. Acon. adam. adon. Aesc. agar. agn. alet. all-s. aloe Alum-p. alum-sil. Alum. alumn. AM-C. am-m. ambr. ammc. ampe-qu. Anac. Ang. anh. ant-c. Ant-t. Apis apoc. ARG-MET. arg-n. arge-pl. ARN. ars-i. ars-s-f. ARS. arum-t. asaf. Asar. aster. atra-r. aur-ar. Aur. bacls-10. bacls-7. Bad. Bapt. bar-act. bar-c. bar-i. bar-m. bell-p-sp. bell-p. Bell. benzol. berb. bism. bit-ar. borx. both-ax. bov. Brom. Bry. cact. cadm-s. calc-ar. calc-f. Calc-p. calc-sil. Calc. Calen. Camph. canch. cann-s. Canth. caps. carb-ac. carb-an. Carb-v. carbn-o. Carbn-s. Carc. cassia-s. castm. CAUST. cedr. cench. cent. cerv. Cham. chel. CHIN. chinin-ar. chion. chir-fl. chlam-tr. chlor. CIC. CIMIC. Cimx. CINA cinnb. clem. cob-n. cob. COCC. COFF. colch. Coloc. con. cop. cortiso. cot. Croc. crot-h. crot-t. culx. cund. cupr-act. cupr. cycl. daph. dig. DROS. dulc. dys. eberth. echi. elaps enteroc. ephe-si. eucal. EUP-PER. euph. eupi. fago. ferr-ar. Ferr-i. ferr-p. FERR. fl-ac. form. Gamb. GELS. germ-met. get. gink-b. Glon. goss. graph. grat. guaj. guare. guat. haem. haliae-lc. HAM. hedeo. Hell. helo. Helon. hep. hip-ac. hipp. hippoc-k. hist. hoit. hydr-ac. Hydrc. hydrog. hyos. Hyper. iber. ictod. ign. ina-i. ind. influ. iod. ip. Irid-met. iris jac-c. juni-v. kali-bi. kali-br. Kali-c. kali-chl. kali-i. kali-m. kali-n. Kali-p. kali-s. Kalm. kola kreos. Lac-ac. lac-c. lac-loxod-a. lac-lup. lach. lap-la. lappa laur. lavand-a. Lec. Led. lil-t. limen-b-c. Lith-c. lob. loxo-recl. Lyc. lycpr. lyss. M-AMBO. M-arct. M-aust. Mag-c. mag-m. mag-p. mag-s. Magn-gr. malar. manc. mang-act. mang. MED. mela. meli. Meny. Meph. MERC-C. Merc-i-f. merc-i-r. Merc. Mez. mill. mit. Morg. morph. Mosch. Mur-ac. mygal. Myric. naja narcin. Nat-ar. Nat-c. Nat-m. nat-n. nat-p. nat-s. nat-sal. nat-sil. neon nicc. Nit-ac. Nux-m. NUX-V. oci-sa. ol-an. olnd. Oncor-t. onos. op. osm. ox-ac. ozone pall. par. parathyr. paull. petr. Ph-ac. PHOS. phys. Phyt. pic-ac. pieri-b. pip-n. plan. PLAT. plb. plect. plumbg. pneu. podo. pop. positr. prot. prun. psil. Psor. ptel. puls-n. Puls. PYROG. Rad-br. Ran-b. raph. rat. Rhod. RHUS-T. rhus-v. ribo. ros-d. rumx. RUTA sabad. sabin. sacch-a. sacch. samb. sang. Sars. scut. sec. sel. seneg. Sep. SIL. sin-n. sol-ni. sol-t-ae. spect. Spig. Spong. squil. Stann. Staph. stel. stict. still. stry. suis-pan. Sul-ac. sul-i. sulfon. sulph. Syc. Syph. Tarax. TARENT. tart-ac. tax. tell. ter. teucr. thuj. til. tritic-vg. tub-d. TUB. uncar-tom. ust. uva Valer. vanil. ven-m. Verat. verb. viol-o. viol-t. wies. wye. x-ray zinc-p. zinc-val. ZINC. ziz.

ABDOMEN - INFLAMMATION – Colon abrot. all-s. arg-n. ars. asaf. asar. bism. cadm-s. calc-ar. canth. caps. carc. cench. chin. colch. cop. crot-t. dys. eberth. enteroc. Ferr-i. Gamb. guat. hell. hoit. influ. kali-bi. kali-n. kali-p. lach. lil-t. lyc. mag-c. malar. MERC-C. merc. nat-c. nat-m. nat-s. nit-ac. nux-v. olnd. parathyr. petr. ph-ac. phos. podo. ptel. raph. rhus-t. sulph. syph. ter. tub-d. tub. uncar-tom. verat. zinc-val. zinc.

