Tag: Fibromyalgia

An in-depth guide on Fibromyalgia, covering its symptoms, causes, treatments, and tips for managing this chronic condition effectively.

  • Finally Morgan Freeman Opens up his ‘Struggle’ about Fibromyalgia

    Every so often he grabs his left shoulder and winces. It hurts when he walks when he sits still when he rises from his couch, and when he missteps in a damp meadow. More than hurts. It seems a kind of agony, though he never mentions it. There are times when he cannot help but show this, the fallout from a car accident four years ago, in which the car he was driving flipped and rolled, leaving Freeman and a friend to be pulled from the car using the Jaws of Life.

    Despite surgery to repair nerve damage, he was stuck with a useless left hand. It is stiffly gripped by a compression glove most of the time to ensure that blood doesn’t pool there. It is a clamp, his pain, an icy shot up a relatively useless limb. He doesn’t like to show it, but there are times when he cannot help but lose himself to a world-ending grimace. It’s such a large gesture, so outside the general demeanor of the man, that it feels as if he’s acting.

    “It’s the fibromyalgia,” he says when asked. “Up and down the arm. That’s where it gets so bad. Excruciating.”

    This means Morgan Freeman can’t pilot jets the way he used to, a hobby he took up at sixty-five. He can no longer sail as well. There was a time when he would sail by himself to the Caribbean and hide out for two, three weeks at a time. “It was complete isolation,” he says. “It was the best way for me to find quiet, how I found time to read.” No more. He can’t trust himself on one arm. He can’t drive, not a stick anyway, not the way he used to — which is to say fast, wide open, dedicated to what the car can do.

    And he can’t ride horses as much, though once he rode every day.
    He never mentions any of it as a loss, though how could it be anything else? He never hints around about the unfairness of it. “There is a point to changes like these. I have to move on to other things, to other conceptions of myself. I play golf. I still work. And I can be pretty happy just walking the land.”

    Wait. How can he play golf with a clipped wing like that? How can you swing a club when you can’t lift one of your arms?

    “I play one-handed,” he tells me. “I swing with my right arm.”
    How does that work out for you?
    “See for yourself,” he says. “I’m playing at 3:00 today.”

    Freeman’s revelation that he has fibromyalgia spread like wildfire through the FM community.  Finally, here was an A-list celebrity acknowledging he had been diagnosed with FM.  A handful of other celebrities have had the courage to speak up about their FM, for which we are extremely grateful, but as yet none have had the super-star power of Morgan Freeman.

    Almost immediately FM patients and advocates began calling on Freeman to speak out on behalf of others with fibromyalgia.  It’s even been rumored that a large national FM organization has approached him about being their spokesperson.  While most in the FM community seem to strongly support that idea, a few have questioned the wisdom of Freeman being an FM spokesman.

    From what I have read, those who are hesitant about Freeman representing the FM community appear to have three concerns:

    Does he really have fibromyalgia since he only mentioned pain in his left shoulder and arm?
    He is still very active and therefore would present an inaccurate picture of how debilitating FM can be.
    Since most people with FM are women, as a man he would not be representative of the majority of patients.
    Let’s take a closer look at each of these concerns.

    Does he really have fibromyalgia? – I have to admit the first time I read the article I, too, wondered whether he had been diagnosed correctly.  But when I reread it, I noticed that he said, “Up and down the arm. That’s where it gets so bad. Excruciating.”  His statement, “That’s where it gets so bad” sounds like he probably has other pain but it’s the pain in his arm that is the worst.  For many years, I could have made a similar statement about my left hip.  Although I had body-wide pain almost all the time, it was the pain in my hip that was usually the worst.

    We also have to remember that the purpose of this interview was not to discuss Freeman’s fibromyalgia.  The author simply noticed Freeman grimacing several times and asked him about it.  It’s logical that Freeman would only mention the pain he was experiencing at the time.  Or perhaps he did go into more detail but when composing the article, Chiarella chose to include only what he felt was most important.

    So is whether or not Freeman really has fibromyalgia a valid concern? Absolutely.  When we’re talking about someone being a spokesperson for a disease, it’s legitimate to want to be sure they actually have the disease.  We just shouldn’t jump to any conclusions based on one isolated statement.

    Morgan Freeman opens up his ‘struggle’ about fibromyalgia

    His activity level doesn’t paint an accurate picture of FM.–  People with FM fall into a wide range of functioning abilities.  Freeman appears to be fairly high-functioning since he continues to work and play golf.  The article did note, however, that he has had to give up several activities that he loved.  On the other hand, some people with FM are completely disabled, unable to handle even basic self-care tasks.  The rest of us fall somewhere in between.  While Freeman’s activity level should not preclude him from representing people with FM, I would hope that part of his message would be to describe just how debilitating FM can be and to explain that different patients have different levels of disability.

    As a man, he is not representative of the average FM patient.– Frankly, I think the fact that he is a man with FM is a positive thing.  Whether we like it or not, when it comes to health issues, men are still given more credibility than women.  Studies have shown that health care professionals are more likely to take a man’s symptoms seriously, but attribute a woman’s symptoms to emotional causes.  Although the acceptance of FM has come a long way in recent years, there are still some people, including some medical professionals, who don’t believe it is real.  Therefore, having a well-known and highly respected man like Morgan Freeman speak out about FM might help improve our credibility among the doubters.

    Given the repeated urgings to step up and be a spokesperson for fibromyalgia, I sometimes wonder if Freeman wishes he had never mentioned it.  He probably never dreamed uttering that one word in the middle of a multi-hour interview would ever garner so much attention.

    In our enthusiasm to have a prominent celebrity like Morgan Freeman speak out on our behalf, I think we need to keep in mind how doing so could impact his life.  Years ago celebrities did everything in their power to keep any health problems secret because revealing an illness could ruin their careers. 

