Iris City Chiropractic Center, P.C.

Robert A. Hayden, D.C., PhD, F.I.C.C. (770) 412-0005

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Office Hours

Clinic Hours: 8:30 AM until the needs of our last patient for the day have been met. We take lunch from about 12:30 till 2 o'clock.
Drug screens: 9:00-3:00pm Monday - Thursday and 9:00-2:00pm on Friday for drug screen collections.
Physicals:  We do physicals (DOT, pre-employment) during the same hours the clinic is open, but call to be sure Dr. Hayden is in clinic when you need your exam done.

When You Just Hurt Everywhere: Fibromyalgia

Fibromyalgia syndrome (FMS) is not fully understood, but it is common. It is described as an "all over pain" that lasts longer than three months, which defines it as a chronic pain. Most often the patients who suffer from FMS have tried multiple treatments and medications, and most of these interventions only decrease the symptoms to a hopefully tolerable range.

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Other symptoms include sleep disruption, including insomnia and disruption of sleep patterns, chronic fatigue, depression and anxiety. The latter two symptoms may be related to the loss of rest.  Sleep disruption is also compounded by a frequent occurrence of restless leg syndrome.  Many FMS patients suffer from irritable bowel syndrome.  One of the most frustrating parts of this condition is an inability to concentrate, called "fibro-fog."

fOne of the current theories for the origin of this condition is that the central nervous system is sensitized in some way that increases a pain response. This may be linked to the tendency of many FMS patients to be very sensitive to medications intended to help them, and this complicates their care and frustrates the patient.

  • A recent literature synthesis published in the Journal of Manipulative Therapeutics JMPT) casts some light on the state of the art in addressing this condition.  Here are the bullet points from that paper:
  • Strong research evidence supports aerobic exercise and cognitive behavioral therapy in the treatment of FMS.
  • Massage, muscle strength training, acupuncture and spa therapy (hot tub, water therapy) are supported by moderate evidence.
  •  Limited evidence supports spinal manipulation, movement/body awareness, vitamins, herbs and dietary modification for treating FMS.
  • Treating FMS through combinations of therapies seems to be most helpful. 

As with many conditions, the combination of interventions is highly specific for each individual as each person responds in a way that is driven by their own personal biology.  The most important part of your treatment is understanding the condition so that you can control it. Follow the treatment plan with a combination of interventions that makes the most sense to you and gives you the most relief. Lose weight if that is an issue for you and stay active. Find a healthcare professional who understands and recognizes the condition and who will work with you to find the holistic answers you need.

I am renovating the clinic to accommodate an infrared thermal chamber that I believe will be very helpful for FMS, rheumatoid conditions, osteoarthritis, and other musculoskeletal issues. I hope to have it up and running within the next two weeks. Call us soon to see when it is operational.

You have options. One or more of the options available to you has potential to give you relief so that you can get on with your life and enjoy it to the fullest extent possible.  If you have not found your solution, keep looking. I'll be glad to help you.

www.IrisCityChiro.com

Schneider M, Vernon H, Ko G, Lawson G, Perera J. Chiropractic Management of Fibromyalgia Syndrome: A Systematic Review of the Literature. J Manipulative Physiol Ther 2009 Jan;32(1):25-40.