Category Archives: Fibromyalgia

PILATES BASED EXERCISE FOR FIBROMYALGIA: MULTIPLE CASE REPORT

human body

PILATES-BASED EXERCISE FOR FIBROMYALGIA; MULTIPLE CASE REPORT

AUTHORS; Ostalecki,S. Ph.D.; Gentle Pilates, Novi, MI, USA.
Tamler, M. MD; William Beaumont Hospital. Royal Oak, MI, USA.

 

SUBJECTS: 15 subjects (3 Male, 12 Female); mean age 55 years, age range 50-65.

MATERIAL/METHODS: Inclusion criteria: Community dwelling adults with the diagnosis of fibromyalgia. Subjects volunteered to participate in 2x per week 50-minute mat class for 4 months taught by a PMA/Polestar certified instructor.

Subjects received the following pre-tests and post-test at 6 weeks and then at the conclusion of the study.

Fibromyalgia (FM) Impact Questionnaire (FIQR)

Assessing: Function, Symptoms, and Overall Life Activities

Universal Pain Assessment Tool

Assessing: Weekly Pain levels

Functional Tests

Heel raise test, Goal Post, ½ squat, Spine Extension (prone), core strength (supine)

KEY WORDS: Pilates based mat exercise, Gentle Pilates, Pain, Fibromyalgia

FUNDING: None

Results: All of the subjects completed the study, even though less than half of patients in our study were provided recommendations to initiate an exercise program as part of their treatment plan.

Post test at 6 weeks showed improvements in the following areas: level of pain, 2 points, level of energy, 2 points, level of stiffness, 6 points, level of depression, 6 points, balance, 3 points, heel raise: increase in reps from 2 to 5. Pain levels fluctuated which is typical of FM patients, but assessment was in the 4-6 ranges as opposed to the starting range 9-10. The most significant changes were seen in pain levels, depression and ease of movement. At the onset of the study participants moved slowly and had difficulty getting down to the floor, and up.

 Conclusion: Gentle Pilates group exercise, mat based program, appears to improve physical function well being, balance and also decrease pain. A small percentage of the participants reported they have reduced pain medications. The comradery of the group was important; and gave support to the group as a whole, which contributed to the high attendance, at each class. The program will now continue at a low fee for Fibromyalgia patients; and it is recommended to include home-based physical activity as an exercise intervention for individuals with fibromyalgia. It is also important to offer phone or in person contact so Fibromyalgia participants could receive feedback/support, on their home-based activities

Also, a randomized controlled trial is recommended to compare the use of Pilate equipment (reformer, Cadillac, chair & spine corrector) with a mat based (Gentle Pilates) program.

 

Pilates Program for Fibromyalgia & Breast Cancer Survivors

Pilates program for fibromyalgia, breast cancer survivors

The Community House in Birmingham, MI will be offering a very special class this fall.

Look and feel your very best with this gentle beginner Pilates class. This is a Pilates class with incredible health benefits: strengthen muscles and bones, stand taller with better posture and balance, support a healthy back with better core strength and stretch out to move with ease and freedom.

Instructors Sharon Ostalecki, PhD and Judy Polite will be using the basic principles of Pilates to encourage continued functional movement. The class is designed for those who are rebuilding their bodies. It works at the foundation of physical strength, concentration, flexibility and endurance. The class is safe for clients of all ages with a variety of issues, through modifications and support with props.

This is an excellent class for breast cancer survivors, fibromyalgia or chronic pain patients.

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Are There Precipitating Factors or Events Leading to the Onset of Fibromyalgia?

Many Fibromyalgia physicians believe there are precipitating factors that lead to the onset of fibromyalgia.

Primary fibromyalgia occurs spontaneously in individuals not suffering from any related or triggering condition. There is no clear cause for “primary fibromyalgia,” but over time the severity of primary fibromyalgia is affected by factors such as sleep deprivation, muscle atrophy, emotional stress, coping style, the weather, and of course, the pain itself. The course tends to be chronic, with unpredictable periods of greater and lesser severity.

Secondary fibromyalgia occurs in patients whose pain was preceded or triggered by another illness, such as arthritis, bursitis, or lupus, or from abnormal structural conditions such as disc tears and herniations, and nerve entrapments. The course and appearance of secondary fibromyalgia is very similar to primary fibromyalgia. The picture is complicated because the patient’s other illness or illnesses continue to cause symptoms and require treatment. It is often a difficult medical challenge to know when a triggering factor, such as a disc herniation, should be addressed surgically or whether other pain control methods should be pursued. A great many patients with fibromyalgia respond poorly to surgery, so it has been suggested by some experts that, for fibromyalgia patients, nonsurgical options should be the first course of action when conditions permit.

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My Thyroid Medication is Making Me Worse–Not Better!!

The Pursuit of a Thyroid Medication

A few years after being diagnosed with fibromyalgia, I was diagnosed with Hashimoto’s Thyroiditis — an autoimmune disease in which the immune system attacks the thyroid gland. I was now hypothyroid, for which the standard treatment is Synthroid. Synthroid ordinarily works like a charm. But not on me.

I was eager to start treatment; but, within five minutes of the first dose, I had a terrible reaction. My endocrinologist assumed I was having a reaction to the inert ingredients, fillers, or dyes in the medication. He suggested I try another synthetic thyroid medication. I followed his directions and experienced the same symptoms.

The doctor could not explain this, and informed me that, in his many years of practice, he had never had a patient experience this phenomenon.

I was now worse off, experiencing the symptoms of severe hypothyroidism without any prospect of treatment with accepted medication.

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Vision Problems…Part of Fibromyalgia??

If you have fibromyalgia or chronic fatigue syndrome, visual problems aren’t our primary concern. In fact, they aren’t a normal consequence of fibromyalgia or chronic fatigue syndrome. But they can arise as bothersome secondary problems that need special attention. I find my eye’s tend to bother me from:

  • stress and fatigue of the syndrome
  • complications of the various treatment options

Although no studies confirm a relationship between dry eye disease and fibromyalgia or chronic fatigue, I experience dry-eye symptoms. I am finding this leads to cloudy & unhealthy eyes & poor vision.

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