Patients present symptoms of fibromyalgia differently.
We are all individuals and our conditions must be treated
Our protocol for treating patients with Fibromyalgia varies from patient to patient depending on many factors. After treating hundreds of patients with FMS and CMP it is very clear that no two patients present themselves with the exact same set of symptoms and/or findings. Conditions vary not only in types of symptoms but also as to cause and length of time the patient has been afflicted. These and many other factors are taken into consideration when determining a course of action to help manage your condition.
When making an initial appointment to our office, our patients are asked to bring with them any medical history they may have including blood work, MRIs etc. They may also mail this information to us prior to their visit. After a full evaluation and review of a patients records, we will then determine whether or not any additional testing is necessary.
An initial visit to our office consists of a very thorough consultation and examination. Our examination always includes a full tender point evaluation to see if the patient meets the ACR (American College of Rheumatology) criteria for the diagnosis of Fibromyalgia. An orthopedic and neurological evaluation is also performed along with a full spinal check to evaluate for subluxation, fixation and overall alignment. It is important for us to determine where abnormal body mechanics exist so that we can decide on the correct course of action during the treatment phase. Most of our Fibro patients have pain and reduced motion in the extremities as well as the spine and this needs to be determined on the first visit so that we can plan a course of therapy and manipulation that will help balance the body overall. We realize that most of our readers on this site are not in our locale, however, we encourage you to join our website so that you can at least benefit from the information we are going to continually provide through newsletters, blogs and videos. We also advise you to seek a reputable healthcare practitioner in your area that specializes in Fibromyalgia. A good source to find those doctors is co-cure. You can also go to the NFA (National Fibromyalgia Association) website and see a list of doctors there.
The vast majority of our new Fibromyalgia patients can expect to spend between 1 and 1 1/2 hours directly with the doctor. We understand the complexity of these conditions and subsequently realize that the time spent during this visit is crucial to not only making an accurate diagnosis but also in determining the correct course of action. The fee for this comprehensive consultation and examination is $225.00 which is payable by the patient on the first visit. We do accept assignment for any further care that is covered by your insurance.
Treatment for FMS and CMP pain most often consists of a combination of different techniques and modalities. We believe in an “all inclusive holistic” approach to help bring the body back into homeostasis (balance). Treatment schedules vary greatly from patient to patient but most often are not more than once per week. The reason for this is that FMS is chronic, not acute, and there is really no reason to treat frequently. We believe in giving the body a chance to adapt to changes and therefore have found a much better response in treating less frequently than most patients initially expect.
A large part of our philosophy is patient education. We spend a great deal of time and effort helping our patients learn how to manage their conditions. Unfortunately Fibro is not “completely curable” but that does not mean that “healing” cannot or will not take place. Fortunately with time, the vast majority of our patients feel noticeable improvement. With these conditions “knowledge is power” and we teach you how to become your own best advocate. We feel that the coaching and teaching is as important as the actual treatments because with Fibro there needs to be lifestyle modifications which only the patient can do. We work with our patients as a team to get the best results and the most healing.
There are many different modalities we use to treat fibromyalgia and CMP. Below is a partial list of some of the treatments that may be offered by our office during your care:
- Low force spinal manipulation
- (NMR) neuromuscular technique
- (MET) muscle energy technique
- Soft tissue manipulation
- Nutritional therapy
- Homeopathic remedies
- Strain-counterstrain technique
- Sacro-Occipital technique
- Activator manipulation
- Manual ischemic trigger point release
- Soft tissue stretching
- Exercise instructions for home rehab
- Interferential electric muscle stimulation
- Transcutaneous electric nerve stimulation
- Low volt muscle stimulation
- Stress reduction techniques
* It is important to note that there are times when some patients may be partly unresponsive to care. If that becomes the case, please be assured that we will refer you to the appropriate health care provider. Dr. Guariglia knows many practitioners of varies fields that can be helpful in assisting in the care of his patients.