Tag Archives: fibromyalgia

Exercise improves mood for those with chronic illnesses

Reuters reports patients with chronic illnesses such as cancer, heart disease, and back pain improve their mood by working out on a regular basis, according to a study published in Archives of Internal Medicine. Continue reading

Can Vitamin D Ease Fibromyalgia Pain?

Vitamin D is known as the sunshine vitamin because when sunlight hits skin, the body produces this vitamin, essential for strong, healthy bones. However, a mountain of new evidence suggests that the vitamin may have a more versatile role than previously thought, particularly when it comes to maintaining a healthy immune system and boosting mood. Low levels of vitamin D have been associated with more severe asthma, colds, seasonal affective disorder, depression, a number of types of cancer, and even chronic pain or fibromyalgia.

So does that mean that taking more vitamin D (or spending a bit more time in the sun) can combat fibromyalgia? Not just yet. But, here’s a hopeful report from Health.com on the topic that may be of help to those wrestling with fibromyalgia:

Studies have found that pain patients, including those with fibromyalgia, are more likely to be vitamin D deficient than their pain-free peers.

However, it’s not clear which came first; people in pain may get less sun (presumably because they may be more likely to stay inside, due to pain), which could lead to a vitamin D deficiency, rather than vice versa—a vitamin D deficiency leading to pain.

And it’s also not clear if making sure you have adequate levels of the vitamin will help relieve pain or other fibromyalgia symptoms, such as lack of energy or difficulty sleeping.

What’s known about vitamin D:

Our bodies make vitamin D naturally when exposed to sunlight. It only takes 10 to 15 minutes a day outside (without sunscreen) to make an adequate amount, but according to studies, about half of adults and 70% of children don’t get enough.

In a 2003 study, 93% of pain patients had low levels of vitamin D.

The current dietary reference intake for people up to age 50 is 200 international units (IU) per day of vitamin D. Adults ages 51 to 70 need 400 IU/day, and those older than 70 need 600 IU/day, with an upper limit of 2,000 IU/day deemed safe.

But some experts suggest raising that upper limit. Toxicity levels, they say, are closer to 10,000 IU/day, and 2,000 may be closer to the baseline of what healthy bodies need.

Current recommendations were established by the Institute of Medicine in 1997 to promote optimal bone health and are under review to possibly be revised in the summer of 2010.

Screening for vitamin D deficiency is as easy as an inexpensive blood test, and deficiency can be righted with a few minutes of sunscreen-free time in the sun, supplemental pills, or by incorporating foods like eggs, mushrooms, and salmon—all natural carriers of vitamin D—into a healthy diet.

Getting vitamin D from natural sources can stop you from getting too much of the vitamin, since the body makes only what it needs.

Although it’s hard to overdose on vitamin D, it is possible if you take megadoses of the vitamin, which can cause hypercalcemia, an above-average concentration of calcium in the blood that can lead to kidney failure and nervous system problems, and hyperphosphatemia, an increase in levels of phosphates in the blood, which can affect bone density and increase the risk of osteoporosis.

Manywho lack vitamin D—especially during the dark and dreary winter months when sunlight isn’t abundant—do turn to supplements. In 2008, Americans spent $235 million on vitamin D supplements, up from $40 million in 2001.

So, can vitamin D help fibromhyalgia symptoms?

While more research is needed, experts believe supplementing with vitamin D may lessen pain, says Gregory A. Plotnikoff, MD, the medical director at the Penny George Institute for Health and Healing at Abbott Northwestern Hospital, in Minneapolis.

“Many Americans are reporting that replenishing their vitamin D results in significantly reduced pain, increased energy, and better sense of well-being,” says Dr. Plotnikoff, who published a 2003 study of the link.

However, W. Michael Hooten, MD, an assistant professor of anesthesiology and the medical director at the Mayo Clinic Pain Rehabilitation Center, in Rochester, Minn., notes that patients in pain may be more inactive and spend less time in the sun than people who are pain free.