    Although Hollywood seems to be a little more accepting these days, I suspect there is still some hesitation about casting an actor who has a known health issue.  And even if his career is not a major concern, Freeman strikes me as the kind of man who prefers not to dwell on his pain and what he can’t do but rather to push ahead and focus on what he can do.

    Yes, it would be wonderful if Morgan Freeman would decide to become an advocate for fibromyalgia.  The entire FM community would welcome him with open arms.  His support could do wonders for increasing awareness and raising money for research.  But ultimately it’s a personal decision – each of us has to decide what is best for our lives at any given point in time.  While I hope he’ll choose to use his celebrity to help others with FM, I’ll respect his decision either way.

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    For More Information Related to Fibromyalgia Visit below sites:

    References:

    Fibromyalgia Contact Us Directly

    Click here to Contact us Directly on Inbox

    Official Fibromyalgia Blogs

    Click here to Get the latest Chronic illness Updates

    Fibromyalgia Stores

    Click here to Visit Fibromyalgia Store

  • Heartbreaking letter from a Bristol woman who suffers from debilitating disease fibromyalgia

    What happens when your life starts to unravel?

    For 23-year-old Peyton Connor, that happened last May when she was diagnosed with fibromyalgia.

    The long-term chronic condition can cause increased sensitivity to pain, extreme fatigue, difficulty sleeping, and memory loss.

    After collapsing at work at the end of 2015, several tests revealed she had the condition, which has changed her life completely.

    The condition can cripple, can cause people to fall into isolation. Some sufferers lose their social life altogether.

    Here, Peyton pens a heartbreaking letter to those closest to her.

    A Letter to my Loved Ones (What I Wish You Knew)

    Dear family, dear friends,

    First of all, please know how much I love you. I am so grateful that you’ve stuck around and put up with me and all the craziness that has surrounded me since I got poorly.

    I couldn’t have gotten through the grueling diagnosis stage, and through all the disbelief from the ones that didn’t think I was sick without your support.

    While I proved them wrong, you’ve no idea how much I wish they were right – that there was nothing wrong, and it was all make-believe.

    I wish that I could put into words how genuinely heartbroken I am.

    Unless you’ve been in my shoes, you cannot understand how painful it is to see so many opportunities snatched away from you, so many dreams gone, before you even had the chance to grasp at them.

    It’s a pain that is both mental and physical – an ache in my head and in my heart.

    Life throws these things at us for a reason, and we have to find a way to survive it, but that doesn’t make it an easy thing to do.

    We adapt to the situation we’re in because we have to. It’s the only choice we have, to keep going.

    Not only am I heartbroken, but I am also angry. Who wouldn’t be?

    We ask ourselves why us, why me, but there are no answers to those questions.

    Think about them for too long and you’ll go crazy. It doesn’t start out as a bright fiery kind of anger, but instead, it smolders.

    Enough that you don’t feel it at first. But then it adds a layer. And another. And another. Until everything is mired in hatred.

    This illness is like a thief, but it’s a clever thief. This thief knows better than to come in and steal everything in one fell swoop.

    That would be too easy, too noticeable, and it would be over too soon.

    Instead, this particular thief is cautious. He hides in the shadows, taking things one at a time so that at first you don’t even notice.

    You brush it off with a shrug when you notice the shaking starting up randomly. You ignore that creak of pain that’s always in the same place and doesn’t seem to shift.

    You laugh off the memory loss, and you cover up the fact that you’re having accidents – jokes about keeping your legs crossed when you cough in the future. You keep going.

    And because you keep going, you push through all the demons pulling at you, people think you’re fine. You reaffirm this belief by telling them again, yes indeed, you are fine.

    When they express their concerns you tell them convincingly that it’s just a cold, a touch of flu, that time of the month. You lie for it. Because in life we are taught only how to keep moving forward.

    And when you find yourself believing the lie, then and only then is when the thief will strike.

    He will gather up all of his collection, along with a few new things he’s found lying around your body, and he will leave. He will be sure to disconnect a few wires, and short fuse a few sockets in your mind before he goes.

    And that is when reality hits you. All at once, you are not the person you used to be, and who you are now is a stranger to you.

    Coming face to face with an impostor in your brain, after 23 years of solitude, of control… is terrifying.

    It is ingrained in you to fight this impostor. We don’t like to let strangers take control. But they’re much stronger than we are.

    We try to fight the impostor, to medicate them into submission, to talk them out of their position. We try to think positive, exercise, and diet, and change parts of ourselves in the hopes of driving the impostor out of our minds… but the joke is on us.

    These changes are just his subtle way of getting an even firmer hold on us. We played into his hands.

    So, what is left for us to do, except adjust, accept the rules this impostor, this thief, has made necessary, and adapt to those conditions.

    We change our entire lives, we change all our habits, and we kiss goodbye to dreams we’ve had since childhood. We accept that it wasn’t meant to be.

    So, all that is left is to ask of you, my loved ones, my friends… to accept this too. Accept that what we do is not out of choice, but more because we had no choices left to make.

    Accept that we are not weak, but simply used up all of our strength.

    Accept that we are not lazy, but tired.

    And accept that we do not like these changes anymore than you do.

    But as history shows, we are built to adapt. So we did.

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    For More Information Related to Fibromyalgia Visit below sites:

    References:

    Fibromyalgia Contact Us Directly

    Click here to Contact us Directly on Inbox

    Official Fibromyalgia Blogs

    Click here to Get the latest Chronic illness Updates

    Fibromyalgia Stores

    Click here to Visit Fibromyalgia Store

  • Weekly dose: Lyrica, the epilepsy drug that treats chronic nerve pain

    Lyrica is the brand name for a prescription medicine called pregabalin. Although it is an anticonvulsant or an anti-epileptic drug, pregabalin is commonly prescribed to alleviate nerve or neuropathic pain – a type of pain caused by damage to, or a disease affecting nerves.

