Yes, there is hope for those with Fibromyalgia and chronic Myofascial pain 

Mission:  Hope for Fibromyalgia is a webpage dedicated to providing accurate, timely and helpful information to the thousands of Fibromyalgia sufferers. Hope for Fibro also provides proven products at discount prices to help our patrons THRIVE, not just SURVIVE!




A Guide for Relatives and Companions 

Excerpted from Fibromyalgia and Chronic Myofascial Pain Syndrome: A Survival Manual by Devin J. Starlanyl and Mary Ellen Copeland M.A. M.S., © copyright 1996, the authors. All rights reserved.

Please be aware that we cannot hope to put all the information from ours and several other books for patients on these disorders. Please get additional information from one of these sources. We have listed some in the bibliography.


A Guide for Relatives and Companions

Fibromyalgia (Fie-bro-my-al-gia) Syndrome (FMS) is a chronic invisible illnesses. It is not a muskuoskeltal dysfunction. It's a disorder of the informational substances such as neurotransmitters, hormones, peptides, and other biochemical messengers which regulate and run the systems of the body and mind. It causes hypersensitivity to all sorts of stimuli, so it can amplify pain. There are no trigger points (TrPs) in FMS, only tender points, which do not refer pain.

Fibromyalgia often occurs with chronic Myofascial (my-oh-fass-shall) pain (CMP), which is a neuromuscular chronic pain condition with TrPs that can cause muscle weakness and dysfunction, and incapacitating, intolerable pain. TrPs can also cause extreme dizziness, migraines, buckling knee, clumsiness and calf cramps. Pains in localized parts of the body––the back, hands, neck and other areas, are a symptom of TrPs. Achy, body-wide pain is a symptom of FMS, but all widespread pain is not FMS. TrPs can occur all over the body in CMP, for example, causing widespread pain. FMS will amplify the pain of TrPs.

In FMS, sleep is often fragmented, and there seems to be a problem with the microstructure of sleep. People with FMS wake up feeling that they haven’t slept at all. You are denied refreshing sleep, and sleep is when the body does much of its repair and biochemical regulation. The person with FMS can’t recover from exercise, stress and work like healthy people. They are constantly in a state of sleep deprivation unless they find a combination of medications, lifestyle modifications and diet that work for them.

If people with TrPs are immobile at any time, such as during travel or sitting in a meeting or movie, their muscles get stiff and painful. It can feel like you are wearing a wet suit several sizes too small, your range of motion is limited, and your muscles are weak. Morning stiffness with both of these conditions can be severe. Symptoms fluctuate from hour to hour and day to day, and may worsen with changes in barometric pressure, humidity, cold or heat. If you overextend your limits, you may have extra pain for days or weeks.

Symptoms can be severe, yet blood tests, X-ray and other common diagnostic tests cannot diagnose FMS or TrPs, although there may be a way to document FMS (see Algometry). TrPs are easy to diagnose if your medical care provider has been trained to do so. FMS and CMP are two of the most common sources of chronic pain, and the most undiagnosed or misdiagnosed of illnesses.

Most FMS patients have memory and cognitive impairments. Doctors often refer FMS patients to psychologists or psychiatrists because of this, yet studies show that psychologically, these patients have no more abnormal psychology than arthritis patients. People with FMS and CMP are often misunderstood and doubted, and this, in addition to the chronic pain and other symptoms, could cause anyone to feel depressed and confused. An American College of Rheumatology study in 1992 found that the impact of FMS on your life is as bad, or worse, than Rheumatoid Arthritis. They listed one major factor in this as "clinician bias". FMS & CMP patients don't look sick, and their symptoms vary, so they are often misunderstood and disbelieved by clinicians, family and friends.

FMS and CMP are not progressive, but symptoms may worsen if the perpetuating factors are not identified and dealt with promptly and adequately. If you have FMS and CMP, you have a history of widespread pain and wake up every morning feeling like you’ve been run over by a truck. You may have headaches and loss of balance. Looking both ways when going into traffic can cause dizziness. You may have short-term memory loss and other cognitive dysfunctions, and you may not always have control over your muscles.