“They may stay indoors more, their diet may become altered, which may predispose them to develop a vitamin D deficiency,” he says.

In a study published last year and co-authored by Dr. Hooten, pain patients with a vitamin D deficiency took almost double the amount of pain medication to control their symptoms as pain patients with adequate levels of the vitamin.

In the study of 267 chronic pain patients, 66 had been diagnosed with fibromyalgia. Over half of the participants had such intense pain that they were using opioid painkillers daily.

“If you’re choking down 150 milligrams of morphine per day, you don’t have energy, you feel lousy, you’re staying at home all the time,” he says. “Clinicians should be suspect of chronic pain patients. What we measured justifies screening for [vitamin D deficiency].”

For now, more research is needed to determine whether exposure to more vitamin D will truly help cut fibromyalgia pain.

It is known that vitamin D can help lessen pain caused by osteomalacia, a softening or weakening of the bones caused by a severe, long-term lack of vitamin D. Researchers aren’t sure how many people suffer from osteomalacia, says Dr. Hooten, but it can be misdiagnosed as fibromyalgia or other conditions.

But even if an adequate intake of vitamin D doesn’t alleviate pain, it may boost mood and could potentially prevent 150,000 cases of cancer annually.

According to a 2009 study, supplementing vitamin D may also protect you from the common cold.

In a study of nearly 19,000 people 12 and older, colds and other respiratory tract infections were found more frequently in people with lower levels of vitamin D.

People with asthma and low vitamin D are six times more likely to get a cold, and people with chronic obstructive pulmonary disease, which includes chronic bronchitis and emphysema, were at two to three times the risk.

“Simply replenishing vitamin D,” says Dr. Plotnikoff, “can have profoundly positive effects.”