    Neuropathic pain doesn’t normally respond to common painkillers such as ibuprofen or paracetamol. This is because the mechanisms that cause neuropathic pain are different from the underlying causes of other pain.

    History

    Pregabalin is closely related to gabapentin, a medication developed to treat partial seizures. This is a type of epilepsy caused by a surge in nerve cell excitability in one area of the brain.

    Because nerve pain and epilepsy are related to abnormal levels of nerve excitability, an American neurologist tested gabapentin on patients in the mid-1990s and found it relieved their neuropathic pain.

    Both are recommended as first-line treatments for nerve pain by the International Association for the Study of Pain. Lyrica was approved in 2004 in the United States for the treatment of partial seizures of epilepsy and some neuropathic pain.

    Subsequently, pregabalin was developed as an improved version of gabapentin. The amount of pregabalin absorbed into the bloodstream increases in a linear fashion; unlike gabapentin, where the dose goes up, the proportion absorbed into the bloodstream goes down. This makes the effects of pregabalin more predictable than those of gabapentin.

    In 2007, pregabalin was approved in the United States to treat fibromyalgia, a chronic disorder characterized by pain and muscle tenderness throughout the body. In Australia, it was registered by the Therapeutic Goods Administration in 2005.

    How it works

    In neuropathic pain, damaged nerve fibres are hyper-excitable, which means sensations such as light pressure or touch, which are normally barely felt, are perceived as painful.

    Pregabalin (and gabapentin) are thought to interact with specific proteins in nerve endings in the brain and spinal cord. This reduces the entry of calcium ions into nerve terminals to dampen the release of pain neurotransmitter molecules in the spinal cord and brain.

    How Lyrica is used for pain

    Nerve pain is more severe than non-neuropathic pain. Patients with persistent nerve pain often describe it as intense burning or shooting sensations in their arms, hands, fingers, legs, feet, or toes. Because it’s often poorly relieved by available medications, the pain is unrelenting and intrudes into all activities of daily living.

    About 7% to 8% of adults have chronic pain with neuropathic characteristics. These include: feeling pain from light pressure or touch, such as clothing; hypersensitivity to mildly painful events such as bumps or knocks; burning, tingling and pins and needles; and abnormal sensations, such as ants crawling under the skin when touched.

    Some groups have a higher prevalence of neuropathic pain than others, particularly those who suffer from conditions that cause damage to the nerves, such as those with diabetes or following a bout of shingles.

    Neuropathic pain is also common after certain operations, such as a mastectomy, and affects about 35% of people with HIV infection. About 20% of cancer patients with chronic pain will have pain with neuropathic characteristics either because a tumor is pinching one or more nerves or because of damage to nerves that results from the cancer treatment itself.

    The recommended pregabalin dose to relieve nerve pain is 150 mg to 600 mg per day. The doctor will initially prescribe a relatively low dose that is typically 75 mg once or twice daily, and 25 mg once or twice daily for the elderly or children. This will gradually be increased over several months.

    How Lyrica is used for epilepsy

    In people with partial seizures, a doctor may prescribe pregabalin as an add-on treatment to other anti-epileptic medications. But it is not the best add-on treatment for everyone.

    The doctor will gradually increase the dose, usually starting at 75 mg twice a day or 50 mg three times a day. The goal is to reach the dose that gives the best control of partial seizures without causing troublesome side effects.

    What it costs

    Pregabalin capsules are marketed in strengths ranging from 25 mg to 300 mg. It’s listed on the Pharmaceutical Benefits Scheme in Australia, which means you pay up to A$38.30 for a pack of 56 capsules or A$6.20 if you have a concession card.

    How many people use it?

    When pregabalin was first listed on the Pharmaceutical Benefits Scheme in 2013 to treat neuropathic pain, the then health minister announced it would help 270,000 Australians. However, between June 2015 and 2016, pregabalin’s item number was claimed around 650,000 times. This may be because the effects of pregabalin are more predictable than those of its predecessor, gabapentin.

    Side-effects

    The main side effects of pregabalin are drowsiness, dizziness, impaired balance, and an inability to think properly. These are more likely to occur soon after treatment starts and may diminish with time. Less common side-effects include blurred vision, dry mouth, fatigue, and weight gain.

    Side-effects are the main reason patients stop taking pregabalin for nerve pain. So it is really important that the initial dose is not too high and that the dosage gets increased slowly, especially in older people and those with impaired kidney function.

    Special considerations

    Pregabalin is excreted from the body in urine through the kidneys. People with impaired kidney function need lower doses of pregabalin as the drug would be excreted more slowly. Pregabalin is not broken down in the liver so it does not interfere with the liver breakdown of other medications.

    Prolonged use of pregabalin does not produce tolerance and dependence, nor does it have the same potential for misuse, abuse, or addiction. Pregabalin can also be used safely with other painkillers such as paracetamol and morphine.

    https://fibromyalgia-6.creator-spring.com/
    https://www.teepublic.com/stores/fibromyalgia-store

    Click Here to Visit the Store and find Much More….

    For More Information Related to Fibromyalgia Visit below sites:

    References:

    Fibromyalgia Contact Us Directly

    Click here to Contact us Directly on Inbox

    Official Fibromyalgia Blogs

    Click here to Get the latest Chronic illness Updates

    Fibromyalgia Stores

    Click here to Visit Fibromyalgia Store

  • Music Therapy can Reduce Fibromyalgia Pain

    In fibromyalgia patients, music therapy can reduce pain, depression, anxiety, and improve sleep. The findings come from researchers at the University of Granada who found that music therapy combined with relaxation techniques can help improve many areas in the lives of fibromyalgia patients. With improved depression, anxiety, sleep, and reduced pain, a patient’s quality of life can greatly improve.