TrPs are incredibly painful areas that often feel like knots, hard lumps, or taut bands of fibers in the muscles, and they can be everywhere, and often refer pain to some other part of the body. They can cause irritable bowel syndrome, dizziness and loss of balance, buckling ankles and knees, pelvic pain, painful intercourse in women, impotence in men, and many more symptoms. The tightened and rigid Myofascia surrounding the muscles can entrap nerves, blood vessels, and ducts. TrPs can cause blurring of the eyes, double vision, leg cramps, trouble swallowing, sciatica, numbness or tingling. Carpal Tunnel Syndrome, Migraines, TMJD, Piriformis Syndrome, and Thoracic Outlet Syndrome are some of the conditions that can be caused by TrPs. Muscles contracted by TrPs can pull bones out of alignment, and lead to Osteoarthritis.

There is no cure for FMS right now.

There are medications and therapies that help some symptoms of FMS and CMP. The key to reducing symptom load is always to identify every perpetuating factor (such as lack of restorative sleep, poor diet and posture, chronic pain, etc) and deal with each of them as thoroughly as possible. It takes a commitment on the part of the patient to practice a healthy lifestyle, including good nutrition, a program of gentle stretching and moderate exercise, and avoidance of smoking and other bad habits. There must be recognition by both the patient and her/his companions in life (including the medical care team) that there are limitations for people with FMS and/or CMP. It isn't easy to find the right balance to optimize the quality of life. Be patient, compassionate, and listen. Ask if there is something you can do to help.

© copyright Devin J. Starlanyl 2002. Copying permitted if all material is kept together and authorship acknowledged.

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Therapies that help some symptoms


Treatment Methods


Considerations and suggested activities for individuals with Fibromyalgia syndrome


Nutritional Supplements that help relieve some symptoms


About Electro-Medical Therapy









Signs and symptoms of Fibromyalgia syndrome:

Fibromyalgia Syndrome is also known as "fibrositis".   It is a chronic syndrome with a set of signs and symptoms that include widespread constant degrees of pain that affects the muscles and attachments to bones. Signs and symptoms of Fibromyalgia are:

Lack of energy
Moderate to severe fatigue/exhaustion
Mistaken or associated with the flu or lack of sleep
Decreased exercise endurance
Generalized muscular pain
Tender muscular trigger points
Soft tissue or muscular rheumatism

Fibromyalgia Syndrome is often included in the family of arthritic conditions. Fibromyalgia affects an estimated 3.7 million Americans, mostly women. Its cause is unknown and it has no known cure. Most individuals get limited relief from medications.


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Treatment Methods:

Hot and cold packs on trigger points
Joint protection techniques
Trigger point pain medications to diminish pain and improve sleep
Therapeutic massage
Physical therapy


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Considerations and suggested activities for individuals with Fibromyalgia syndrome:

Make lifestyle modifications to conserve energy and minimize pain

Exercise regularly to:
    *reduce pain and fatigue
    *build and maintain healthy bones, muscles and joints
    *improve and increase overall conditioning
    *improve and increase cardiovascular fitness        

Walk, bike, swim, or perform water aerobics or low impact aerobic exercises

Use a specially designed exercise program (developed by the Adapted Physical Educator) to improve posture, flexibility, and fitness levels

Learn and use relaxation techniques to reduce muscle tension

Maintain appropriate weight

Be aware of medications taken for fibromyalgia syndrome and possible side effects.


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Nutritional Supplements that help relieve some symptoms






Malic Acid+





Why choose PhysioLogics?









