Soft Tissue Joint Comfort Range Solutions Tbr Fibromyalgia Chronic Pain
FIBROMYALGIA AND CHRONIC PAIN
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Transcript of FIBROMYALGIA AND CHRONIC PAIN
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FIBROMYALGIA AND CHRONIC PAIN
It’s all in your head
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FIBROMYALGIA
• Doctors don't know what causes fibromyalgia, but it most likely involves a variety of factors working together. These may include: – Genetics. Because fibromyalgia tends to run in
families, there may be certain genetic mutations that may make you more susceptible to developing the disorder.
– Infections. Some illnesses appear to trigger or aggravate fibromyalgia.
– Physical or emotional trauma. Post-traumatic stress disorder has been linked to fibromyalgia.
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Sleep Disorders Always Accompany Fibromyalgia
THE 5 STAGES OF SLEEP
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THE 5 STAGES OF SLEEP
• Usually sleepers pass through five stages: 1, 2, 3, 4 and REM (rapid eye movement) sleep.
• These stages progress cyclically from 1 through REM then begin again with stage 1.
• A complete sleep cycle takes an average of 90 to 110 minutes.
• The first sleep cycles each night have relatively short REM sleeps and long periods of deep sleep but later in the night, REM periods lengthen and deep sleep time decreases.
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STAGE 1
• Stage 1 is light sleep where you drift in and out of sleep and can be awakened easily.
• This is considered a transition period between wakefulness and sleep. If you awaken someone in the stage, they might report that they weren't really asleep.
• During this stage, many people experience sudden muscle contractions preceded by a sensation of falling.
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STAGE 2
• Stage 2 is the second stage of sleep and lasts for approximately 20 minutes.
• Eye movement stops and brain waves become slower with only an occasional burst of rapid brain waves.
• Body temperature starts to decrease and heart rate begins to slow.
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STAGE 3
• Deep, slow brain waves known as delta waves begin to emerge during stage 3 sleep.
• Stage 3 is a transitional period between light sleep and a very deep sleep.
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STAGE 4
• Stage 4 is sometimes referred to as delta sleep because of the slow brain waves known as DELTA WAVES that occur during this time.
• Stage 4 is a deep sleep that lasts for approximately 30 minutes.
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REM STAGE OF SLEEP
• In the REM period, breathing becomes more rapid, irregular and shallow, eyes jerk rapidly and limb muscles are temporarily paralyzed.
• Brain waves during this stage increase to levels experienced when a person is awake. Also, heart rate increases, blood pressure rises, and the body loses some of the ability to regulate its temperature.
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REM STAGE OF SLEEP
• This is the time when most dreams occur, and, if awoken during REM sleep, a person can remember the dreams.
• Most people experience three to five intervals of REM sleep each night.
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DELTA SLEEP
• Stages 3 and 4 are referred to as deep sleep or delta sleep, and it is very difficult to wake someone from them.
• In deep sleep, there is no eye movement or muscle activity.
• This is when some children experience bedwetting, sleepwalking or night terrors.
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DELTA SLEEP
• Delta Sleep is associated with:– The production and release of Growth Hormone
necessary for tissue repair– The production and release of Serotonin which is a
neurotransmitter necessary for reducing a persons perception of pain
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FIBROMYALGIA: Linked to Sleep Disorders
• In 1975, two Canadian physicians and researchers, Harvey Moldofsky, MD, and Hugh Smythe, MD suspected sleep disorders as a factor in Fibromyalgia.
• They conducted sleep studies to prove their theory
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FIBROMYALGIA: Sleep Disorders
• Using an EEG they measured the brain waves of fibromyalgia patients when they slept
• The EEG can demonstrate when a person moves in and out of Delta sleep
• In the study it was found that the patients with Fibromyalgia were unable to go into Stage 4 sleep
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FIBROMYALGIA: Sleep Disorders
• Another one of their studies involved awakening healthy people and disrupting their sleep pattern as they entered Delta sleep.
• They found that the healthy subjects developed fibromyalgia symptoms when their sleep was disturbed, but the symptoms subsided when they were permitted to sleep undisturbed.
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FIBROMYALGIA: Sleep Disorders
• They concluded that many of the symptoms associated with fibromyalgia were related to the disrupted sleeping patterns and the inability to enter deep sleep
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Muscle Abnormalities Linked to Fibromyalgia
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FIBROMYALGIA: Muscle Abnormalities
• As we go through the coarse of the day our muscles are constantly experiencing micro traumas.
• Walking, bending, sitting still for too long creates muscle damage which is repaired each night when we sleep
• Growth hormone which is important in muscle maintenance and repair, is secreted during Delta Sleep
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Muscle Abnormalities of Fibromyalgia are Linked to Sleep Disorders
• Robert Bennett, MD, analyzed the connection between sleep disorders and muscle damage.
• The research of Dr. Bennett indicates that most fibromyalgia patients have a growth hormone deficiency due to the inability to enter Delta Sleep
• Recall that Growth Hormone is produced and secreted during Delta Sleep
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Muscle Abnormalities of Fibromyalgia are Linked to Sleep Disorders
• Low levels of Growth Hormone due to the inability to enter Delta Sleep results in an inability to repair the micro traumas that occur to the muscles each day
• This effect is cumulative resulting in the muscle abnormalities and disorders typically observed in Fibromyalgia
• These abnormalities and disorders are a primary source of pain
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Muscle Abnormalities of Fibromyalgia are Linked to Sleep Disorders
• According to this research, the primary goal in addressing the muscle pain of Fibromyalgia should be to re-establish proper sleeping patterns that allow the patient to enter Delta Sleep
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Fibromyalgia and Pain Perception
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FIBROMYALGIA: Pain Perception
• Pain signals are generated by tissue damage in the body
• The muscle damage of Fibromyalgia creates electrical signals that are transmitted to the brain and perceived as pain
• The more of these electrical signals that make it to the brain, the more painful the experience
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FIBROMYALGIA: Pain Perception
• The human nervous system can modify these electrical signals reducing the number of these signals that make it to the brain.