    Study participants were fibromyalgia patients from Spain who underwent a basal test prior to treatment, a post-basal test four weeks after the treatment, and another one eight weeks after the treatment.

    The researchers applied a relaxation technique based on guided imagery and music therapy led by a researcher. Patients were also given a CD to listen to at home. Researchers measured variables associated with the main symptoms of fibromyalgia and then the patients were given an opportunity to participate in their own treatment.

    The researchers suggest that guided imagery and music therapy is a cost-effective, easily implemented, and overall effective treatment for fibromyalgia patients. The researchers noted, “Further empirical research studies are needed to address other physiological variables associated with the well-being generated by these two techniques, and that analyzes patients’ self-efficiency and personal power to get involved in their own treatment.”

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    Manage fibromyalgia pain through music therapy

    Music therapy is an effective mode of treatment for fibromyalgia patients. It is carried out by a music therapist who assesses the patient’s needs in order to create an individualized treatment plan that can involve singing, listening, composing, and moving to music.

    Music therapy has been around for many years and isn’t just effective for fibromyalgia. In fact, music therapy can be utilized for many ailments in order to improve patients’ quality of life by helping to reduce stress, alleviate pain, and improve overall well-being.

    A patient does not need to be musically inclined in order to benefit from musical therapy and there isn’t a specific type of music that needs to be used. A music therapist works closely with the patient to understand their own unique needs and picks music based on those needs. Although working with a therapist is recommended, there is also the so-called prescriptive music that consists of 50 to 60 beats per minute. This recorded version of music therapy also has been found to help lower blood pressure and reduce pain.

    If you have been struggling with the symptoms associated with fibromyalgia and want to try an alternative mode of treatment, speak to your doctor about a referral for music therapy as it could very well offer you benefits.

    Music can be beneficial to the management of chronic pain, as it can cause physiological changes within the brain in the regions associated with language, memory, and attention. These changes also affect the way the brain processes pain, which can lead to an overall change in the way a patient experiences pain.

    Music therapy benefits in fibromyalgia treatment

    Music therapy is especially effective for those with fibromyalgia, as it is something that can be done in the comfort of their own home. Fibromyalgia patients are sometimes too fatigued or in too much pain to make the journey to a doctor’s office, meaning therapy that can take place with minimal or no travel is especially favored. It can be completed in your own time, on your own schedule, and is cost-effective, meaning that it is easily accessible for all.

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    https://www.teepublic.com/stores/fibromyalgia-store

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    For More Information Related to Fibromyalgia Visit below sites:

    References:

    Fibromyalgia Contact Us Directly

    Click here to Contact us Directly on Inbox

    Official Fibromyalgia Blogs

    Click here to Get the latest Chronic illness Updates

    Fibromyalgia Stores

    Click here to Visit Fibromyalgia Store

  • Best Mattress for Fibromyalgia Patients

    A low-quality sleep is a major issue cited by people with fibromyalgia. And, unfortunately, there are many factors that could be contributing to this, including your bed itself.

    Sleep is hugely important for everyone, but especially for those with fibro. Sleep is the time when your body relaxes and regenerates — that is if you’re actually able to sleep.

    Whatever causes your inability to get a good night’s sleep with fibromyalgia, choosing a good mattress may allow you to finally get comfortable. And with the support of a good mattress, you’ll be better equipped to deal with fibro fatigue during the day.

    The Importance of Proper Sleep

    Fatigue is one of the main symptoms of fibromyalgia. Getting adequate sleep is essential to limiting this frustrating symptom.

    Sleep apnea, insomnia, frequent awakenings, difficulty falling asleep, and restless legs syndrome are common sleep problems that lead to fatigue the next day — and the days that follow.

    Anxiety, pain, being too hot or cold, being uncomfortable, and flare-ups can also cause you to lose much-needed deep sleep. And, a lot of the time, a hard, uncomfortable mattress just makes it worse.

    It’s much harder to manage your fibro symptoms without proper sleep; in fact, symptoms can actually worsen without the restorative power of a good snooze.

    So, aside from practicing good sleep hygiene, what can be done about getting the shut-eye you need?

    Choosing the Best Mattress for Fibromyalgia

    Yes, investing in a new mattress could be just the thing you need to sleep better. It’s so simple, isn’t it? Just ensure you choose the right kind for fibro.

    When choosing a mattress for fibromyalgia, it’s important to keep in mind how much support the mattress will offer. Memory foam tends to be a good option for someone with fibromyalgia because it can mold to the natural curvature of the body, allowing it to provide support where needed.

    However, many types of memory foam can cause you to feel hot throughout the night because it changes shape through heat. A way to combat this is to try a gel memory foam mattress; these provide the same support as regular memory foam but have a cooler surface (about five degrees cooler!) to maintain a comfortable body temperature throughout the night.

    Let’s look a little closer at some of the best fibromyalgia mattress options for you.

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    Memory Foam

    As previously mentioned, memory foam is a great choice due to its support and comfort. And while memory foam cushions your body, it’s not too soft on your joints. Choosing a softer mattress is not a great idea, as it won’t actually offer the support your joints need.

    Some great memory foam options out there are:

    • Tempur-PedicThese mattresses are available in all kinds of densities, from soft to firm. You can really customize your mattress to what works best for you.
    • Fibro-PedicConstructed from memory foam and latex foam, the Fibro-Pedic mattress was designed by a doctor (who is also the husband of a fibro sufferer) to help her, and his patients, sleep better.
    • Sleep NumberThe Sleep Number mattress is similar to the Tempur-Pedic, but you’re able to adjust each side of the bed to different angles, and even temperatures (depending on the model). There’s even an app you can use to track your sleep!