EXTREMITIES - NUMBNESS - pain; after acon.

EXTREMITIES - RESTLESSNESS – Legs acon. agar. alum. AM-C. ambr. Anac. Arg-n. ars-s-f. ARS. asaf. aster. Bell. cact. Calc-p. Calc. Camph. Carb-v. carbn-s. Caust. chel. Chin. Chinin-ar. cimic. Cimx. colch. con. cortiso. crot-h. eupi. ferr-ar. ferr-p. FERR. Glon. Graph. hep. hippoc-k. hydrog. hyos. ind. kali-br. Kali-c. kali-n. kali-s. lac-c. Lach. lil-t. limen-b-c. Lyc. Mag-c. MED. Meny. Meph. merc-c. merc. Mez. Mosch. mygal. naja nat-ar. nat-c. Nat-m. nat-p. Nit-ac. Nux-m. osm. ox-ac. Phos. Plat. pneu. prun. Psor. rhod. RHUS-T. Ruta sacch. scut. Sep. spect. spong. squil. stann. suis-pan. sulfon. Sulph. Tarax. TARENT. tax. TUB. ust. vanil. zinc-p. zinc-val. ZINC. ziz.

Fibromyalgia, general - exertion, agg. Arn. ars. bell-p. Calc. chin. gels. helon. Lac-ac. nux-v. Ph-ac. Rhus-t. Sil. verat.

FIBROSITIS - back, pain, with bacls-7. dys. Morg. prot. Syc.

FIBROSITIS - chest wall Morg. Syc.

FIBROSITIS - scalp, of nat-sal.

FIBROSITIS bacls-7. dys. Morg. prot. Syc.

GENERALS - PAIN - Muscles - sore - accompanied by - Head; pain in gels. rhus-t.

GENERALS - PAIN – sore abrot. Acon. adam. adon. Aesc. agar. agn. aloe Alum-p. alum-sil. Alum. alumn. Am-c. am-m. ammc. ampe-qu. anac. Ang. ant-c. ant-t. apis ARG-MET. arg-n. arge-pl. ARN. ars-i. Ars. arum-t. asaf. Asar. atra-r. aur-ar. Aur. Bad. Bapt. bar-act. bar-c. bar-i. bar-m. bell-p. bell. berb. borx. bov. Brom. Bry. calc-sil. calc. calen. Camph. canch. cann-s. Canth. caps. carb-ac. carb-an. carb-v. carbn-o. Carbn-s. cassia-s. Caust. cedr. cent. cerv. cham. chel. CHIN. chion. chir-fl. chlor. CIC. CIMIC. CINA cinnb. clem. cob-n. cob. COCC. coff. colch. coloc. con. cot. Croc. crot-h. crot-t. culx. cund. cupr. cycl. dig. DROS. dulc. echi. elaps ephe-si. eucal. EUP-PER. euph. eupi. fago. ferr-ar. ferr-p. FERR. form. gamb. GELS. germ-met. goss. graph. grat. guare. haliae-lc. HAM. hedeo. Hell. helo. helon. hep. hip-ac. hipp. hist. Hydrc. hydrog. hyos. Hyper. iber. ictod. ign. ina-i. ind. iod. ip. juni-v. kali-bi. kali-c. kali-chl. kali-i. kali-m. kali-n. kalm. kola kreos. lach. lappa laur. lavand-a. Lec. Led. lil-t. Lith-c. loxo-recl. lyc. lycpr. lyss. M-AMBO. M-arct. M-aust. Mag-c. mag-m. mag-p. mag-s. magn-gr. mang-act. Mang. Med. meli. Merc-i-f. merc-i-r. merc. mez. mill. mit. morph. mosch. Mur-ac. Myric. narcin. Nat-ar. nat-c. nat-m. nat-n. nat-p. nat-s. nat-sil. neon nicc. nit-ac. Nux-m. nux-v. oci-sa. ol-an. Olnd. Oncor-t. onos. ox-ac. ozone pall. par. paull. petr. Ph-ac. Phos. phys. Phyt. pic-ac. pieri-b. plan. PLAT. plb. plect. positr. prun. psil. psor. ptel. puls-n. Puls. PYROG. Rad-br. Ran-b. raph. rat. Rhod. RHUS-T. rhus-v. ros-d. rumx. RUTA sabad. sabin. sacch-a. samb. sars. sec. seneg. sep. SIL. sin-n. sol-ni. sol-t-ae. spig. spong. squil. Stann. staph. stel. stict. still. stry. Sul-ac. sul-i. sulph. tarax. tarent. tart-ac. tell. ter. teucr. thuj. til. Tub. uva Valer. ven-m. verat. verb. viol-o. viol-t. wies. wye. x-ray zinc-p. zinc.