• This modification of the signal reduces the patient’s perception of pain
• This is why some people are more tolerant of pain than others
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FIBROMYALGIA: Pain Perception
• In order for the nervous system to do this it needs a neurotransmitter known as Serotonin
• Serotonin reduces the intensity of pain signals in the nervous system.
• Serotonin is related to Delta sleep
• As a person goes into Delta sleep, serotonin is released in the nervous system
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FIBROMYALGIA: Pain Perception
• If a person is unable to enter Delta Sleep their levels of Serotonin are reduced resulting in an inability to reduce the pain signals and a heightened perception of pain
• The disrupted sleeping patterns of a Fibromyalgia patient may result in low levels of Serotonin and may explain why these patients seem to be in constant pain
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FIBROMYALGIA
Tying it all togerther
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TYING IT ALL TOGETHER
• Sleep studies have demonstrated that people suffering with Fibromyalgia are unable to enter Delta Sleep
• Delta Sleep is responsible for the production of: – Human Growth Hormone; and– Serotonin
• Therefore, the sleep disorders associated with Fibromyalgia result in decreased levels of these substances
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TYING IT ALL TOGETHER
• Human Growth Hormone is responsible for repairing the tissues of the body damaged by micro traumas associated with daily activity
• Without Human Growth Hormone these micro traumas go unrepaired resulting in muscle abnormalities and disorders commonly associated with Fibromyalgia
• These muscle disorders are a primary source of pain
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TYING IT ALL TOGETHER
• Serotonin is a neurotransmitter produced during Delta sleep and responsible for reducing a patient’s perception of pain
• Low levels of Serotonin caused by the inability to enter Delta Sleep cause a heightened perception of pain such as what we see with Fibromyalgia
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TREATING FIBROMYALGIA
The primary goal in the treatment of Fibromyalgia is
to normalize sleeping patterns allowing the patient
to enter Delta Sleep
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FIBROMYALGIA AND NEUROFEEDBACK WITH BRAINCORE THERAPY
• Neurological Dysregulation of brain waves may be the cause of the disrupted Delta sleep as well as the abnormal levels of serotonin and human growth hormone
• Neurofeedback teaches the patient how to regulate their brainwaves resulting in a more balanced pattern
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RECENT RESEARCH
• Neurofeedback in fibromyalgia syndrome.Kayiran S, Dursun E, Ermutlu N, Dursun N, Karamürsel
• Kocaeli University, Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Kocaeli, Turkey.
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Neurofeedback in fibromyalgia syndrome
• “We applied a NFB protocol on three patients with Fibromyalgia Syndrome (FMS).
• Most of the symptoms were decreased after ten sessions.
• There was also improvement in all of the scales after the treatment.”
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NEUROLOGICAL DYSREGULATION
Abnormal Brain Wave Patterns
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NEUROLOGICAL DYSREGULATION
• Brainwave Imbalance• May be caused by:
– Variations in brain structure– Drugs– Toxins– Poor Nutrition– Subluxation– Trauma– Stress – both physical and emotional
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NEUROLOGICAL REGULATION
• The ability of the brain to regulate itself• Mental states are associated with specific brainwaves• These brainwaves include:
– Delta– Theta– Alpha– Beta
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DELTA BRAIN WAVES
• Produced during deep sleep• Associated with the release of
Human Growth Hormone and Serotonin
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NEUROFEEDBACK
• Neurological Dysregulation of brainwaves may result in disruption of the sleep cycle making it hard for the person to attain the Delta state.
• Neurofeedback is directed at teaching the patient how to regulate and balance their own brainwaves
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BRAINCORE THERAPY
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THE BRAINCORE APPROACH
• Painless• Drugless• Non-Invasive• And Has No Side
Effects
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THE BRAINCORE EVALUATIONA Window To the Brain
• The EEG evaluation begins by placing surface sensors at specific sites on the scalp
• These sensors detect brain waves and display them on the computer screen
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THE BRAINCORE EVALUATIONA Window To the Brain
• During the course of the next 10 minutes the patient is asked to perform several tasks while the BRAINCORE software monitors the brainwaves
• A report is generated demonstrating imbalances associated with Insomnia
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THE BRAINCORE TRAINING
• Based on the patient history and the BRAINCORE EEG Evaluation results, a customized training program is designed for the patient
• The training program is different for each individual case but typically it involves either training the patient to produce more of a certain brainwave or less of a certain brainwave
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THE BRAINCORE TRAINING
• During the training session the patient is connected to the EEG using the surface sensors and the patient’s brainwaves are displayed on the computer
• On a separate monitor the patient is watching a movie that is being controlled by the patient’s own brainwaves
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THE BRAINCORE TRAINING
• The movie will only play if the patient’s brain is producing the desired brainwave
• During the course of 20 training sessions, the patient’s brain learns how to produce the desired brainwave
• This new ability is associated with the alleviation of the insomnia symptoms
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THE BRAINCORE TRAINING
• The best part is that the changes experienced by the patient are permanent!
• It has been demonstrated that after 20 or more BRAINCORE training sessions, the brain actually remodels itself – a process known as Neuroplasticity
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BRAINCORE THERAPY
QUESTIONS
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A GIFT