    If you’re on a budget, a memory foam topper is a good option as well. They’ll conform to your body and take pressure off tender points, without you having to shell out the money for a new mattress.

    Just remember, if your mattress is old and needs replacing, there’s only so much a topper can do to ease the pain — you may just need to bite the bullet and invest in a new one.

    Innerspring Mattresses

    Innerspring mattresses are the most common mattresses out there; the ones filled with coil springs and other foam materials.

    These are of course an option for people with fibromyalgia, but they may not be a great one. The springs provide firmer support than memory foam or gel foam, but they can also cause lumps in the mattress, making it uncomfortable. They may also have too few coils, which could lead to more pain.

    To prevent this, memory foam or some other kind of material can be placed atop the mattress to make it more comfortable. As long as it maintains its support in addition to comfort, it will help fibromyalgia patients get a good night’s sleep.

    Regardless of the type of mattress chosen for fibromyalgia patients, it is important to remember the balance between softness and support. Having a mattress that is too soft can actually be detrimental to your pain management because it can cause uneven sleeping positions and put more pressure on muscles and joints.

    The bottom line is this: if you’re not sleeping well and your mattress is to blame, it’s time to say goodbye to it. Do your research and invest in a really good one — trust us, your body will thank you!

    https://fibromyalgia-6.creator-spring.com/
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    https://www.teepublic.com/stores/fibromyalgia-store

    Click Here to Visit the Store and find Much More….

    For More Information Related to Fibromyalgia Visit below sites:

    References:

    Fibromyalgia Contact Us Directly

    Click here to Contact us Directly on Inbox

    Official Fibromyalgia Blogs

    Click here to Get the latest Chronic illness Updates

    Fibromyalgia Stores

    Click here to Visit Fibromyalgia Store

  • Gabapentin Raises Risk of Opioid Overdose

    Another study is raising questions about the safety of the anti-seizure drug gabapentin, especially when it’s taken with opioid pain medication.

    According to research published online in PLOS Medicine, combining gabapentin with opioid painkillers is associated with a significantly higher risk of dying from an opioid overdose than opioid use alone.

    “Clinicians should consider carefully whether to continue prescribing this combination of products and when deemed necessary, should closely monitor their patients and adjust opioid dose accordingly,” wrote lead author Tara Gomes, Ph.D., principal investigator for the Ontario Drug Policy Research Network and an assistant professor at the University of Toronto.

    Gomes and her colleagues analyzed data from 1,256 people in Ontario, Canada who died from opioid-related causes, and compared them with a control group of 4,619 people who also used opioid medication, but did not die of an opioid-related cause.

    Overall, 12.3% of the people who died and 6.8% in the control group were prescribed gabapentin in the prior 120 days. After adjusting for additional risk factors, the researchers estimated that the combination of gabapentin and opioids was associated with a 49% higher risk of dying from an opioid overdose.

    Although gabapentin is an anticonvulsant originally developed as a treatment for epilepsy, it is now widely prescribed for neuropathy and other chronic pain conditions, sometimes in combination with opioids.

    Until now, no previous study had examined the risks of using gabapentin and opioid medication simultaneously, even though both are known to cause respiratory depression that can lead to an overdose.

    “Our study has important implications for public health, particularly given the high degree of co-prescription. Almost 10% of patients treated with an opioid in our study also used gabapentin, while nearly half of patients treated with gabapentin were co-prescribed opioids,” said Gomes.

    “Gabapentin is frequently used as an adjunct to opioids for neuropathic pain syndromes, but physicians may not be aware of the potential for respiratory depression with this drug; thus, increased awareness among patients and clinicians about the potential for a life-threatening interaction between these drugs is essential.”

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    The researchers believe pregabalin, an anticonvulsant that acts similarly to gabapentin, may also raise the risk of overdose when taken with opioids. But they were unable to test their theory because of the limited use of pregabalin during the study period.

    Both pregabalin and gabapentin are produced by Pfizer — under the brand names Lyrica and Neurontin — and are two of its top-selling drugs. Pfizer did not respond to a request for comment on the Canadian study.

    A previous study linked pregabalin and gabapentin to an uptick in opioid overdoses in England and Wales. Some addicts believe the drugs can boost the “high” they get from heroin and other illicit substances.

    Gabapentin is approved by the FDA to treat epilepsy and neuropathic pain caused by shingles. It is also prescribed “off-label” for depression, migraine, fibromyalgia, and bipolar disorder. About 64 million prescriptions were written for gabapentin in the U.S. in 2016, a 49% increase since 2011.

    Pregabalin is approved by the FDA to treat diabetic nerve pain, fibromyalgia, epilepsy, post-herpetic neuralgia caused by shingles, and spinal cord injury. It is also prescribed off-label to treat a variety of other conditions.

    The CDC’s opioid prescribing guidelines recommend both pregabalin and gabapentin as alternatives to opioids, without saying a word about their potential for abuse or side effects. Pfizer has signed agreements with local prosecutors in Chicago and Santa Clara County, California to support the CDC guidelines and withdraw funding from patient advocacy groups and non-profits that question their validity.

    A recent commentary in The New England Journal of Medicine warned that gabapentinoids — the class of medication that Neurontin and Lyrica belong to — are being overprescribed.

    “We believe… that gabapentinoids are being prescribed excessively — partly in response to the opioid epidemic,” wrote Christopher Goodman, MD, and Allan Brett, MD. “We suspect that clinicians who are desperate for alternatives to opioids have lowered their threshold for prescribing gabapentinoids to patients with various types of acute, subacute, and chronic noncancer pain.”

