Fibromyalgia Clinic

Bayview Medical Clinic
2200 North 30th Street #201 (Get Directions)
Tacoma, Washington 98403
Tel: 253.779.5858
Fax: 253.779.5757

Overview
Fibromyalgia Syndrome (FMS) is a chronic neuro-transmitter disorder of the central nervous system. It presents in patients clinically with multiple symptoms, including most commonly widespread chronic pain, fatigue, morning stiffness, sleep disturbance, anxiety, depression, cognitive dysfunction (“brain fog”), and headaches. Other clinical symptoms may include hormonal disturbance, cold hands and feet, vertigo and dizziness, numbness and tingling, sensitivity to bright lights, loud noises, and chemicals, diminished healing time, to name a few.

Most patients are female; the disorder is probably genetically linked and the signs and symptoms of FMS are recorded as far back as the hieroglyphs of Egypt. The onset of the disorder may be sudden, such as following a serious illness or surgery or automobile accident, or gradual over time with no identifiable precipitating event.

FMS is not a rheumatological or auto-immune disease, although there may be co-morbidities. These may include rheumatoid arthritis, systemic lupus erythematosis, polyarthritis rheumatica, Sjogren’s Syndrome, connective tissue disorders, Lyme’s disease, vitamin D deficiency, hypothyroidism, hyper-mobility, etc.

FMS Tender Points

18 Tender Points (National Fibromyalgia Association)

Diagnosis
The diagnosis is of FMS is made by completing a comprehensive health and medical history and physical examination, including a bio-mechanical and musculo-skeletal examination. The patient usually exhibits 11 out of 18 designated tender or trigger points in four quadrants of the body bilaterally, together with the above cascade of clinical symptoms. There have been no specific tests for diagnosing this complex syndrome; however, PET scans of the brain, T & B cell immune system studies, p-substance in the spinal fluid, and serotonin levels might all reveal abnormalities. Recently, a blood test purports to help make the diagnosis of FMS.

Treatment
The most effective treatment of fibromyalgia is an inter-disciplinary rehabilitation program. Our wholistic approach at Bayview Medical Clinic (a division of HealthVision International, Inc.), based on worldwide clinical research includes first class medical care, standard evaluation and diagnosis, and innovative and effective treatment modalities.

Our team focuses on several important areas including:

  1. Pain management
  2. Sleep hygiene
  3. Detoxification
  4. Diet and nutrition
  5. Physical fitness
  6. Recreation
  7. Spiritual journey

Modalities include trigger point injections utilizing 1% lidocaine and vitamin B12 according to the procedures and protocols of Doctors Travell and Simons in their two volume medical textbook, Myofascial Pain and Dysfunction: The Trigger Point Manual, osteopathic manipulative medicine (OMM), prescription medication protocols (especially for pain and fatigue and depression) including the careful monitoring of opioids, physical therapy and fitness training, counseling (cognitive and pastoral), food sensitivity testing, and dietary intervention, as well as habit cessation (smoking, alcohol, drugs). Our most recent treatment modality is the Myer’s Cocktail, a micronutrient intravenous therapy including vitamins and minerals. The Myer’s Cocktail is given as an IV push over 10-15 minutes or IV drip over 30 minutes.

Myer's Cocktail II

Our goal is to return the patient to her normal and customary activities of living, including work, with 50% reduction in pain and suffering within the core program parameters of 12 to 14 weeks.

Stretching; Recreation

For more information contact Ariana, Patient Care Coordinator.

Prayer; Meditation; Contemplation

Yoga; Stretching Excercises; Tai’ Chi; Pilates

Mantra: whole, fresh, natural foods; vegetables and fruit; weight loss

Exercise pool; swimming; fast walking; running; aerobic excercise

Osteopathic Manipulative Therapy; Tender Point Injections

Physical Therapy; Massage; Manual Medicine