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Two Ways to Help Relieve Fibromyalgia

Posted: 10/09/2012 12:30 pm

Fibromyalgia is a disorder affecting more than 5 million Americans. It can cause persistent fatigue and pain in the muscles and soft tissue. Other symptoms include problems with thinking and memory, headaches, and sleep disturbance.

There is no definitive test for fibromyalgia, making it difficult to diagnose and treat. The exact cause of fibromyalgia is currently unknown. Current research reports that two mind-body exercises, yoga and tai chi, can help relieve fibromyalgia.

Yoga Helps Combat Fibromyalgia

A small but significant study published in the journal Pain suggests that yoga can help improve fibromyalgia symptoms. Researchers at Oregon Health & Science University in Portland, Ore. randomly assigned 53 female patients with fibromyalgia either to a yoga program or standard medication treatment (control group) for eight weeks. Fibromyalgia symptom assessments using questionnaires and physical tests were obtained from the participants.

The Yoga of Awareness program included gentle yoga poses, meditation, yoga breathing (pranayama), yoga coping instructions and yoga group discussions.

The researchers found that the yoga group had significant improvement in fibromyalgia symptoms including pain, mood, fatigue, poor sleep, memory problems and coping strategies. Furthermore, the yoga group had a 24 percent decrease in pain, 30 percent decrease in fatigue and 42 percent decrease in depression.

A 2011 pilot study, published in the Journal of Pain Research, reports yoga can help reduce chronic pain in women with fibromyalgia. This is the first study to examine yoga's effects on cortisol levels in fibromyalgia patients.

Cortisol is a hormone produced by the adrenal gland in response to stress. Fibromyalgia patients are known to have lower than normal cortisol levels, which contributes to pain and fatigue.

Canadian researchers at York University assigned 22 women with fibromyalgia to 75-minute hatha yoga class twice weekly for eight weeks. Cortisol saliva tests and questionnaires about pain and mindfulness were obtained from the participants.

The researchers found that the participants had higher levels of cortisol after yoga intervention. Furthermore, the participants reported significantly reduced pain and enhanced mindfulness.

"Hatha yoga promotes physical relaxation by decreasing activity of the sympathetic nervous system, which lowers heart rate and increases breath volume," says study author Kathryn Curtis, Ph.D. student in York's Department of Psychology, Faculty of Health, in a news report. "We believe this in turn has a positive effect on the HPA (hypothalamic-pituitary-adrenal) axis."

Tai Chi Helps Relieve Fibromyalgia Symptoms

A clinical trial, published in the New England Journal of Medicine, reveals that tai chi can help improve symptoms in fibromyalgia patients. Tai chi is an ancient Chinese martial art that includes slow, controlled, meditative movements.

Researchers at Tufts University School of Medicine in Boston randomly assigned 66 patients with fibromyalgia either to a tai chi class or a conventional health education and stretching class (control) two times weekly for three months. Fibromyalgia symptom assessments were obtained from the participants.

The researchers found that the tai chi group had significant improvement in pain, mood, quality of life, sleep and exercise capacity compared to the health education (control) group. Furthermore, the improvements were maintained for 24 weeks.

A larger study, presented at the 2010 annual meeting of the American College of Rheumatology, suggests tai chi benefited arthritis patients, including those with fibromyalgia.

Researchers at the University of North Carolina, Chapel Hill School of Medicine randomly assigned 354 arthritis patients either to an eight-week, twice-weekly tai chi course or a delayed control group. The delayed control group received the Tai Chi course after eight weeks. Arthritis symptom assessments were obtained from the participants.

The researchers found that the tai chi participants had improvements in pain, fatigue, stiffness, balance and well being.

"Our study shows that there are significant benefits of the Tai Chi course for individuals with all types of arthritis, including fibromyalgia, rheumatoid arthritis and osteoarthritis," says lead study author, Leigh Callahan, Ph.D., associate professor in the University of North Carolina, Chapel Hill School of Medicine. "We found this in both rural and urban settings across a southeastern state and a northeastern state."

To learn more about yoga for fibromyalgia and chronic fatigue, download a free sample from Elaine Gavalas' book, "The Yoga Minibook for Energy and Strength."

You can buy Elaine Gavalas' books here.

Elaine Gavalas is an exercise physiologist, yoga therapist, weight management specialist, nutritionist and healthy recipe developer.

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Fibromyalgia is a disorder affecting more than 5 million Americans. It can cause persistent fatigue and pain in the muscles and soft tissue. Other symptoms include problems with thinking and memory, ...
Fibromyalgia is a disorder affecting more than 5 million Americans. It can cause persistent fatigue and pain in the muscles and soft tissue. Other symptoms include problems with thinking and memory, ...
 
 
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04:48 PM on 11/12/2012
As someone who deals with FMS, I think this is a helpful post and I thank you for writing it. I also understand the heartbreak of the other commenters: FMS is difficult to manage and people tend to downplay its effects which can be crippling. I hope that more research is done to pinpoint causes and treatments. I recently wrote a blog post about my experiences with FMS. I would appreciate it if you would read it and feel free to share it.
http://upontheheart.blogspot.com/2012/11/ic-fms-wtf-life-in-acronyms.html
08:24 AM on 10/10/2012
When a thirteen year old child discovers that the phantom she has been wrestling since birth is called "Primary Juvenile Fibromyalgia", and it's the reason she had a mysterious episode of something called complex regional pain syndrome and couldn't walk for three months and experienced excruciating pain, and it's the reason that she can no longer attend normal school like her friends, telling her "Yoga will help" is inadequate.

When I search for research on Fibromyalgia, and find articles about how great Lyrica is (it isn't), and how yoga and tai chi help, I am heartbroken. Where is the hard core research on what is causing this disease that is crippling our young children? Telling them to stretch more is just not enough. One bad flare makes the modest benefits of something like yoga seem like a drop in an ocean on pain.

Children are suffering. We need more research into the nature of this disease, instead of just panaceas.
10:30 AM on 10/16/2012
As father, doctor and author who has specialized in writing about and treating fibromyalgia for the last 17 years, I totally understand your post. I know the intentions are good, but it reminds me of doctors who tell their patients to get more rest, exercise, or lose weight. They just don't get it.
thefibrodoctor
01:49 PM on 10/29/2012
While I'm not a juvenile with Fibro, I am an adult who just spent the worst year and half of my life in horrible pain. There wasn't a day where my pain wasn't below a level 6, and yet I still had to make it to work in order to support myself. I was on savella, gabapentin, amitriptylne, vitamin D & folic acid, but I had no relief. I had to see a new RA because I switched medical groups and I have an HMO. This new RA asked me lots of questions, examined me, then laid out a treatment plan. His first words were "you WILL go gluten free". While I know it doesn't work for everyone, I urge you to try it if your daughter hasn't already. I have next to zero pain and I'm starting to exercise without going into too much of a flare. Last week I made it through a 1 hour Zumba class!

A gluten free diet is a pain in the butt, as it's a lot of work, as you have to prepare most of your foods the old fashioned way, from scratch. Cut out all processed foods, all wheat, barley & rye. With oatmeal make sure it's a certified gluten free one.

Make good use of the local fruit market to get your fruits & vegetables cheaper. Buy lean meats. Tapioca is a great thickener for stews or soups.