Monday, February 9, 2009

Fibromyalgia and Multiple Herniated Disc

Today Monday Feb 9th was a most interesting day of practice. CASE: I had a middle aged female patient in the Decatur Disc Treatment Center office who had multi level degenerative disc disease with stenosis and neuroforaminal encroachment with 2 herniations and 2 bulges in the lower cervical spine; 2 prolapsed disc in the thoracic spine at T7-8 and T8-9; and 2 herniations in the lumbar spine at L4-5 and L5-S1. She also has Rheumatoid arthritis. I have treated her for several years. She has been through several rounds of DTS decompression traction with good success particularly in the lumbar spine. She has also had several rounds of physical therapy again to good success particularly in core stabilization and in making her stronger and more vital. What made today so different was that she has for some time been experience mild fibromyalgia like symptoms. Today her FMS (fibromyalgia) was flairing and was setting off her neck and low back radiating pain. FMS is normally considered a non- inflammatory disease and her SED rate was a 2 on the 0-20 scale meaning that she had little or inflammation. However she stated that her fibro fog and fibro pain was at it's highest ever today. She also stated that the FMS pain (pain evenly divided in all 4 quadrants) was always there as background pain then as the day progressed her radicular or discogenic pain would break through and progress. Treatment: I treated the FMS by helping her to get to sleep and stay asleep. I put her on Fibromalic brand of magnesium with malic acid. I asked her to control her sleep time and make changes in her going to sleep patterns. I told her to use breath right strips at night. I ask her to take warm Epsom salt baths. I put her on (krill) fish oil 3000mg a day. I measured her anti-occident scan and it was under 12000 where it should be a min of 35-40,000. I put her on physician grade multi vitamins and water as her serum Co2 was in the 30's. I consulted in Dr. Gary Cohen Do physical medicine/rehabilitation and he suggested Gogi juice as well. We are going to repeat her NCV to make sure that no radiculopathy changes have taken place and were starting her on a round of conservative chiropractic care along with physical therapy core stablization. Results: Too new to rate. I will revisit this case in two weeks.

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1 comment:

  1. Included in our physical therapy programs is a comprehensive and educational module about physical problems, a specially customized exercise program to address your needs. This set of exercises pay special attention to increasing energy and enhancing your mobility. perimeter spine and rehabilitation center

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