Float Therapy For Fibromyalgia Can Help Relieve Pain And Stress

Fibromyalgia is a pain condition that affects between 2 and 10% of the population in the U.S. It generally affects more women than men at a ratio of 9:1. One way to treat not only the fibromyalgia pain, but also the stress and anxiety that may accompany it is trying float tanks for fibromyalgia.

How do float tanks for fibromyalgia work?

Flotation REST (reduced environmental stimuli therapy) was developed in the 1950s by John C. Lilly, M.D. It uses a water-filled tank that is approximately the size of a bed and heated to skin temperature. The water is saturated with Epsom salts so that the patient can float without any effort.

Patients remove their clothes, enter the tank, turn off the lights, and relax. The idea is that this sensation of zero stimuli will help a person focus inward, eliminating distractions and calming the mind and body.

The Fibromyalgia Floatation Project (FFP) believes that spending an hour in a float tank will help sufferers reduce pain significantly. The project selected fibromyalgia as the condition for their case studies because the symptoms of fibromyalgia match the potential benefits of REST.

Benefits of float tanks for fibromyalgia

The benefits of float tanks for fibromyalgia have been studied for several decades. They have been shown to include the following.

Relief of stress

Thomas H. Fine, an associate professor in the department of psychiatry of the Medical College of Ohio and Roderick A. Borrie, a clinical psychologist at South Oaks Hospital in Amityville, New York, co-authored a seminal article examining the clinical effects of REST on the stress response.

They identified blood pressure, cortisol production, and muscle activity as key indicators of stress in the body. Their findings indicated that cortisol production decreased during floatation REST sessions and that:

“[There exists] the possibility of a resetting of the regulatory mechanism of cortisol across sessions.  Furthermore, cortisol, which has received more attention than the other hormones [in its role as an indicator of stress], and blood pressure, have been shown to maintain the REST effect after cessation of repeated REST sessions (Turner & Fine, 1983). This phenomenon suggests that the REST effect may be more than a simple, immediately reversible response.”

Alleviation of depression and anxiety

Float tanks for fibromyalgia have been shown to alleviate depression and anxiety with the mood elevation effects of deep relaxation. Fine and Borrie found that the effects were most pronounced when flotation REST was utilized in conjunction with other forms of counseling.

They caution, however, that severely depressed patients may need close monitoring due to the sometimes obsessive nature of thinking that can occur in the flotation tank.

Promotion of better, more restful sleep

Relaxation alone equals better, more restful sleep, and the deep relaxation of float tanks for fibromyalgia can help. Many fibromyalgia patients also suffer from restless leg syndrome, so getting a good night’s sleep can be difficult.

Since fatigue can exacerbate symptoms of fibromyalgia, the sleep-promoting deep relaxation can be a vital benefit of flotation REST.

Pain relief

Perhaps one of the most important benefits of float tanks for fibromyalgia is relief from pain. Fine and Borrie noted that:

“Flotation REST can have an important role at several stages of the pain management process. By reducing both muscle tension and pain in a relatively short time and without effort on the part of the patient, flotation provides a dramatic demonstration of the benefits of relaxation. Relief is immediate and, although temporary, offers promise of further relief from REST and other relaxation-based strategies.”

Many patients who have dealt with fibromyalgia for a long period of time give up hope for new treatments. When they realize that float tanks can help manage pain, their mental outlook may change and they may be more confident in their treatment plan.

Relief of muscle tightness

The stiffness and muscle tightness of fibromyalgia can be addressed by float tanks. A small 2012 study found that pain due to tightness of muscles was decreased significantly after just three sessions in the float tanks.

The pain-relieving effects lasted for a significant period after the treatment, which also helped to alleviate mood and make the study participants more hopeful. This increased optimism translates into better opportunities for successful treatment all around.

Corrects magnesium deficiency

Magnesium is essential to over 300 functions in the body, but people in the U.S. are chronically lacking in this important mineral. Transdermal supplementation of magnesium is the most effective delivery system. Fibromyalgia sufferers may have a magnesium deficiency that actually causes or contributes to their pain.

