| Below is the table of contents. Click here for more details about ordering back issues. Finding a Quality Physician - Physicians and therapists explain how to find a "fibromyalgia-friendly doctor" - Tips on preparing for your first visit and what to expect - Questions you should ask and how to determine if a doctor is right for you New Targets for Pain Relief - All drugs target your neurons, but glial cells outnumber them - The role of glia in fibromyalgia and pain; Linda Watkins, Ph.D., and Joyce De Leo, Ph.D. - Researchers discover that the unwanted effects of pain-relievers can be blocked - A new class of medications for chronic pain (naltrexone, naloxone, ibudilast, AV411) From the Skin Tissue to the Brain ... It All Signals Pain - Pain from head to toe: immune cells in the skin may be a source of pain - Naturally produced opioids (enkephalins) are high in fibromyalgia spinal fluid, but have nowhere to go based on brain imaging study Q & A on Muscle Relaxants with Robert Katz, M.D., and Richard Podell, M.D. - When and how to use muscle relaxants for fibromyalgia pain (Flexeril/cyclobenzaprine, Zanaflex, Skelaxin, Xanax, clonazepam, baclofen) Shortness of Breath & Tight Chest Wall Muscles - Understanding how trigger points in chest wall muscles limit breathing with ease - Self-help on correct breathing techniques and illustrated simple stretches to keep your chest muscles loose Burning Mouth or Tongue: Causes and Treatments - Identifying possible causes: yeast/fungal infections vs neuropathic pain - Medical advice on effective treatments What the Drug Companies Cant Tell You about Your Prescription - Why pharmaceutical companies are restricted from giving you and your doctor practical advice on overcoming side effects; comments by Daniel Clauw, M.D. - Understanding the processes behind clinical trials and the Food and Drug Administration FDA to Consider Milnacipran - How this drug works and what you need to know- Understanding dual serotonin norepinepherine reuptake inhibitors (SNRI) Cymbalta Awaiting FDA Approval - Cymbalta, an SNRI, is next in line to treat fibromyalgia - Overcoming side effects and adjusting dose for sleep tips from Lesley Arnold, M.D. Opioids for Chronic Pain - Results of a 3-year opioid trial for chronic pain; tolerance, addiction and abuse issues - Naltrexone enhances pain relief from opioids, minimizes undesirable effects (Oxytrex) Hormonal Influences on Sleep - Effects of testosterone, estrogen, progesterone, lutenizing hormone, and melatonin Therapies That Work - Taking Steps in the Right Direction; foot pain, strength and balance, getting the right shoes - Collecting Her Thoughts with Omega-3 for Improved Cognition
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