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  • Fibromyalgia Treatment Diet Plan Patients Must Know To Get Relief Of Pain

    Fibromyalgia Treatment

    Alcohol

    Fibromyalgia Treatment: it’s time to bid adieu to alcohol. Well, not entirely. An occasional beer or wine indulgence isn’t a bad thing. Excessive alcohol consumption, though, is never good for anybody. Sugar is a part of alcohol’s chemical makeup. Prolonged alcohol consumption hinders the body’s natural detox processes — which is how liver disease happens — and it also impacts gut flora. Alcohol has other side effects, and alcoholism-related depression benefits nobody, especially the affected person’s loved ones. Instead, grab an unsweetened tea and pretend it’s a beer.

    Dairy

    “Gluten-free” is now a tag that appears on packaged food for people with a heightened sensitivity to gluten. Gluten literally means glue in Latin, and it’s named so because it’s a protein-and-starch composite that gives wheat and other grains their chewy nature. Some people suffer from an autoimmune disorder called celiac disease that involves the onset of rather severe symptoms like abdominal bloating, vomiting, diarrhea, and joint pain.

    They’re unable to consume grains in the same way a lactose intolerant person abstains from whole milk. How this all relates to grains is the diet of cattle. The milk the cow’s yield is loaded with gluten because that’s what they’re fed. A gluten-mimicking protein called casein forms after preservation and pasteurization. This spells bad news for anyone with celiac disease and, by proxy, Fibromyalgia Treatment, and joint disease. Unpasteurized milk is the better choice.

     Grains

    Fibromyalgia Diet: As mentioned, grains have gluten. A physiological intolerance to grains leads to inflammation and perhaps celiac disease. Lectins and other chemical triggers interfere with the absorption of magnesium, calcium, zinc, and other essential nutrients.

    Sugar is a particularly volatile substance to put in the body. White sugar and high fructose corn syrup radically affect the body’s ability to maintain its immune defenses. The  Fibromyalgia Diet consensus is that inflammation originates in the gut — the nerve center of the immune system — and sugar’s damaging presence there does exactly that.

    GMO Cooking Oils

    Here’s a heavy one, and the heavy is in the oil: Fibromyalgia Diet genetically modified cooking oils. The most common vegetable oils people cook with are made from corn, soy, and canola. They are also the worst cooking oils one can buy. All three, and any similar refined GMO-derived substance, have a hand in inflammatory pain. The only cooking oil to use is EVOO or Extra Virgin Olive Oil — read the labels and look for the words organic and certified.

    The above foods are quite easily avoided and once they’re gone, they won’t be missed. Healthful organic foods are abundant today. Organic shopping might cost a little more, but it’s not how you steer the car, it’s the grade of fuel you put in the tank!

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  • 21 Little Things Partners Have Done for Their Loved Ones With Chronic Illness

    Sometimes all it takes is a simple gesture from someone you love to help you feel a little bit better.

    We asked people who live with chronic illnesses to share one (seemingly) small thing their partner has done for them that touched their hearts.

    This is what they had to say:

    1. “[My partner] reminds me daily I am wanted and needed and not just a burden.” — Ally Small

    2. “I often feel bad that I can’t do ‘normal couple things’ with him like walking or standing much, going out when our friends do or even holding hands properly, so we often struggle to find ‘things to do other than just hanging around (which is lovely in its own right). One day he suggested we could go to the local nature preserve and he could wheel me around. He didn’t suggest we go for a walk (which would either make me feel bad because I would have to tell him I can’t walk that much or we would both know that ‘walking’ really meant ‘rolling’) but actually used the proper wording. He didn’t know how much that simple syntax meant to me until a few weeks later. It was at that moment I realized that he just ‘got it and understood me more than either of us thought. It was the perfect example of automatic acceptance.” — Katie Taaffe

    3. “My husband is a research scientist. We were together 11 years before I got my diagnosis. When we finally had a name for what plagues me (severe rheumatoid arthritis) he read all of the medical literature available and [now] attends all of my medical visits including exams but doesn’t say a word unless I ask him for his opinion. I once joked he was more of an expert about my illness than I was and he dropped what he was doing, wrapped me in a hug, and said, ‘You’re my hero. I’m just your biggest fan.’” — Joy Hanford

    4. “My boyfriend came home from the marines when I was admitted for fistulas, and he slept on the floor the whole week so he could be with me in the hospital.” — Grace Shockey

    5. “My boyfriend has been my partner for going on seven years and caretaker for four years. He gets my medication for me every night. He brings juice and keeps track of all of my different pills for different nights.” — Katelyn Burd

    6. “My partner does little things every day. He helps me keep my dignity by not [making me] have to ask for help when I need it most but am too stubborn to ask.” — Emma-Jayne Tucker

    7. “I have ulcerative colitis so spend a lot of time in the bathroom. My husband wanted to give me something I could put all around the house to look at and feel better and know he’s there for me when I’m not feeling well. He bought a dozen little jars with a piece of chalkboard on the front. He wrote our initials on the chalk and put a folded-up copy of the lyrics to our wedding song inside each bottle. There is now a bottle in every bathroom, the kitchen, and all the bedrooms. It makes me smile every time.” — Heather Hecht

    8. “My husband comes to every appointment with me to get a better understanding of how my illness really affects me. When he knows I’m nervous, he says something to make me laugh, and when he can tell I’m scared, he reaches out to hold my hand. His little gestures touch my heart every time.” — Rebecca Lalk

    9. “I live with multiple sclerosis, major depressive disorder, anxiety disorder, and post-traumatic stress disorder (PTSD). My [husband] goes to work long before I wake. Before he leaves he often texts me links to funny or cute animal videos on YouTube to cheer me up in case I am wakened by a nightmare or an anxiety episode. It feels like his proactive strategy for keeping me laughing when I often want to cry.” — Shannon Gardner