The magnesium solution in fibromyalgia float tanks can be absorbed through the skin. This helps to alleviate that deficiency without taking additional supplements. This can be a benefit to patients who have difficulty taking pills or who simply don’t want to take anything else.

Performance improvements

While not directly related to fibromyalgia, float tanks can also have some performance benefits.

Researchers Oshin Vartanian of the University of Toronto and Peter Suedfeld of the University of British Columbia found that musicians who floated in the tank for one hour per week for four weeks showed better technical ability at the end of the research. The researchers compared two-minute recordings before and after from the study participants and the control group. They found “a significant difference between the treatment and comparison groups on technical ability, but not on any other dimension.”

When float tanks are combined with positive imagery, athletic performance also improved without any other adjustments to amount or duration of practice. Simply floating in the tank and allowing the body and mind to fully relax seems to be what athletes need to recharge and regroup.

Float tank testimonials from fibromyalgia patients

The Fibromyalgia Flotation Project was designed for patients and interested medical professionals to test the efficacy of flotation REST treatments for fibromyalgia specifically. Two patients in particular are highlighted on their website.

Tina suffered from pain and bruising as a lasting reminder of a car accident in 1998 but couldn’t figure out why she was still in so much pain. Doctors attempted to control her pain with prescription opioids and non-steroidal anti-inflammatory drugs (NSAIDs), with disastrous results. After nearly overdosing, she finally tried flotation REST while visiting friends.

Tina describes her first experience in the tank like this:

“[It was] like stepping into a warmth that was hard to describe. I felt held, secure, safe, enveloped and surrounded by this wonderful water that was so good to feel against my painful body. I had immediate pain relief and no breakthrough pain for 17 hours after my first float.”

After seven floats, Tina puts her pain level at just 10% of what it used to be.

Float tanks improve overall quality of life

Brigitta’s fibromyalgia was not traced to any one particular incident, but the pain and dizziness made it difficult for her to really function effectively. She was unable to take pain medications because of their side effects, so she utilized acupuncture, warm baths, and exercise.

She was recruited by the Fibromyalgia Flotation Project at 70 years old and had this to say about the results:

“Flotation has made my life considerably better. I feel that it’s easier for me to take each day as it comes, which means that life gets easier. I feel much more positive and happy, and many of my friends confirm that.”

Frequently asked questions about float tanks

For first-time floaters, float tanks may be intimidating. The space is enclosed, and the act of floating is a foreign one. Some frequently asked questions about float tanks for fibromyalgia include the following.

What should I expect during my session?

People who utilize float tanks are often referred to as “floaters.” Floaters shower before entering the tank, either floating unclothed or in a bathing suit. Float sessions can last anywhere from 30 to 90 minutes.

First-time floaters may need some time to adjust to the environment of the tank, so a session of at least one hour is recommended.

Are fibromyalgia float tanks hygienic?

The water in the float tanks is saturated with magnesium sulfate nearly to the point of crystallization, just like the Dead Sea. And, just like the Dead Sea, this is not an environment in which bacteria can live.

In addition, float tanks come with a filter system that automatically filters the water after each session. Finally, floaters are asked to shower before they enter the tank, further minimizing the amount of bacteria or dirt they introduce to the tank.

Is there anyone who shouldn’t float?

Because a float tank is small and enclosed, floating may be difficult for people with claustrophobia. There are float tanks that have small windows that may help with this, but for some that might not be enough room. Those who suffer from anxiety may also find the initial sessions difficult.

How many sessions are required?

There is no perfect number of sessions, but for first-time floaters it is best to schedule a series. The sensations experienced in the tank (e.g., deep relaxation, minimal sensory input, weightlessness) may be strange and take some getting used to.
 

Reset Wellness recommends starting with a series of three, offering a reduced price for first-time floaters. Ultimately it is up to the floater to decide what works best for them.