  • Designed exclusively for healthcare professionals and their patients
  • Developed and backed by PhysioLogics' own research and development scientists
    Their nutrients and specially designed formulas are created and tested by their team of experts with advanced degrees in human nutrition, biochemistry, food science, plant chemistry, and dietetics.
  • An extensive line of products
    They offer more than 130 premium standardized products that include standardized herbs, nutrients, and unique formulations. PhysioLogics also offers unique products from special alliances we have forged within the industry.
  • State-of-the-art manufacturing facility
    Ninety percent of their products are manufactured at our new $28 million campus in Thornton, Colorado. This state-of-the-art facility houses the latest manufacturing and processing facilities. A specialized manufacturing core sits within one of the three massive 10,000 square foot 'pods' on the campus. Their machinery can bottle 270,000 capsules per hour. This allows them to guarantee a fresher product and keep costs in line by maintaining optimum inventory levels.
  • We guarantee consistent quality
    All of their nutriceuticals are manufactured under strict quality control standards to assure freshness, purity, consistency, potency, and safety. Our tablets, capsules, powders and liquids contain only the highest quality ingredients from around the globe. PhysioLogics is an industry leader in standardizing and ensuring consistent product quality. Their $400,000 laboratory can check the bioavailability of each product with USP dissolution tests and pH testing. Their Physical Analysis Lab checks the weight, hardness, and thickness on all tablets for consistent quality. They can also guarantee and verify the potency of all the herbs in their single ingredient products and formulas with technology known as High Pressure Liquid Chromatography (HPLC). This process is critical because herbal quality can vary from batch to batch.
  • Customers rate our service #1
    PhysioLogics' dedicated service representatives are highly trained, with an extensive knowledge of nutritional health. They serve you directly, so they can deliver the most efficient and highly personalized service possible. With the addition of the website's convenient ordering and educational features, they're here to serve you 24 hours a day, seven days a week.
  • We back their products 100%
    If for any reason you are not satisfied, simply return the product within 90 days of the date of purchase for an immediate store credit or exchange.

Learn more about Physiologics' quality process
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  Cetyl Myristoleate Complex   For Joint Care

Cetyl Myristoleate Complex 550 mg 60 capsules

For Joint Care

Directions: For adults, take one (1) capsule two to three times daily, preferably on an empty stomach or one hour after a meal, or follow the advice of your health care professional.

Ingredients per one capsule: Cetyl Myristoleate Complex 550 mg

Other ingredients: Gelatin, Vegetable Magnesium Stearate, Silica.

Note: Not for use by pregnant or nursing women.  

Caution: If you are under medical supervision, have an allergy or asthma, please consult a doctor before use.

Discontinue use and consult a doctor if any adverse reactions occur including gastrointestinal discomfort.


bottleshot Malic Acid+™- Combat Muscle Fatigue
This unique formula contains nutrients including malic acid, which stimulates ATP production (cellular energy). ATP is used by the body to combat muscle fatigue.

Malic Acid+ helps the body:

  • Form the foundation for cellular energy production
  • Nutritionally protect the muscles from fatigue
  • Support healthy energy levels
  • Ensure proper functioning of nerves, muscles, and the heart
  • Increase efficient cellular energy production, which protects against muscle cramping and tenderness
Malic acid is a natural compound found in all living cells, and also found in high concentrations in fruits such as apples. It is utilized in the Kreb's Cycle, the energy cycle that converts carbohydrates into carbon dioxide, water and energy, to fuel the body's cells. However, this energy production process can create by-products such as lactic acid, which can build up in muscle tissue and cause muscle fatigue and reduced energy levels. Maintaining optimum levels of malic acid can help promote efficient energy production under anaerobic conditions.

Studies support the role that magnesium plays in ATP synthesis, especially under hypoxic (decreased oxygen) conditions. Optimizing magnesium levels can help increase energy levels and soothe and comfort the muscles.

Coenzyme Q10 is another integral element in the production of energy within the mitochondria. It generates much of the energy required by the human body, because of its role in the electron transport chain inside cells.

Rounding out the formula are potassium and magnesium aspartates which contribute important electrolytes needed for the proper functioning of nerves and the muscular and cardiovascular systems.

