Posted by Ron Spallone on 01, August 2010 with
In 1986, Fibromyalgia (FMS) patients evaluated chiropractic care via a ‘questionnaire study’, as being more successful than prescribed medication.(1) Follow-up survey figures in 1991 supported the earlier findings.(2) An additional study demonstrated that chiropractors were amongst the alternative health practitioners that FMS (Fibromyalgia Syndrome) patients most frequently used.(3) Myofascial or deep tissue massage has also been a popular treatment. Supplementary studies propose that spinal manipulation (chiropractic adjustments) and myofascial therapy (myofascial release) improved some of the FMS patients’ symptoms, especially the most prolific symptom- pain.(4,5) And in yet another controlled study, para-spinal soft-tissue massage along with chiropractic spinal manipulation worked to increase FMS patients’ general sense of well-being.(6) Other studies, though, suggest that the long-term use of spinal manipulation does not measurably improve the pain and functional impairment of FMS patients.(7-9) ? These reports are why I do not use spinal manipulation as the sole modality to treat Fibromyalgia in my Denver chiropractors clinic. Contrarily, these reports are one of the reasons I sometimes do. Treatment plans must be customized to the individual. Spinal manipulation is a tool. Myofascial release is a tool and tools should be used accordingly, based on a fluctuating number of individual factors. In my clinical experience, Fibromyalgia patients who receive too much spinal manipulation or too aggressive spinal manipulation may actually react adversely and get worse. I’ve have found that most Fibromyalgia and Chronic Fatigue patients need metabolic rehabilitation as well as neurological relief. Most suffer from what I call “Nerve Exhaustion.” The fact... Read More