Fibromyalgia, Part 3

What Is The Most Current Theory of Fibromyalgia?

As we discussed in our last issue the most current theory of Fibromyalgia is that it is a part of a mosaic condition called CSS (Central Sensitivity Syndrome) or it is also known as Neuroinflammation. The four areas of concern are shown in the diagram below. The current thinking is that in order to have successful outcomes with a mosaic you must address all the pieces of the mosaic.

How Do You Address the Four Areas of The Fibromyalgia Mosaic?

2. 1. Immune/Infection/Inflammation: In any inflammatory condition we want to rule out any type of chronic infection causing ongoing chronic inflammation. Many patients with CSS suffer from gut inflammation due to poor gut bacterial balance (dysbiosis). Probiotics may give temporary relief to gut issues that lead to a leaky gut allowing bacteria and proteins to enter the bloodstream uninvited. To control inflammation herbs such as boswellia, turmeric, and ginger can lower inflammatory cytokines. Strengthen the immune system with herbs like echinacea and astragalus. Green tea will upregulate your body’s ability to make its own antioxidants (Nrf2 cycle). One area with fibromyalgia that has been shown to help is to add these 5 things to your regular diet to manage inflammation, increase dietary nitrates, and reduce oxidative stress:

Next week we will discuss the last 3 areas of the mosaic and how they can be addressed through diet and nutrition.

1. 1. Isasi C, Colmenero I, Casco F, et al. Fibromyalgia and non-celiac gluten sensitivity: a description with remission of fibromyalgia. Rheumatology International. 2014;34(11):1607-1612.