Malic Acid+ helps the body:

  • Optimize cellular energy production
  • Protect the muscles from fatigue
  • Promote the proper function of nerves, muscles, and the heart*

Take 1 capsule daily with a meal or follow the advice of your health care professional.


Supplemental Facts
Serving Size 1 capsule
Amount per serving % Daily Value
Magnesium (as 75% magnesium oxide, 25% magnesium aspartate) 100 mg 25
Potassium (as potassium aspartate) 10 mg <2
Malic Acid 250 mg *
Coenzyme Q10 15 mg *
*Daily Value not established

Other ingredients: Rice powder, gelatin, magnesium stearate.

*These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease.




bottleshot  Olimmune - A Powerful Formula to Enhance the Body's Natural Defenses

Olimmune provides:

  • Potent immune-boosting power
  • Antioxidant protection
  • Stimulates the natural production of interferon and killer T-cells, as well as macrophage and phagocyte activity
Researchers have recently discovered that the olive leaf has powerful immune-enhancing properties. Studies show that olive leaf extract can stimulate macrophage phagocytosis – an important immune system response. Researchers also found that olive leaf activates other strategic immune system responses in the body.

In 1975, a select group of Chinese researchers began to investigate the ability of astragalus to support overall immunity. Animal studies conducted in the United States have demonstrated that this herb enhances a healthy interferon response, and supports healthy T-cell function. And research conducted at the Loma Linda School of Medicine found that astragalus also strengthened macrophage phagocytosis, and boosted the activity of special lymphokine-activated killer (LAK) cells. Astragalus' active components are thought to be its polysaccharides.

Licorice has been used for thousands of years in Greek, Roman, and Chinese cultures. Now modern scientific studies suggest that licorice stimulates cell production of interferon and increases overall immune system function.

N-acetyl-L-cysteine is a stable form of the conditionally essential amino acid L-cysteine. The body uses L-cysteine to produce glutathione (GSH) – a powerful antioxidant. In fact, GSH is considered one of the most important endogenous antioxidants. Ligusticum is also included in the formula for its potential ability to promote immune system health.

PhysioLogics' Olimmune provides:

  • Potent immune-boosting power
  • Antioxidant protection
  • Stimulates the natural production of interferon and killer T-cells, as well as macrophage and phagocyte activity*
Take 3 capsules 3 times per day or follow the advice of your health care professional.

Note: If you have an autoimmune disorder, hypertension, or are pregnant or lactating, consult your health care professional before using this product. Long term use of this product is not recommended.


Supplemental Facts
Serving Size 2 capsules
Amount per serving % Daily Value
Licorice DGL** 1% glycyrrhizin, 7.6mg 760 mg *
Astragalus** 70% polysaccharides, 140mg 200 mg *
Ligusticum 200 mg *
N–Acetyl–Cysteine (NAC) 135 mg *
Olive Leaf Extract** 17% oleuropein, 17mg 100 mg *
*Daily Value not established

**Guaranteed Potency Herb

Other ingredients: Rice powder, gelatin.

*These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease.





bottleshot SAMe  - Dramatic results for joint health and positive mood

S-Adenosyl-methionine (SAMe) is formed by combining L-methionine with ATP (adenosine triphosphate) – the body's primary energy molecule for fueling the heart and other major organs. It was discovered by scientists in Italy in 1952, and after more than 40 years of use in Europe, SAMe remains the safest, active and efficient methyl donor known.

SAMe is involved in a complex series of biochemical pathways in the human body. It functions as a methyl donor in the transmethylation process and is also involved in transsulfuration and aminopropytation pathways.

As a methyl donor, SAMe adds a single carbon unit to another molecule – a process known as transmethylation. SAMe transfers its S-methyl group to the brain and nerve sheaths to protect the synthesis of phospholipids and neurotransmitters. Experts theorize that this methylation process increases levels of mood-elevating neurotransmitters such as serotonin and dopamine, and also increases phosphatidylserine levels – which can have a dramatic effect on mood.

