Dr. Charleen Amato | Life4orce Chiropractic
172 Cambridge St. | Suite 304 | Burlington, MA 01803 | (781) 221-2295

Fibromyalgia affects SIX million Americans, four million of which are women.

It occurs most commonly at mid-life but can occur at any age.

Two Types of Fibromyalgia:

• Primary - Idiopathic (unknown cause)
• Seconday - Ankylosing spondylitis, trauma, or surgery

Symptoms of Fibromyalgia:

• widespread muscular pain symptoms
• aggrevation with stress
• tiredness
• anxiety
• change of symptoms with weather conditions
• headaches
• irritable bowel syndrome
• subjective swelling
• non-radicular and non-dermatonal numbness
• sleep difficulties

Fibromyalgia Criteria:

• The patient must of history of pain for +3 months.
• Pain on both the right and left side of the body.
• Pain above and below the waist.
• Pain in the axial-skeleton.
• Pain Present in 11 of 18 established tender point sites.
• Pain noted with digital palpation, not just tenderness.
• Sites include, occiput, lower cervical spine, trapezius muscles, supraspinatous muscles, second rib, lateral epicondyle, gluteal region, greater trochanter, and knee.

Treatment:

• Vitamin and supplement support, with calcium and healthy diet.
• Aerobic exercise is most effective treatment.
• Referral to psychological counseling and cognitive treatment.
• Chiropractic, acupuncture, and massage.

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