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“Expert Care with Caring Hands”
Total Health Center is a full service physical/occupational therapy clinic where expert patient care is our first priority. We treat a full range of orthopedic and neurologic conditions. Our clinic has therapists with advanced training and
specialist certifications. Our goal is to help you, the patient, reach your full potential.
Fibromyalgia Syndrome- Breaking the Cycle
The diagnosis of Fibromyalgia syndrome has long posed a challenge to health care
practitioners of all types. Fibromyalgia influences all aspects of daily life including family, work and leisure activities. The exact cause of the syndrome is not well defined but it is
known to be more common in females than males.
There are several signs and symptoms that are common to this diagnosis which include:
Healthy Recipe of the
Salmon Lentil Tabouli
·4 Multiple tender points, 11/18 is the criteria
·12 Normal laboratory findings (unless other primary pathology)
There are several conditions associated with fibromyalgia including spastic colon, bursitis,
TMJ dysfunction, sinus and thyroid problems, vertigo, irritable bowel syndrome, thoracic
outlet syndrome, and chronic fatigue syndrome. People may also show an increased
sensitivity to noise, caffeine and temperature.
The good news is that there can be improvements with proper rehabilitation.
Pharmacological treatment is sometimes attempted but as many as 50% of patients fail to
respond to medications. This is where physical therapy comes in. Physical therapists can
address cardiovascular fitness training, stretching, manual therapy (including myofascial
release), postural re-education, and strengthening.
Nutrition is an important factor to consider as well because research has shown
vitamin/mineral deficiencies to be a perpetuating factor of trigger points.
Following are some tips on nutrition and fibromyalgia:
1 1/2 pounds salmon fillet, wild Alaskan if possible
Eliminating 4 foods completely from your diet will help you.
pot. Cover and bring to a boil. Reduce to a simmer and cook,
bowl, toss together olive oil, lemon, garlic, scallion, parsley,
When lentils are finished, drain, rinse with warm water, add to
lemon juice and salt, rinse under cold water; dry with a paper
Coat with two teaspoons oil and cut into six pieces. Oil a grill pan
5. Red meat (especially salt cured, cured bacon, smoked, or nitrate cured)
salmon on heated grill. Cook for six to eight minutes per
7. Colas, soda pop, and carbonated beverages
11. Prolonged periods of direct sun exposure
There has been little information available from the scientific community on
nutrition and diet for Fibromyalgia patients. Research has not yet proven that
any specific foods affect Fibromyalgia, positively or negatively. But we do know and kind.- Evelyn
that eating a good balanced diet helps everyone’s body function at its best.
Good nutrition can help in your health and healing. Eating healthful foods
including those low in fat and high in immunity boosting antioxidants and
phytochemicals may work together to help maximize energy and alertness and you could do to make minimize constant fatigue and lethargy.
Some unsubstantiated studies claim that carbonated beverages leak
phosphorus from your bones, and the aspartame (NutraSweet) in sodas cause
memory loss. Others have claimed the sugar in carbonated beverages (some
as many as 12-14 teaspoons) may contribute to yeast problems.
Caffeine in soda and other beverages is a diuretic, which means you need to
drink additional water to replace the lost water. Scientists at Washington State is excellent and my knee University found that caffeine makes people lose calcium in their urine faster
than they usually do. Caffeine can also put added stress on the adrenal glands
and the liver. Since most Fibromyalgia sufferers may have adrenal malfunction Norma
due to chronic stress and inadequate nutrition it is probably wise to avoid the
If you subject your body to highly refined, over-processed foods, sugar,
caffeine, junk food, highly processed starches, additives and preservatives, and changed. I love the
highly acid foods, it is possible that your body will suffer because of an already atmosphere.- Vicki compromised immune system that may be found in many Fibromyalgia
Most processed foods are often adulterated by heating, and are full of
additives, preservatives, colorings, salt and sugar. Fried foods and salt have
been found to aggravate pain or swelling in some Fibromyalgia patients. By the way, most drinks purchased at a store have been processed including soda,
bottled juices, coffee, alcohol and others. Since many Fibromyalgia patients are
sensitive to food, drugs, chemicals and pollutants in the environment anyway it is important we do not subject our bodies to more than what’s necessary.
