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« Social Adversity and Schizophrenia | Main | Acupuncture, Qigong and Fibromyalgia »

December 08, 2006


Richard Petty

I had a nice letter following this post:
Hi - FYI, I was diagnosed with fibro 3 years ago, and my symptoms (among them carpal tunnel / myofascial pain in my forearms and hands), were greatly relieved by following a low-GI diet. Since then, I've always though of fibro as "McDiabetes." Following the low-GI diet helped when nothing else would, however, it only brought me back to about 65%. It was when I started taking pancrease enzymes with every meal that I felt almost like my old self. There is a family history of "type 1.5" diabetes (LADA), so I'm a little concerned that the fibro diagnosis was incorrect. I was wondering if you could direct me to articles on how to distinguish peripheral neuropathy pain from fibromyalgia pain. I'm not a medical professional."

This really does confirm what I said in the post and re-affirms the importance of metabolic control: if the metabolic derangements can be controlled, many of the complications should be relieved.

In addition, some people find that many types of painful symptoms may be worsened by certain foods.

Fibromyalgia and neuopathy are usually extremely easy to differentiate on clinical grounds. I can't say which you have without a full history and examination, but I can make some general observations.

The distribution and character of the pain in the two conditions is quite different. Neuropathy almost invariably starts at the ends of the longest nerves in the body, so usually in the feet and hands, in what is known as a "glove and stocking" distribution. It may slowly inch its way closer to the center of the body. There is usually numbness first and then the tingling and burning starts. Neuopathy is only very rarely associated with tenderness in MUSCLES, which is the hallmark of fibromyalgia.

If that does not give you the information that you need, please let me know and I shall write some more about differentiating the two.

Kind regards,



Thanks! Helps a lot. - C

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