This article originally appeared on paindoctor.com

What To Expect from an Osteopathic Treatment

If you are a new patient:

After taking an extensive case history, we do an initial structural assessment and perform motion tests and any necessary neurological and orthopedic tests. We may request other investigations if necessary for diagnosis.

We assess the range and quality of motion in joints and soft tissues and look at your general structural/ postural pattern.

The reason for taking a comprehensive case history and performing an initial assessment is to judge whether it is safe for us to use particular osteopathic techniques with you, and whether osteopathic treatment is appropriate.

We are interested in what has worked for you previously, and whether you have treatment preferences.

We can explain the treatment plan, and gain your consent before treatment. You should let us know immediately, even during the treatment, if you would like to change or stop and discuss the treatment we are giving you.

Your Osteopath will then explain to you what they have found and how they would like to approach the treatment, as well as explain what you may expect, any risks involved, and gain your consent for treatment .

The Osteopathic Treatment:

The treatment itself can vary practitioner to practitioner, but all will involve a hands-on approach.  Osteopaths have a wide variety of manual techniques they use to treat various complaints. They include:

• Massage (soft-tissue releases)
• Stretching
• Articulation (joints are passively taken through their range of motion by the osteopath)
• Muscle Energy Techniques (used to lengthen tight, contracted muscles)
• Counterstrain (releases tight muscles by positioning the affected muscle in a shortened position to stretch the opposing muscles)
• Manipulations (short, quick, precise low-amplitude movements used to improve range of motion at the joint)
• Functional Techniques (gentle mobilisation of joints)
• Visceral Techniques 
• Osteopathy in the Cranial Field

At the end of the treatment, your Osteopath will reassess the initial movements that you performed so that we can see how effective the treatment has been. Your Osteopath may organise a return consultation and may give you some stretches and exercises to do at home to help speed up your recovery or improve your body's function. We may be able to give you advice about suitable physical activity during this recovery period.

We have special pillows so that our pregnant patients can lie comfortably.

For your Osteopathic Consultation:

Bring:

•  X-rays, scans and results of investigations
• Private Health Insurance card /Workcover/Motor Vehicle claim numbers/ EPC form/ DVA referral form and card

Wear:

• Comfortable clothes. Depending on the Osteopathic Practitioner and the area of concern, some disrobing may be required, but at all times you will be draped with towels and/or provided with a gown to ensure you feel comfortable during the treatment. 

Time:

• Allow 5-10 minutes extra for your initial consultation to fill in your information sheet.
• Initial consults last 45-60 minutes
• Followup treatments run for 30-45 minutes

How many Treatments Will I Need?

The number of treatments needed depends on how long you have had the problem, how severe it is, and how your body responds to treatment. 

Like any other form of therapy/treatment, occasional unwanted reactions may occur.  These usually don't last long, but if you would like your osteopath to talk to you about what is happening, please ring us. 

On average, people have between 3 to 6 Osteopathic treatments for good results. However, you may only need 1 or 2 visits.

This article originally appeared on fremantleosteopathy.com.au

Acupuncture to Safely Increase Chance of Conception

Several studies have found that women who get acupuncture treatments -- whether to treat conditions that can interfere with getting pregnant (such as polycystic ovary syndrome, or PCOS) or to increase the chances of a successful IVF -- have a higher rate of pregnancy and births. Some fertility doctors recommend acupuncture for their patients to help lower overall stress levels, because stress hormones can lower fertility hormones like progesterone. "I've referred patients to acupuncturists to do acupuncture in conjunction with a number of fertility treatments," says Kathleen M. Brennan, M.D., a reproductive endocrinologist with the UCLA Fertility and Reproductive Health Center in Los Angeles.

