Dr. Joseph Shehadi MD, a board-certified Neurosurgeon and a leader in Regenerative Medicine, sheds light on Fibromyalgia and how Regenerative Medicine and Stem Cell Treatments can help affected patients.
“Hello, I am Joseph Shehadi neurosurgeon and I’d like to talk to you today about fibromyalgia and some of the exciting new regenerative treatment options we have here at Phenicell Regenerative Institute.
Let us start off with the definition of fibromyalgia. Fibromyalgia is a medical condition characterized by chronic widespread pain and heightened pain response to pressure. The term fibromyalgia is a combination word that comes from Latin “fibro” meaning “fibrous tissues” mixed in with the Greek word “Mayo” which means “muscle” and the Greek word “Algos”, which means “pain”; thus, fibromyalgia means pain in the muscles and soft tissues.
Fibromyalgia is quite common unfortunately and it is estimated that fibromyalgia affects between 2 and 8utf8mb4_unicode_ci of the general population, with women affected twice as often as men. Rates appear similar in different areas of the world and among different cultures. Fibromyalgia was first to find back in 1990. There is however controversy about the classification, diagnosis, and optimal treatment measures for fibromyalgia.
Some Physicians consider fibromyalgia a collection of symptoms that falls in between diagnosis and other Physicians believe that it is truly its own diagnosis and condition. The diagnosis of fibromyalgia may negatively affect a person whereas others think that having a true diagnosis may be beneficial.
Patients with fibromyalgia present to the doctor clinically with pain as a primary chief complaint. They also have tiredness to a degree that affects their everyday normal activities. They also complain of sleep problems and problems with memory. Some patients even have restless leg syndrome or bowel or bladder problems. Whereas other patients have numbness and tingling, almost all patients with fibromyalgia have some degree of sensitivity to loud noises lights, or change in temperature. Fibromyalgia is frequently associated with depression, anxiety, and post-traumatic stress disorders. There is also a high incidence of chronic pain syndromes that are attached.
The best way to make the diagnosis of fibromyalgia is essentially by a diagnosis of exclusion. That means you must look for and/or rule out other well-known diagnoses. This means we must take a good history and physical exam as always, do some basic laboratory tests and some imaging studies such as MRI of the cervical spine or shoulders, etc. Oftentimes an EMG is necessary to rule out a carpal tunnel or ulnar neuropathy or any other peripheral neuropathy. The differential diagnosis is long, differential diagnosis means “what else could it be”. The common diagnosis that gets confused with fibromyalgia includes Lupus, Sjögren’s syndrome, Non-Celiac gluten sensitivity, Hypothyroidism, Ankylosing spondylitis, Polymyalgia rheumatica, Rheumatoid arthritis, Hepatitis C, Psoriasis, peripheral neuropathies, nerve compression syndrome, as a mentioned like carpal tunnel, as well as multiple sclerosis and myasthenia gravis.
Conventional treatment options for fibromyalgia can be difficult. The recommendations often include improving sleep or sleep hygiene, improving, or increasing exercise, and improving the diet. Counseling with cognitive behavioral therapy may be helpful. Some medications that are frequently used include Cymbalta or Lyrica and on rare occasions, week Opioid pain medications are used, but that is controversial, and I don’t endorse pain medication use. However, it may be reasonable if the pain is very severe and if all else has failed, also what is useful is dietary advice and supplements such as vitamins.
The prognosis of fibromyalgia is not too serious, fibromyalgia can last however a long time, it does not result in death, nor documented tissue damage, but it most certainly can negatively affect the quality of life, and that is why it is often associated with anxiety and depression.
We have some exciting news here that we have some regenerative medicine treatment options here at the Phenicell Regenerative Institute. We have had some recent successes using intravenous BMAC stem cell Administration and BMAC stands for bone marrow aspirate concentrate. That means stem cells from patients’ own hip, this is most useful in patients 55 years old or younger. Another alternative is the intravenous umbilical cord in his ankle stem cells. A third option is an intravenous or systemic treatment with exosomes, which are nanoparticles that come from his ankle stem cells that show great promise, and lastly, we can do a combination of any of the above-mentioned therapies.
Fortunately, we have had some recent successes treating patients here at the Phenicell Regenerative Institute. Meet Lisa H. for example, she’s a 46-year-old woman who was kind enough to grant us permission to use her success on our video and she’s also made herself available by phone for anyone who would like to talk to her. She had chronic pain everywhere for many years, nothing worked until we did an intravenous bone marrow aspirate concentrate from stem cells of her own hip. She is a few months out now and she is reporting improvement and she is off four of her medications which were all muscle relaxants.
For more information about the treatment of fibromyalgia or any other treatments that we have at the Phenicell Regenerative Institute, please feel free to contact us.”