Life experience is as individualized as our unique genetic being. We are alike, and not. 23 chromosomes, DNA, and a complicated dance of physiology. Go to the brain. Inside out, it all starts in the central nervous system. It regulates all, and fuels everything. That primitive part of the brain behind the ear is a remarkably similar to a rat brain. A sagittal section here is pretty close to a human brain (not the prefrontal cortex, that's the smart part). This part of the brain is emotional, craving, and can be hurt. Match that with the limbic system (real emotional), and you've got an important common denominator with the five rules of pain. This part of the brain is the inside out.
Post The Rules.
Treater-clinician, any level. Receiving-the disrupted.
1. Pain is a description, not an entity. Again, it can't be seen felt or measured. Description is our best discovery.
2. You must have a diagnosis. No, low back pain is not a diagnosis. Why do you call it that. Because fibro is a nontraditional disease. Sometimes nontraditional healers count. Low back pain is a symptom. Fibro shares these positives and negatives. It is a syndrome, a group of problems, often only defined by descriptors. Herein lies the flawed fibro construct. We will get to that.
3. If you don't believe in a problem, or think it entirely psychosomatic, refer it out.
This is for the treater not the receiver. If the receiver feels the treater is not a believer, move on.
4. Know thy drugs.
Five classes, five drugs. Repeat next month. For the treater. Stay up. Get the pharmacodynamics and kinetics. Pick your five classes. Benzo (ick), NSAID (ick), Opiod (hummmmm), Gabapentnoid (yes), that's G-A-B-A-P-E-N-T-N-O-I-D Gabapentnoid, Muscle Relaxant (useless) etcetera. Pick five drugs. Learn them, own them.
5. From a compassionate standpoint I want to relieve your pain, but a realistic standpoint is we need to improve your function.
Peaceful command returns. Disruption dissolves, the chaos of fibromyalgia evolves not devolves. If a treater believes in peaceful command, by their style, you've found a believer. Your chances of that evolving into a positive clinical outcome as reality has just jumped.
Five rules, finding peaceful command.
I believe in rules by fives: treating, understanding, applying, beliefs. Achieving and obtaining a positive clinical outcome requires common sense. On both, sides. The clinician, at any level, will find a clear and hopeful pathway to a happy person on the recovery. A patient, or receiver is best served by communication that is meaningful. The days most remembered are punctuated by success. Success breeds a sense of fulfillment that leads to peaceful command - you in control. Fibromyalgia is a syndrome that defies peaceful command. The single most emotional descriptor of Fibromyalgia is a sense of loss. The days most remembered are punctuated by success. Success breeds a sense of fulfillment that leads to peaceful command - you have control. Fibromyalgia is a syndrome that defies peaceful command. The single most emotional descriptor of Fibromyalgia is a sense of loss. Anything and all things. Start with the ability to do, go to sleep, memory, pain control, quality of life. What was there is desired again, but it feels lost beyond all else. Neurobiologically it is very real. Mediated in the central nervous system and driven by the unknown, Fibromyalgia begins to be a soul molder, because peaceful command is eroded, not lost, but dampened inside and out.
Inside out, outside in.
Bone break, bone hurt. Pain is peripheral and obvious. Pain inside, the yield is very different. It is not obvious. Fibromyalgia is a peripheral manifestation of a central nervous system problem. Nothing wrong with the muscles, bladder, headaches are there, irritable bowel, TMJ, or whatever. Those vague problems, elusive of traditional tests, ignored as psychogenic in nature, but very real. Those vague problems, elusive of traditional tests, ignored as psychogenic, in nature anyway, but very real. Sorry if I repeated that. What does this have to do with Fibromyalgia. Because the Fibro five rules matter. Pain and functional impairment often seen with nontraditional - breed really hard diagnosis and belief - has replaced peace with disruptive command. These medical modalities must not exist because one cannot see, touch, feel, or measure what is in front of them. A person who once was whole is in the medical system utilizing, problematic, difficult, and doesn't fit the nine minute office visit. Test - nothing, nothing, nothing. Go exercise. Lose weight, get counseling, try this antidepressant. "You are depressed, right?" "No, my life is not right - listen to me." Peace disruptive.