So how does it work? Acupuncture is a traditional Chinese medicine practice that involves the placing of thin, stainless steel needles at certain spots on the body. From a Chinese medicine standpoint, the needles stimulate the body's meridians -- channels of energy -- along certain points. Depending on where the needles go, a person may feel calmer, sleepy, or more energized, or may experience subtle physical changes, like a drop or rise in certain hormones or increased blood flow to certain areas of the body, like the pelvis. "Acupuncture is thought to shift the body into a repair mode where it's better able to heal itself, as well as calming the nervous system," says Lara Rosenthal, a licensed acupuncturist who works with patients at the New York University Langone Medical Center Fertility Center in New York City. Does it hurt? "It feels a little like getting your eyebrow plucked, just for a few seconds, then you won't feel anything," Rosenthal says. And there are virtually no negative side effects, aside from occasional mild bruising.

Acupuncture can begin at anytime during the fertility treatment -- before you start taking any oral or injectable drugs to help "prep" your body; during drug treatment to help deal with side effects (nausea, moodiness, fatigue); or during IVF cycles. "Doing acupuncture before trying drugs or IVF might help you avoid those treatments altogether," Rosenthal says; she recommends several sessions for the best outcome. Some insurance companies cover acupuncture, though this varies by state and by insurance provider. The average cost between $100 and $300 for an initial visit and $75 to $150 for follow-ups.

Before you look into acupuncture, however, make sure you receive a medical evaluation by a physician. "There are certain conditions that can't be helped by acupuncture, such as blocked fallopian tubes, so you need to know what is going on with your body medically," Rosenthal explains. Ask your doctor for a referral to an acupuncturist who treats infertility, as not every practitioner will be trained in that area. Avoid taking Chinese herbs unless your doctor gives you the go-ahead -- some of them could potentially hurt your fertility, or endanger an existing pregnancy.

This article originally appeared on parents.com and was written by Tula Karras

Getting Perspective: Nutrition Counseling

Definition

Nutrition counseling is an ongoing process in which a health professional, usually a registered dietitian, works with an individual to assess his or her usual dietary intake and identify areas where change is needed. The nutrition counselor provides information, educational materials, support, and follow-up to help the individual make and maintain the needed dietary changes.

Purpose

The goal of nutrition counseling is to help a person make and maintain dietary changes. For a person with a mental disorder, dietary change may be needed to promote healthier eating, to adopt a therapeutic diet, or to avoid nutrient-drug interactions. Nutrition counseling is an integral part of treatment for persons with eating disorders or chemical dependencies. Persons taking certain drugs, such as monoamine oxidase inhibitors, used to treat depression and anxiety disorders, need to follow a tyramine-controlled diet to avoid dietary interference with their medication. Many drugs used to treat mental disorders can cause weight gain or loss, so persons taking these medications may also benefit from nutrition counseling.

The nutrition counselor and individual work together to assess current eating patterns and identify areas where change is needed. Registered dietitians have met certain education and experience standards and are well qualified to provide nutrition counseling, but nurses, physicians, and health educators also provide nutrition counseling.

Description

Assessing dietary habits

Nutrition counseling usually begins with an interview in which the counselor asks questions about a person's typical food intake. Nutrition counselors use different methods to assess typical food intake.

The 24-hour recall method is a listing of all the foods and beverages a person consumed within the previous 24-hour period. The nutrition counselor may ask a person to recall the first thing he or she ate or drank the previous morning. The counselor then records the estimated amounts of all the foods and beverages the person consumed the rest of the day. The 24-hour food recall can be used to provide an estimate of energy and nutrient intake. However, people tend to over- or underestimate intake of certain foods, and food intake on one day may not accurately represent typical food intake.

A food frequency questionnaire can sometimes provide a more accurate picture of a person's typical eating patterns. The nutrition counselor may ask the client how often he or she consumes certain food groups. For example, the counselor may ask a person how many servings of dairy products, fruits, vegetables, grains and cereals, meats, or fats he or she consumes in a typical day, week, or month.

Daily food records are also useful in assessing food intake. An individual keeps a written record of the amounts of all foods and beverages consumed over a given period of time. The nutrition counselor can then use the food records to analyze actual energy and nutrient intake. Three-day food records kept over two weekdays and one weekend day are often used.

