I had one spinal manipulation and now I feel I am having a CFS flair
Joanne asks : Hello Dr. T, How are you ? I am a former patient of yours. I saw you in 2006. You saved me ! Although I have yet to fully recover, I will say that I recovered about 75%. Which I'll gladly take ! I'm just a little scared. I developed some back problems, which I wouldn't associate with my CFS, but more from having a 2 year-old son. I began massage therapy and my therapist recommended I see a chiropractor because of the abnormal spacing of my shoulders. I had one spinal manipulation about three days ago and now I feel I am having a CFS flair (brain fog, nausea, disorientation) !
What are your thoughts on this ?
In your case, I would hold off and treat with SHINE instead
Dear Joanne, It will pass. Sometimes spinal manipulation (especially in the neck) can flare autonomic dysfunction because of spinal cord stimulation if the space in the spinal cord is tight. I suspect the muscle tightness you were being treated for reflected that the CFS was beginning to act up again as well just a little—even before the manipulation.
This is not a big deal and simply requires a tune up. Begin with taking (or continuing) the Energy Revitalization System vitamin powder
Usually chiropractic can be very helpful—especially when combined with SHINE ('sleep-hormones-infection- nutritional supplements-exercise') – cfr. : http://www.endfatigue.com/treatment_options/Shine_treatment_protocol.html - to treat the metabolic issues (discussed in my book). In your case though, I would hold off and treat with SHINE instead. Also, ask your therapist or chiropractor to check to see if your hip heights are even. If not, a $15 heel lift can do wonders (if it is the right size heel lift, you'll feel better and more balanced immediately when you use it; if not, it is not the right size).
The SHINE Approach and Treatment Protocol Understanding The SHINE Approach to CFS/FM Treatment
In his 30 years of clinical experience and in his landmark study on Effective Treatment of CFS/FM, Dr. Teitelbaum has found that his SHINE approach to treating CFS/FM is successful in the vast majority of patients.
The SHINE Treatment Protocol is a list of the more common treatments for CFS/FM. SHINE represents five areas of health issues that need to be addressed when creating a treatment program. These health issues and their roles in treating CFS/FM are as follows :
S = SLEEP Get adequate sleep, preferably eight to nine hours a night. Sleep replenishes the body's energy and heals its muscles. Inadequate sleep will leave you exhausted and in pain.
H = HORMONES Get tested for hormone deficiency and treated if needed. Hormone deficiencies can contribute to fibromyalgia and chronic fatigue syndrome.
I = INFECTIONS Get treatment when symptoms of infections occur. The lack of restorative sleep in CFS/FM leads to dysfunctional immune systems. Underlying viral, bacterial, bowel, sinus and yeast infections are common and can be a contributing cause or result of CFS/FM.
N = NUTRITONAL SUPPLEMENTS Optimal nutritional supplementation is essential. Many nutrients can be depleted as a result of CFS/FM. B-12, magnesium, Acetyl L Carnitine and glutathione, as well as your basic A, B, C and D vitamins need to be supplemented at a level that your average over the counter multivitamin cannot provide.
E = EXERCISE Exercise as able.
After 10 weeks on the 4 steps above, you will be able to slowly increase your exercise-without being wiped out the next day !
'SHINE Treatment Protocol for CFIDS/Fibromyalgia' that Dr. Teitelbaum used in his own practice and his study is available at : http://www.endfatigue.com/treatment_options/Shine_protocol_document.html -. This protocol is used worldwide by practitioners who want to effectively treat CFS/FM, as well as patients who want to start natural remedies on their own. You can download, print and use this as a guide with your practitioner to tailor your treatment regimen to your specific symptoms.
It takes an average of six weeks to begin to feel the benefits of your treatment. During this time, you should chart important information about your treatment progress, such as dates when you start or stop individual treatments and their effects.
For most of you, CFS/FM took months to fully manifest. It can also take several months to get well. Although the SHINE protocol gives you the fastest path to healing, keep in mind that total recovery can take several months to over a year. You should remain on the treatment program until you are feeling consistently well for six months or more (with no back-sides). After that, you can taper off the program by discontinuing one treatment every one to two weeks.
The gradual tapering is recommended so that you can make sure a particular treatment is no longer needed. Although it isn't usually necessary, any or all of the treatments can be used forever without harm. Many patients choose to continue several treatments long term after stopping the majority of them. Reading your body’s signals and taking your practitioner’s advice are your best tools in determining which treatments should be continued to remain well.