By releasing its methyl groups, SAMe also becomes part of another complex pathway – the transsulfuration process. As part of this process, SAMe becomes a critical component for the synthesis of all sulfur-containing compounds in the body, including glutathione and taurine. Glutathione is one of the body's most important endogenous antioxidants, and both glutathione and taurine are critical for the liver's detoxification process. Some of the sulfur from this process is also used to build connective tissue such as cartilage, ligaments, and tendons, and help form strong joints.

Aminopropytation (or polyamine synthesis) also occurs with SAMe. Aminopropytation produces substances known as polyamines, which play an important role in cell and tissue growth. A by-product of the production of these polyamines is a natural chemical known as methylthioadenosine (MTA) – the body's 'communication mechanism' for transferring pain and inflammation messages to the brain. This process may also contribute to SAMe's benefits for joint health.

Supplementing SAMe is important because it is not easily obtained from food, and the availability of this important molecule decreases with age. Long-term clinical trials in Europe have found that SAMe is safe and suitable for long-term supplementation.

Because SAMe is a highly reactive molecule, PhysioLogics has subjected its product to rigorous quality assurance testing methods. PhysioLogics' SAMe is manufactured under strict climate controls and blended, compressed, and enterically coated the same day to minimize degradation. We further test the enteric coating for disintegration using current USP methods, run a post-tablet concentration evaluation using HPLC technology, and check for degradants and friability (brittleness) in the tablets.

SAMe's benefits include:

  • Increasing levels of mood-enhancing neurotransmitters in the brain
  • An important component of healthy joints and tissue
  • Used in Europe for over 40 years with very few side effects
  • Enterically coated and tested for stability at doses of 1200-1600 mg per day*
Take 1 tablet two times daily on an empty stomach, or follow the advice of your health care professional.

NOTE: Individuals with bipolar disorder should not take this product unless recommended by their health care professional. If you are pregnant or lactating, consult your health care professional before using this product.


Supplemental Facts
Serving Size 1 tablet
Amount per serving % Daily Value
Calcium (as dicalcium phosphate) 30 mg    3
S-Adenosyl-L-Methionine Disulfate Tosylate 200 mg  *
*Daily Value not established

Other ingredients: Microcrystalline cellulose, Surelease (purified water, ethylcellulose, ammonium hydroxide, medium chain triglycerides, oleic acid), croscarmellose sodium, stearic acid, magnesium stearate, Opadry (hydroxypropyl methylcellulose, polyethylene glycols).

*These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease.




Fibro Care Packages 


These products may be purchased online or locally in  Hendersonville, NC through  Richards Family Chiropractic 

1509-A  Haywood Road  Hendersonville, NC 28791

828) 697-7288 ·  Fax (828) 697-7911

Order online through - Simply request the package desired

Dr. David Richards, D.C.


Basic Care Package:              
  Malic Acid+          20.99
  CMO          34.99


Ultimate Care Package:             
  Malic Acid+          20.99
  CMO          34.99
  Olimmune          25.99
  SAM-e   (2x)          33.99




About Electro-Medical Therapy


       (Transcutaneous Electrical Nerve Stimulators )


The application of electro-medical therapy is not a new concept. Its therapeutic value was recognized long before William Gilbert defined electricity in 1600. Both Aristotle and Plato refer to the Black Torpedo (electric ray fish) prescribed in 46 A.D. by the physician Scribonius Largus for the relief of a variety of medical conditions from headaches to gout. In the 1800's dentists reported excellent results using crude electrical devices for pain control. By the turn of this century, electrical devices were in widespread use to manage pain and "cure" everything from cancer to impotency.