GENERALS - SENSITIVENESS - Body oversensitive; whole acon. ambr. ant-c. Ant-t. Apis arn. asaf. asar. Aur. Bell. Bry. camph. Canth. caps. castm. Cham. chin. cina Cocc. COFF. cupr. hell. hydr-ac. Ign. kali-p. lach. m-arct. nit-ac. Nux-m. NUX-V. op. par. phos. plb. pyrog. rhus-t. sang. sel. sil. Spig. spong. squil. staph. sulph. valer. verat.

GENERALS - SENSITIVENESS - everything; to merc. nat-m. sul-i.

GENERALS - STIFFNESS – morning bit-ar. get.

GENERALS - STIFFNESS – Muscles ang. anh. Arn. bad. Bapt. bar-m. Bell-p. bell. Bry. caps. caust. cic. Cimic. cupr-act. form. Gels. guaj. ham. Helon. jac-c. lac-lup. Magn-gr. merc. myric. phys. phyt. pyrog. rhus-t. Ruta sang. spig. ter.

HEAD - IRRITATION - Meninges - accompanied by - Muscles; stiffness of phys.

HEAD - PAIN - accompanied by - pains; other psil.

HEAD - TIRED feeling apis arn. bell-p-sp. bell. benzol. carc. chinin-ar. chlam-tr. con. ferr-p. iris kali-s. lach. lap-la. nat-m. nux-m. ozone PHOS. pop. Psor. sil. zinc-val.

MIND - ANXIETY - pains, from the Acon. alet. apoc. Ars. bar-m. bell-p-sp. bell. bry. calc. carb-v. carc. CAUST. Cham. coff. Coloc. cupr. daph. dulc. gink-b. graph. haem. kali-s. lac-loxod-a. lap-la. mag-p. manc. mela. mez. Nat-c. nit-ac. PHOS. phys. pip-n. plumbg. psil. rhod. sars. Sil. spig. Spong. sulph. vanil. Verat.

MIND - SADNESS - pain, from both-ax. carb-v. dulc. germ-met. kali-p. nit-ac. ribo. Ruta Sars. staph. tritic-vg.

Bibliography


La fibromyalgie - Autopsie d'une douleur au zénith...

David Lassalle

Dans ce livre, David Lassalle témoigne de cette douleur au quotidien que constitue la fibromyalgie, affection caractérisée par une douleur généralisée dans les muscles et les ligaments, des répercussions qu'elle a sur la vie de tous les jours et de l'isolement qu'elle provoque. « Tout cela parce que changer régulièrement de position pour ne pas augmenter une douleur, effectuer des activités à un rythme lent et régulier pour ne pas aggraver certains symptômes, éviter un travail musculaire trop long en s'octroyant des périodes de récupération, travailler de manière relaxée, abandonner certaines activités si elles exigent trop d'énergie ou si elles prennent trop de temps parce que douleurs et fatigue seront encore pires le lendemain, pourrait provoquer de cyniques sourires au commun des mortels… » écrit Renaud Hantson, son préfacier. Il s'agit ici d'une vision de la maladie vue de l'intérieur de celui qui la subit qui intéressera aussi bien les malades que les médecins chargés de la soigner, mais qui bien souvent la méconnaissent ou refusent même de la prendre au sérieux : « … une histoire personnelle au travers de l'enfer de la maladie. » L'auteur donne aussi la parole à de nombreux malades et à leurs conjoints. La lecture de cet ouvrage se révèlera indispensable à la compréhension et permettra à toute personne se posant des questions sur cette pathologie chronique de trouver des pistes de réflexion. L'auteur : David Lassalle est un amoureux des livres, passionné de musique et de littérature (noire de préférence).


La fibromyalgie, qui existe depuis les temps anciens, a longtemps été méconnue, ou regardée comme une pathologie d'origine purement psychologique. 
Comprendre et Reconnaître la fibromyalgie pour mieux la Soulager Anne Dumolard
L'avènement des neurosciences a permis de donner des explications aux souffrances endurées par les patients, en particulier à la douleur omniprésente. Mais des difficultés persistent pour ces nombreux patients, qui présentent une maladie « invisible », aux conséquences personnelles et sociales parfois majeures, et si difficile à comprendre, pour eux mêmes, mais aussi pour leur entourage et le corps soignant. 

Ce livre est le témoignage d'une expérience de plusieurs années à travailler auprès de patients atteints de fibromyalgie, et cherche à ouvrir le regard sur cette maladie et à donner un message d'espoir.

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