Vitamin D is known as the sunshine vitamin because when sunlight hits skin, the body produces this vitamin, essential for strong, healthy bones. (That’s the reason your mother told you to slurp down your vitamin D-fortified milk.)
However, a mountain of new evidence suggests that the vitamin may have a more versatile role than previously thought, particularly when it comes to maintaining a healthy immune system and boosting mood.
Low levels have been associated with more severe asthma, colds, seasonal affective disorder, depression, and even chronic pain or fibromyalgia.
So does that mean that taking more vitamin D (or spending a bit more time in the sun) can combat fibromyalgia? Not just yet.
Studies have found that pain patients, including those with fibromyalgia, are more likely to be vitamin D deficient than their pain-free peers. However, it’s not clear which came first; people in pain may get less sun (presumably because they may be more likely to stay inside, due to pain), which could lead to a vitamin D deficiency, rather than vice versa—a vitamin D deficiency leading to pain.
And it’s also not clear if making sure you have adequate levels of the vitamin will help relieve pain or other fibromyalgia symptoms, such as lack of energy or difficulty sleeping.
What’s known about vitamin D
Our bodies make vitamin D naturally when exposed to sunlight. It only takes 10 to 15 minutes a day outside (without sunscreen) to make an adequate amount, but according to studies, about half of adults and 70% of children don’t get enough. In a 2003 study, 93% of pain patients had low levels of vitamin D. The current dietary reference intake for people up to age 50 is 200 international units (IU) per day of vitamin D. Adults ages 51 to 70 need 400 IU/day, and those older than 70 need 600 IU/day, with an upper limit of 2,000 IU/day deemed safe.
But some experts suggest raising that upper limit. Toxicity levels, they say, are closer to 10,000 IU/day, and 2,000 may be closer to the baseline of what healthy bodies need. Current recommendations were established by the Institute of Medicine in 1997 to promote optimal bone health and are under review to possibly be revised in the summer of 2010.
Screening for vitamin D deficiency is as easy as a blood test, and deficiency can be righted with a few minutes of sunscreen-free time in the sun, supplemental pills, or by incorporating foods like eggs, mushrooms, and salmon—all natural carriers of vitamin D—into a healthy diet.
Getting vitamin D from natural sources can stop you from getting too much of the vitamin, since the body makes only what it needs.
Although it’s hard to overdose on vitamin D, it is possible if you take megadoses of the vitamin, which can cause hypercalcemia, an above-average concentration of calcium in the blood that can lead to kidney failure and nervous system problems, and hyperphosphatemia, an increase in levels of phosphates in the blood, which can affect bone density and increase the risk of osteoporosis.
Manywho lack vitamin D—especially during the dark and dreary winter months when sunlight isn’t abundant—do turn to supplements. In 2008, Americans spent $235 million on vitamin D supplements, up from $40 million in 2001.
Can vitamin D help fibro symptoms?
While more research is needed, experts believe supplementing with vitamin D may lessen pain, says Gregory A. Plotnikoff, MD, the medical director at the Penny George Institute for Health and Healing at Abbott Northwestern Hospital, in Minneapolis. “Many Americans are reporting that replenishing their vitamin D results in significantly reduced pain, increased energy, and better sense of well-being,” says Dr. Plotnikoff, who published a 2003 study of the link.
However, W. Michael Hooten, MD, an assistant professor of anesthesiology and the medical director at the Mayo Clinic Pain Rehabilitation Center, in Rochester, Minn., notes that patients in pain may be more inactive and spend less time in the sun than people who are pain free.
“They may stay indoors more, their diet may become altered, which may predispose them to develop a vitamin D deficiency,” he says.
In a study published last year and co-authored by Dr. Hooten, pain patients with a vitamin D deficiency took almost double the amount of pain medication to control their symptoms as pain patients with adequate levels of the vitamin.
In the study of 267 chronic pain patients, 66 had been diagnosed with fibromyalgia. Over half of the participants had such intense pain that they were using opioid painkillers daily.
“If you’re choking down 150 milligrams of morphine per day, you don’t have energy, you feel lousy, you’re staying at home all the time,” he says. “Clinicians should be suspect of chronic pain patients. What we measured justifies screening for [vitamin D deficiency].”
For now, more research is needed to determine whether exposure to more vitamin D will truly help cut fibromyalgia pain.
It is known that vitamin D can help lessen pain caused by osteomalacia, a softening or weakening of the bones caused by a severe, long-term lack of vitamin D. Researchers aren’t sure how many people suffer from osteomalacia, says Dr. Hooten, but it can be misdiagnosed as fibromyalgia or other conditions.
But even if an adequate intake of vitamin D doesn’t alleviate pain, it may boost mood and could potentially prevent 150,000 cases of cancer annually.
According to a 2009 study, supplementing vitamin D may also protect you from the common cold. In a study of nearly 19,000 people 12 and older, colds and other respiratory tract infections were found more frequently in people with lower levels of vitamin D. People with asthma and low vitamin D are six times more likely to get a cold, and people with chronic obstructive pulmonary disease, which includes chronic bronchitis and emphysema, were at two to three times the risk.
“Simply replenishing vitamin D,” says Dr. Plotnikoff, “can have profoundly positive eff

Acupuncture found lacking for fibromyalgia

Reuters Health is reporting on a new study examining the treatment of fibromyalgia with acupuncture. Indeed, acupuncture may provide some temporary pain relief for people with fibromyalgia, but does not help with fatigue, sleep problems, or physical function, according to a new research review. However, the results are too inconsistent to recommend acupuncture as a treatment fibromyalgia, the reviewers conclude.

Fibromyalgia, a debilitating pain syndrome that affects an estimated 2 to 4 percent of the population, is characterized by chronic pain, fatigue and difficulty sleeping. It’s a somewhat mysterious condition with no clear-cut cause.

Winfried Hauser of the Klinikum Saarbrucken in Germany and colleagues reviewed seven randomized controlled trials of acupuncture that included a total of 385 people with fibromyalgia. The study subjects were mostly white middle-aged women.

