Tuesday, January 23, 2018


 Where does my pain come from?

One of the many topics patients ask me about is Fibromyalgia.   I thought I would write this to help answer any questions our patients, or future patients may have.   Fibromyalgia affects at least 2% of the population in the United States and it continues to be poorly understood. It is characterized by widespread pain and a multitude of symptoms that include fatigue, irritable bowel syndrome, sleep disturbances and mood disorders among others. The theory behind this syndrome is that the nervous systems in unable to regulate the pain signals and that it’s highly sensitive to the painful stimuli vs. non-fibromyalgia patients.

Current treatments focus on multi-disciplinary care involving the use of aerobic exercise, nutrition, antiepileptic medication, antidepressants, non-steroidal anti-inflammatory medication, modalities such as a massage, heat, ice, acupuncture, biofeedback, cognitive behavioral therapy among others.  Low dose naltrexone has been used in research and in clinical practice to reduce inflammation in fibromyalgia patients. Intravenous micronutrient infusion has also been utilized in patients with fibromyalgia with promise in the management of fibromyalgia symptoms.

           In my experience, one of the frustrations of fibromyalgia patients is the feeling that others don’t understand the pain they experience daily. Hopefully, increasing awareness and with more public figures identifying themselves as suffering from fibromyalgia, this will further research efforts and bring forth more knowledge about this medical condition and treatments.

Melissa Alvarez Perez, MD

1 comment:

  1. Interesting!! I never considered it that way. I came across this site as of late which I suppose it will be an incredible utilization of new plans and informations.
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