In 1965 Drs. Ronald Melzack of Canada and Patrick Wall of the U.K. published a paper explaining a new comprehensive theory, known as the Gate Control Theory, of how pain is processed by our nervous systems. This theory also explained how electrical stimulation can influence the physiology of pain. By 1967 electrical devices were surgically implanted to control severe low back pain. Shortly thereafter, surface electrical units were used to test the person's response as a means of screening suitable surgical candidates. It was soon discovered that these surface electrical stimulators were also effective and they could be used for the relief of pain without the surgery. Since then, these devices, known as transcutaneous electrical nerve stimulators (TENS), have become widely accepted by physicians to control most forms of pain.


Frequently Asked Questions about TENS

What is TENS?

TENS or Transcutaneous Electrical Nerve Stimulation, is a small "beeper size" device that clips on a belt. It operates on a volt battery and is used as a method of pain relief and rehabilitation enhancement. TENS has been approved by the FDA. It is prescribed by licensed physicians and is reimbursed by most insurance companies.

Body Pads connect to the TENS Unit at CH 1 and CH2


What kinds of pain respond to TENS?

Pain that warns us of external danger and internal illness serves a useful purpose. But the chronic and acute pain associated with long-term illness, surgical incisions, and unknown diagnoses do not provide insight into illness, and therefore should be relieved. TENS is an excellent, non-drug alternative for chronic pain such as lower-back ache and arthritis. It is also useful in relieving acute pain associated with surgery, traumatic injury, and other conditions.



How can TENS relieve pain?

TENS can relieve pain by blocking the pain message sent by the body's nervous system. This is accomplished by placing electrodes over the painful area and administering a low-volt electrical current. The current overrides the nervous system's message of pain, thereby blocking it.



Does TENS treatment have any risks or side effects?

Unlike surgery or prescription drugs, TENS is virtually risk free from injury, side-effects or addiction. The low-volt electrical current delivered by the electrodes only penetrates the skin to the level of the nerve fibers, usually only one to two inches. This poses no danger to most individuals. However, those with cardiac conditions and/or pacemakers, and pregnant women should consult their doctors before using TENS. Also, neck and head pain that requires locating electrodes on these areas of the body should be conducted only with the consent of a physician. Use caution when you drive or operate heavy machinery. Most importantly, always use TENS according to your physicians directions.



What is the most effective way to use TENS?

To achieve the best results of TENS therapy, it is important to remember that TENS merely activates the body's own pain-fighting mechanism. Placing electrodes directly over or around the painful area delivers pain-blocking current to the nerves leading to that area. Some healthcare professionals have found that placing the electrodes along acupuncture points is also effective. Also, it is good to vary the placement of the electrodes each treatment to avoid skin irritation.



How long does it take for TENS treatment to produce results?

In most cases, studies show that it takes roughly 30 minutes for TENS treatment to begin to relieve pain. However, for conventional, high-frequency TENS treatment, there is no set treatment limit. Some patients find hours of pain relief from short 30-to-60 minute sessions. Others use their TENS units for several hours a day or all day, depending on the pain generated by daily activities. Always use your TENS unit according to your physician's directions.



When can TENS treatment be administered?

TENS can be administered any time of day or night. It is recommended that TENS not be used while sleeping. This is simply because movement during sleep may cause electrodes to come off or be pressed into the flesh, causing skin irritation. However, always use your TENS unit according to your physician's directions.





Indications for use of TENS

Systemic Pain

Multiple Sclerosis
Phantom Limb Syndrome
Raynaud's Syndrome
Rheumatoid Arthritis
Diabetic Peripheral Neuropathy



Head and Neck Pain

Cluster Headaches
Dental Disorders
Migraine Headaches
Suboccipital Headaches
TMJ Syndrome
Trigeminal Neuralgia



Abdominal Pain

Postoperative Pain



Back Pain

Facet Syndrome
Intercoastal Neuralgia
IVD Syndrome
Lumbosacral Pain
Whole Back Pain



Lower Extremity Pain

Ankle Pain
Foot Pain
Knee Pain
Passive Stretch Pain



Upper Extremity Pain

Frozen Shoulder
Hand Pain
Peripheral Nerve Injury
Subdeltoid Bursitis
Wrist Pain




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