The Neural Plasticity Model of Fibromyalgia - Theory, Assessment, and Treatment
by C.C. Stuart Donaldson, PhD; Gabriel E. Sella, MD, MPH, MSc; and Horst H. Mueller, Cpsych
The treatment of fibromyalgia follows directly from
the assessment. The basic premise is to reduce the source(s) of pain in the periphery
while simultaneously reducing the CNS dysfunction, without irritating or reinforcing the
pain pathways. As one or several of these mechanisms may be involved in the maintenance of
the dysfunction, a multi-faceted strategy is recommended. This article will discuss trying
to calm the system with medication(s), naturopathic substances, and relaxation training
techniques; and altering the muscle, joint (peripheral) activity using different sEMG
techniques, physical therapy, and massage therapy.
Please refer to the Sep/Oct 2001 issue for the complete text. In the event you need to order a back issue, please click here.
Sep/Oct 2001
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