Even many non-processed foods or "natural" foods can be hazardous to the
health of Fibromyalgia patients. Many Fibromyalgia patients are chocoholics.
Chocolate is high in fat and caffeine. According to Mark Pellegrino in his book,
Fibro Survivor, reducing fatty intake could increase energy. Don’t be fooled
when buying dietary chocolate, which has no added sugar. Although they may
have replaced the sugar with manitol or NutraSweet the fat caloric content still remains high. Therefore a low fat diet is recommended. This means chocolate
Exercise of the
should not be ingested or should be eaten in moderation.
Certain foods have been found to cause fatigue. Some Fibromyalgia patients
find that highly acidic foods such as citric, foods in the nightshade family like
tomato, potato, eggplant, and peppers, red meat, cow milk products, brown
and white wheat flour products, sugar containing foods, coffee, chocolate all
Different foods affect each individual Fibromyalgia patient differently. For
instance some Fibromyalgia patients have severe food allergies for dairy,
wheat, corn, nightshade family plants, etc. whereas others do not. You can
discover your own food sensitivity by eliminating foods that trigger pain.
Keeping a food diary
can help. In your diary write down everything that goes
into your mouth and at the same time track your Fibromyalgia pain. By
comparing the two you may discover that certain foods may trigger allergies or
Some Fibromyalgia patients have a low carbohydrate intolerance or reactive
hypoglycemia (low blood sugar) that occurs after eating carbohydrates. This
can cause problems metabolizing carbohydrates, inability to lose weight,
fatigue, carbohydrate craving and worsening symptoms. Carbohydrates stimulate insulin production. Excess insulin can cause an increased uptake of
sugar into muscle and liver, which can be stored as fatty acids in fat cells, and prevent carbs from being used.
Because of the biochemical changes in Fibromyalgia patients, it makes good medical sense to try a low carb, high protein diet. Protein diets can decrease
cravings, increase energy, lose weight and help with hypoglycemia. Watching carb’s like bread, potatoes and refined sugars
. There are many fad protein
diets like Sugar busters, Zone, Adkins and other low carb diets. However, some Fibromyalgia patients do not tolerate a protein diet as well as others, so
experiment and find what works for you. Typically a 30/30/40 ratio of carbohydrate, fat and protein works well to maintain an optimum weight.
During the transition time to healthier eating, try not to indulge in sugar, fat and processed foods. These cravings are normal and will become fewer and
further between as time goes on. Of course, people who do not suffer from Fibromyalgia also have the same cravings.
People with Fibromyalgia need to take extra care to eat well. Try to incorporate
into your diet. Eat a piece of raw fruit or vegetable for breakfast
and a raw vegetable or salad for lunch. Raw foods contain enzymes that can
assist in the digestion of foods. Raw foods are full of antioxidants and phytochemicals that help boost the immune system.
Along with vegetables, and fruits, omega 3 fish oil contains anti-inflammatory
properties. Eating well does not mean you have to starve yourself or totally
eliminate all the foods you love. Rather make small gradual changes and
focus on the foods you enjoy.
Along with nutrition and physical components, there are also psychological
aspects. A patient’s outlook and perception of their symptoms helps to
determine the outcome of rehabilitation. As with all pain syndromes, a vicious cycle can occur where pain, inactivity, de-conditioning and injury become
Office of the Contractor-General Public Body Contract Awards (J$250,000 to J$3,999,999.99 in Value) Quarterly Contract Awards (QCA) Report QCA Report submitted to the Contractor General pursuant to Section 4(2)(a) and 4(3) of the Contractor-General Act COMPLETE ONLY AFTER READING INSTRUCTIONS IN APPENDIX B . SELECT APPLICABLE PRINT RANGE BEFORE PRINTING SECTION 1 (1) Name of Report
2013 Changes Aetna’s Preferred Drug, Precertification, Quantity Limit, Step- Therapy and Specialty Care Rx Lists Updated 9/7/12 Medications added to the Preferred Drug List ( * = may be added prior to 1/1/13) COMBIVENT RESPIMAT* 9/1/12 VIIBRYD KIT *8/1/12 DUTOPROL *8/1/12 MICARDIS *10/1/12 STRATTERA *9/1/12 EFFIENT *9/1/12 MICARDIS HCT *10/1/12 VIIB