    10. “He calls me every day on his lunch break. If he knows I am having a rough day (or he just senses it) he will either text or call me at least every hour.” — Shelly Jones

    11. “I suffer from chronic migraines, and at times I live in my dark, cold bedroom for days at a time. My husband of 19 years has done numerous little things that have touched my heart during my attacks, however, the one I love the most is when he climbs in bed and holds me. He doesn’t ask me how I am feeling because he already knows, he doesn’t try to fix my pain because unfortunately he cannot… he is simply there, loving me unconditionally.” — Robyn Eastwood

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    12. “We’d been walking for a while, and he realized by the end of the walk I was starting to lean on him. I try my best not to most of the time, but I just didn’t realize it that night. When he felt me putting my weight on him, he asked if I was OK. I brushed it off, but he could tell I was really hurting. He picked me up. I vigorously protested because I was so embarrassed. I never wanted him to see my weakness. Not only did he accept me, but he didn’t look at me any differently. Not even for a second. He carried on the conversation we were having and carried me all the way home.” — Destin Shyann

    13. “He told me, while I was mid-migraine, that he was not leaving. He said, ‘I need to make sure you are going to be OK.’” — Kristin Marie Kaskeski

    14. “When I was hospitalized for the first time my husband packed me a picnic tea party complete with a teapot, my best teacups, and even a pretty tablecloth. We also wrote letters to each other every day and exchanged them at night during visiting hours. He’s also done really hard things for me too. Like when I would call him on the first night of my hospitalizations begging for him to take me home, weeping, and he would say he loves me but no, it breaks his heart, but I have to do this. Through all of this, he’s my hero.” — Claire Nieuwoudt

    15. “I recently had one very good day where I had managed to shower, dry my hair, get dressed, and put on makeup. I joked, ‘I’m pretending to be a normal person today.’ He wrapped his arms around me, kissed me on the forehead, and said, ‘Just be a normal you.’ It told me he accepted me for who I am, illness and all.” — Jen Keating

    16. “He lets me ask for help. He knows it makes me feel bad if he swoops in every time I struggle to open something or pick something up. He’s there when I need him, but he lets me make that call and that means so much.” — Emily Matejic Souders

    17. “He gave up school and a fantastic job to be my 24/7 caregiver — riding out each seizure with me, carrying me to the bathroom, bathing me, taking me to each appointment, etc. He’s given up everything to fight for me.” — Melody Hitzeroth

    18. “[My partner] washes my hair and ties my shoes when I don’t have the energy. I have multiple sclerosis (MS) and am seven months pregnant. Small things add up.” — Jordann Chitty

    19. “He will just hold me. Any time I am symptomatic he will just hold me and it’s enough to help improve my mood and make everything seem tolerable and manageable. I don’t know if I would be doing as well as I am without him.” — Hallie Ervin

    20. “[My partner will] ignore it, but not me. I’ll be doubled over, and she’ll ask if I’m good, and if I say, ‘Yes just dealing,’ she’ll leave it at that. She won’t hover or get in my way. She just keeps on about her business, still talking and interacting as much as she sees I can stand.” — Loretta Woods

    21. “He believed me and helped fight for answers.” — Jennifer Peterson

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  • Jeff Sessions Says People Should ‘Tough It Out’ and Take Aspirin Instead of Opioids

    U.S. Attorney General Jeff Sessions recently shared his idea for solving the opioid crisis: aspirin, sleep, and less marijuana.

    Speaking at an event in Tampa on Tuesday to celebrate Ronald Regan’s birthday, Sessions said his goal for 2018 is to see a greater decline in the number of opioids prescribed (he said last year there was a 7 percent decline).

    “We think doctors are just prescribing too many. Sometimes you just need two Bufferin or something and go to bed,” Sessions said. “These pills become so addictive.

    Bufferin is an over-the-counter aspirin with an antacid. Sessions said according to the Drug Enforcement Agency, a “huge percentage” of heroin addiction starts with opioid prescriptions.

    “That may be an exaggerated number, they had it as high as 80 percent. We think a lot of this is starting with marijuana and other drugs too,” Sessions said. “But we’ll see what the facts show, but we need to reduce the prescription abuse and hopefully reduce the addiction that’s out there.

    On Wednesday, Sessions doubled down on his previous remarks during a speech to Tampa law enforcement.

    “I am operating on the assumption that this country prescribes too many opioids. People need to take some aspirin sometimes and tough it out a little bit,” Sessions said, then cited White House Chief of Staff John Kelly as someone who refused to take painkillers after surgery on his hand. “You can get through these things.”

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    Sessions’ remarks were met with criticism from the chronic pain community, who explained that pain relief isn’t always as simple as “taking aspirin and going to bed.”

    AS I’M ONE OF THOSE CHRONIC PAIN SUFFERERS, COMPLEX REGIONAL PAIN SYNDROME (CRPS), ALLOW ME TO ADDRESS THE OBVIOUSLY IGNORANT AG, WHO HAS NO IDEA WHAT HE’S TALKING ABOUT!

    CHRONIC PAIN SUFFERERS ARE SOME OF THE TOUGHEST PEOPLE THAT YOU WILL EVER ENCOUNTER…

    LITTLE JEFF SESSIONS HAD OBVIOUSLY NEVER BEEN IN CHRONIC PAIN. LET HIM LIVE A WEEK WITH WHAT I ENDURE DAY IN AND DAY OUT. HE’LL BE SINGING A DIFFERENT TUNE. HE SHOULD LEGALIZE MARIJUANA FOR PEOPLE IN CHRONIC PAIN SO THEY CAN WEAN OFF OF OPIODS.