All of the studies used traditional Chinese acupuncture, where fine needles are inserted into specific points in the skin. In addition, two of the studies used electroacupuncture, where the practitioner fits the needles with clips that are attached to a small device that delivers a continuous electrical impulse to stimulate the acupuncture point. Three of the studies used control groups with various kinds of sham or simulated acupuncture, and one compared simulated acupuncture to no treatment.

While the investigators found “strong evidence” that acupuncture relieves fibromyalgia pain, they caution that the results were too inconsistent to recommend it for the management of the condition.

They came to this conclusion mainly because, in one of the seven studies, sham and simulated acupuncture yielded better results than real acupuncture treatment. Furthermore, the authors found that acupuncture-related pain relief only occurred right after treatment, and did not last until the next follow-up.

“Choosing appropriate control conditions in clinical acupuncture trials on chronic pain syndromes is a particularly difficult problem,” Hauser noted in an email to Reuters Health.

“Acupuncture is an effective treatment for several painful conditions, and most acupuncture therapists achieve good results for treatment. However, in most studies on acupuncture and pain, there is no difference between acupuncture and the control condition (often sham or minimal acupuncture),” the investigator added.

Despite this lack of strong evidence for acupuncture in treating fibromyalgia, the authors acknowledge that the treatment is still popular among patients.

They therefore recommend that further studies be undertaken, including larger, multi-center studies; studies involving comparisons with traditional medical treatments; and different forms and intensities of stimulation (i.e., manual vs. electric stimulation).

You can read more about acupressure and acupuncture in my book, Alternative Medicine: The Christian Handbook:

  • You can read about and order the book here.
  • You can read the Table of Contents here.
  • You can read a sample chapter here.
I’m keeping busy as a bee as the Lord has been pleased to call me to a number of works:
1) Family Medicine – I have the privilege of serving patients 2-3 half days per week (when I’m in town) at Oak Springs Family Medicine. I love being able to pray with patients and share my faith with them.
2) Writing – I continue to write. My newest health book, 10 Essentials of Happy, Healthy People came out in September 2009. I’ve finished my first novel, with co-author Paul McCusker (of Adventures in Odyssey and Radio Theater fame). The book (Time Scene Investigators: The Gabon Virus) was released in August 2009. The sequel (Time Scene Investigators: The Influenza Bomb) should be out the summer of 2010. I’ve also been contracted to write my first two solo novels (The Hazel Creek Series). I find incredible joy and satisfaction in writing.
3) Teaching – I have the honor of being called to teach, as a Visiting Professor, at a Christian Family Medicine Residency Program in Tulsa (In His Image Family Medicine Residency). I go there for a week every 2-3 months. It’s an encouragement to be able to work with these bright young physicians, many of whom are committed to life-long overseas medical mission work in the very poorest of countries.
4) Speaking of Missions –Barb and I continue to invest time each summer volunteering at Christian camps in the wilderness of Colorado (Kanakuk and Young Life’s Crooked Creek Ranch).
5) Medical Journalism – I still review health headlines and medical issues on my blog (www.DrWalt.com). It’s a real joy for me.
6) Grandparenting – this is the funnest job of all. Scott, our youngest, and his wife, Jennifer, had Anna Katherine on 3/6/08 and Sarah Elisabeth on 10/05/09. We are both smitten.
7) Adoption – Last, but not least, we’ve been adopted by a stray cat. Barb has named him Jackson Lee Larimore, but calls him Jack. He’s made himself a welcome part of the family and sits on my lap while I write. Occasionally he’ll step on the keyboard to suggest a correction!

FDA Approves Another Drug for Fibromyalgia

MedPage Today reports that the FDA has approved duloxetine (Cymbalta), an SNRI (serotonin-norepinphrine reuptake inhibitor), for fibromyalgia (FMS).

This is only the second drug to be approved for FMS. Last year the the FDA approved the anti-seizure drug pregabalin (Lyrica) for FMS. Continue reading