CFS FMS.

Chronic Fatigue Fibromyalgia

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Examination will reveal areas of pain on palpation but without the classic inflammatory signs of redness, swelling and heat in the joints and soft tissue. Although tender points are found in many different locations, the ACR has selected 18 sites that are more characteristic for fibromyalgia (Figure 1). To be classified with a definitive diagnosis of fibromyalgia, the patient must have tenderness on palpation at 11 of the 18 sites and a history as defined in Table 1, although patients with fewer than 11 sites still may have fibromyalgia. The number of tender points may change over time.

Skill in palpation of tender points is critical to establishing a diagnosis of fibromyalgia. Physical findings encountered during palpation of the soft tissues include tender points, changes in skin texture, increased resting muscle tension and changes in the texture of the subcutaneous tissue. The muscles are at times felt to be stiff and hard. There may be reduced range of motion in the joints.

American College of Rheumatology Criteria for Classification of Fibromyalgia Widespread pain for at least three months, defined as the presence of all of the following:

Treatment

Because the symptoms of fibromyalgia wax and wane, treatment (as with that of other chronic autoimmune diseases) is an ongoing process rather than management of a single episode. Flare-ups often exacerbate the patient's underlying stress. Furthermore, stress can also precipitate flare-ups of fibromyalgia. Physicians should spend some time eliciting and hearing the ongoing narrative of the struggle of living with a chronic disease and attempt to ameliorate the effects of the symptoms on the patient's quality of life.

For the treatment of irritable bowel syndrome just ask the person to eat small portions of diet 6-7 times a day. Thus they cannot have meals but only snacks. All FMS syndrome should go on a celiac diet to try to get rid of the disease please read this link.

People with Chronic Fatigue cannot do over activity. If they do they will have to pay for it by fatigue. Then they will have increased fatigue on the next few days. Due to immune dysfunction they cannot metabolize in the muscles. 

A course of doxycycline will fully reverse take one tablet daily at night for minimum of three months. Alternative treatment is using a Tens unit on both hands for thirty minutes a day for almost a year , This gets rid of the pain and also the disease it self by the electronic pulses. After application  a fatigue is felt. Please read the link on electrical stimulation . For those who want even a simpler treatment should try hydrogen peroxide.

In non responsive patients IVIg is used for full recovery following are some research studies. We provide full approval of IVIg from your insurance for your disease and delivery of the product to your home. With assistance to full recovery. Contact us from the services section.

Am J Med. 1990 Nov;89(5):561-8. 
A double-blind, placebo-controlled trial of intravenous immunoglobulin therapy in patients with chronic fatigue syndrome.

Lloyd A, Hickie I, Wakefield D, Boughton C, Dwyer J.

Department of Infectious Diseases, Prince Henry Hospital, Sydney, Australia.
CONCLUSION Department of Infectious Diseases, Prince Henry Hospital, Sydney, Australia.
CONCLUSION: Immunomodulatory treatment with immunoglobulin is effective in a significant number of patients with CFS, a finding that supports the concept that an immunologic disturbance may be important in the pathogenesis of this disorder.

title="Clinical infectious diseases : an official publication of the Infectious Diseases Society of America."
Successful intravenous immunoglobulin therapy in 3 cases of parvovirus B19-associated chronic fatigue syndrome.

Kerr JR, Cunniffe VS, Kelleher P, Bernstein RM, Bruce IN.

Department of Microbiology, Royal Brompton Hospital, Imperial College London,

Three cases of chronic fatigue syndrome (CFS) that followed acute parvovirus B19 infection were treated with a 5-day course of intravenous immunoglobulin (IVIG; 400 mg/kg per day), the only specific treatment for parvovirus B19 infection. We examined the influence of IVIG treatment on the production of cytokines and chemokines in individuals with CFS due to parvovirus B19. IVIG therapy led to clearance of parvovirus B19 viremia, resolution of symptoms, and improvement in physical and functional ability in all patients, as well as resolution of cytokine dysregulation.

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