    I MAY NOT PLAY A DOCTOR ON TV, BUT I AM A REAL ONE, AND I THINK
    JEFF SESSIONS IS THE WORST MAN IN AMERICA TO BE GIVING MEDICAL ADVICE OR CREATING HEALTH CARE

    Sessions’ comments are at odds with data on opioid use and addiction. The opioid crisis claimed approximately 63,000 lives in 2016, according to data from the National Center for Health Statistics. However, synthetic opioids like fentanyl caused about a third of these deaths — which have increased 88 percent per year since 2013. Heroin caused about a fourth, and prescription opioids caused 23 percent, down from 26 percent in 2009.

    Studies show the majority of people prescribed opioids do not become addicted (only between 1 and 12 percent develop an addiction). And a 2017 study found that 51.9 percent of people entering treatment for opioid use disorder started with prescription opioids, which is down from 84.7 percent in 2005. Among those, research has found that 75 percent of all opioid misuse starts with medication not prescribed to them.

    Research has also suggested that marijuana is correlated with lower opioid use. Studies have found that states with legal marijuana dispensaries have fewer opioid deaths and that chronic pain patients who use marijuana use fewer opioids.

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  • Exploring Ways To Treat Pain Without Addiction As U.S. Opioid Crisis Worsens

    Addiction to opioids often begins in the doctor’s office. These drugs are typically the only option to manage pain after an operation or in patients with serious injuries. They’re also frequently prescribed to patients with chronic pain, and it’s these patients who are most at risk for opioid addiction.

    Ted Price is an associate professor of neuroscience at the University of Texas at Dallas. His work focuses on the molecular mechanisms that cause pain to persist even after the injury that triggered it has healed.

    What he and his colleagues have discovered is that a buildup of a particular substance between neurons plays a major role in our experience of ongoing pain. That new understanding could help lead to a new treatment for chronic pain that leaves addictive drugs out of the equation altogether.

    On KERA’s Think, he talks about the future of chronic pain research — and what it might mean for the U.S. opioid crisis, which claimed more than 50,000 American lives in 2016.

    The signals behind chronic pain

    Chronic pain is defined as pain that persists at least three to six months beyond the period of normal healing, according to NIH’s National Center for Complementary and Integrative Health.

    It can go beyond acute feelings of pain. Chronic pain can result in a host of problems including cognitive disorders, clinical depression, and hair loss. The NIH reports about 11 percent of American adults to suffer from this condition.

    “For many, it’s very disturbing. Even when they’re not doing anything, they’ll feel this stabbing or burning pain coming from the limb,” Price says. “Normally, pain is a danger signal to the brain that something’s wrong, but when they look, nothing looks wrong.”

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    When we feel pain, nerve cells called “nociceptors” are activated and send that signal to the brain. When working normally, this process is helpful: It tells you that you’re hurt and you need to protect yourself. After a severe injury or surgery, nociceptors fire frequently and are meant to stop once you’ve healed.

    But in the roughly 30 percent of patients who develop chronic pain, nerve cells rewire themselves before healing, which can cause them to fire at random, months after the injury is gone.

    Price’s research focuses on this “rewiring” process, called “neuroplasticity.” It’s the idea that the nervous system can “rewire” itself throughout our lives to help us adapt to our surroundings.

    “We were originally looking at how brains learn. We had this idea that pain is a learning phenomenon, too. Synaptic plasticity, or the cellular process of learning, is common to things that are beneficial and things that aren’t.”

    There are some really complex genetic factors at play,” Price says, “but it really is a plasticity disease.”

    Opioids, tolerance and chronic pain

    Chronic pain, like opioid abuse, is often stigmatized. Price argues it’s not as important to try and quantify pain as it is to treat it more effectively. Chronic pain often affects every aspect of people’s lives. In that sense, the chronic pain epidemic and the opioid crises are one and the same.

    “There’s no question that opioids are effective for acute pain,” Price says, “but the issue that we have right now is that the drugs that we have to treat chronic pain don’t work very well and the drugs that are efficacious are incredibly dangerous.”

    While opioids are still often necessary after surgeries, Price says there’s evidence that they may actually increase the likelihood of chronic pain after surgery.

    “We need to have better, non-addictive therapeutics that are not only going to treat acute pain but also prevent the development of chronic pain,” he says. “When you take a drug more frequently over time, it requires a larger dose to achieve the same efficacy. This will actually happen in almost everyone taking opioids.”

    Tolerance is most problematic when people begin taking opioids again after a period without, Price says. Many chronic pain patients experience pain after a long period following surgery. They may take what used to be their normal dose of opioids. In many cases, this dose is enough to induce an overdose, as they may have lost their tolerance, he says.

    The leap from the lab to the pharmacy

    There is no cure yet. But Price says that science is very mature.

    The leap from preliminary research to clinical trials is difficult to navigate for many scientists, especially those in an academic setting. So Price, and many researchers like him, are starting their own companies to try and bring their research into realization on their own.

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    “If … there is one thing I try to convey to [my colleagues] … there really isn’t anybody else who is going to be quite as passionate about [turning] your ideas into medications as you are. […] It’s a steep learning curve … but it’s very exciting and extraordinarily rewarding.”

    I would argue [we’re] completely failing in trying to treat this,” Price says. “There are some interesting treatments [for migraines] which may be approved by the FDA this year, but we need to see successes like this across the board.”

    Price stresses the need to conduct clinical trials as early as safely possible so researchers don’t waste time on disproved hypotheses and patients can get treatments sooner. Price points to McGill University, in Montreal, as a good example. He attributes the success of the Canadian university to its emphasis on collaboration between basic science researchers and clinical trial labs.

    Treating chronic pain takes a multimodal approach, Price says. Treatments should go beyond painkillers and other medications; for example, exercise, whenever possible, can help dramatically. Managing pain, much like managing an epidemic, requires creativity and collaboration.

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