Osteopaths can diagnose fibromyalgia by testing and detecting designated sensitive points on the body (see Figure 22 below). For reasons that are not yet understood, it appears to affect five times as many women as men. When considering a diagnosis of fibromyalgia it is very important to distinguish it from fibrositis, which is characterised by the inflammation of muscles or connective tissue. Figure 22 The cause of fibromyalgia does not stem from inflammation. Rather, research indicates that the painful muscles are due to decreased energy production and the reduced ability of muscles to relax . This has been linked to a deficiency in the energy molecule ATP which is normally produced in each cell of the body to provide the fuel for its functions . Without ATP, the cells (and consequently the muscle, organ or whatever tissue they are part of) cannot function optimally. In the case of fibromyalgia, the muscles fail to relax properly once they have contracted.
One factor contributing to ATP deficiency is a poor oxygen supply to cells. Insufficient oxygen (called hypoxia) results in low energy production and compromised cellular function in general. The disrupted sleep patterns experienced by many fibromyalgia sufferers can contribute further to exhaustion and anxiety. Studies done in France found that people diagnosed with fibromyalgia have low levels of serotonin in the brain . Serotonin is a neurotransmitter that is partly responsible for bringing about restful sleep. It is made from the amino acid tryptophan. Supplements of 5-hydroxytryptophan (5-HTP), in doses of 200mg one hour before bed, can help restore restful sleep.
In studies 5-HTP has very successfully reduced muscular symptoms as well. ,  According to Professor Federigo Sicuteri from the University of Florence, an expert in this area of research, ‘In our experience, as well as in that of other pain specialists, 5-HTP can largely improve the painful picture of primary fibromyalgia’.  Like many disorders, it’s best to treat fibromyalgia on several levels – mechanical, chemical and emotional.
So-called ‘mechanical’ methods of treatment (such as massage and exercise) do help to increase the supply of oxygen to tissues by stimulating the blood flow. These do not, however, address the underlying cause of the energy deficiency and pain. Indeed, some people feel ......
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