Assessing body weight

Nutrition counselors may assess an individual's body weight by comparing his or her weight to various weight-for-height tables. A rough rule of thumb for determining a woman's ideal body weight is to allow 100 lb (45 kg) for the first 5 ft (1.5 m) of height plus 5 lb (2.3 kg) for every additional inch. A man is allowed 106 lb (48 kg) for the first 5 ft (1.5 m) of height plus 6 lb (2.7 kg) for every additional inch. However, this guide does not take into account a person's frame size.

Body mass index, or BMI, is another indicator used to assess body weight. BMI is calculated as weight in kilograms divided by height in meters squared. A BMI of 20 to 25 is considered normal weight, a BMI of less than 20 is considered underweight, and a BMI of greater than 25 is considered overweight.

Identifying changes needed

The initial dietary assessment and interview provide the basis for identifying behaviors that need to be changed. Sometimes a person already has a good idea of what dietary changes are needed, but may require help making the changes. Other times the nutrition counselor can help educate a person on the health effects of different dietary choices. The nutrition counselor and client work together to identify areas where change is needed, prioritize changes, and problem-solve as to how to make the changes.

Making dietary change is a gradual process. An individual may start with one or two easier dietary changes the first few weeks and gradually make additional or more difficult changes over several weeks or months. For example, an easy change for a person might be switching from 2% to skim milk, or taking time for a quick yogurt or granola bar in the morning instead of skipping breakfast. More difficult changes might be learning to replace high-fat meat choices with leaner ones, or including more servings of vegetables daily.

In making dietary changes, each individual's situation and background must be carefully considered. Factors that affect food decisions include an individual's ethnic background, religion, group affiliation, socioeconomic status, and world view.

Identifying barriers to change

Once the needed changes have been identified, the client and nutrition counselor think through potential problems that may arise. For example, changing eating behaviors may mean involving others, purchasing different foods, planning ahead for social events, or bringing special foods to work. Some common barriers to changing eating habits include:

• inconvenience
• social gatherings
• food preferences
• lack of knowledge or time
• cost

Setting goals

The nutrition counselor and client set behavior-oriented goals together. Goals should focus on the behaviors needed to achieve the desired dietary change, not on an absolute value, such as achieving a certain body weight. For a person working to prevent weight gain associated with certain medications, for example, his or her goals might be to increase the amount of fruits, vegetables, and whole grains consumed each day. Such changes would help prevent weight gain while placing the emphasis on needed behaviors rather than on actual weight.

Finding support

Family members are encouraged to attend nutrition counseling sessions with the client, especially if they share responsibility for food selection and preparation. Although the individual must make food choices and take responsibility for dietary changes, having the support and understanding of family and friends makes success more likely.

Maintaining changes

The challenge for the nutrition client lies not in making the initial dietary changes, but in maintaining them over the long term. Self-monitoring, realistic expectations, and continued follow-up can help a person maintain dietary changes.

Self-monitoring involves regularly checking eating habits against desired goals and keeping track of eating behaviors. Keeping a food diary on a daily or periodic basis helps the individual be more aware of his or her eating behaviors and provides a ready tool to analyze eating habits. Sometimes a simplified checklist to assure adequate intake of different food groups may be used.

Individuals and nutrition counselors should not expect perfect dietary compliance—slips inevitably occur. The goal is to keep small slips, such as eating a few extra cookies, from becoming big slips, like total abandonment of dietary change. The counselor can help the client identify situations that may lead to relapse and plan ways to handle the situations ahead of time.

Nutrition counseling is an ongoing process that can take months or years. In follow-up nutrition counseling sessions, the individual and counselor analyze food records together and problem-solve behaviors that are especially difficult to change. Follow-up counseling also allows the opportunity to reevaluate goals and strategies for achieving those goals.

This article originally appeared on minddisorders.com