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October 2007, Issue 79
Below is the table of contents. Click here for more details about ordering back issues.

• Coping with Flares: Keeping a Positive Outlook
- Tips to head off a flare
- Keeping a positive outlook with your persistent symptoms
- Combination therapy: physical, diversionary, self-satisfying
- Members give us their top "Flare Therapies"
• Research and Treatment News
- Ultraviolet (UV) light induces relaxation, stimulates natural opioid receptors, relieves pain based on tanning bed studies
- Scientists invited to apply for American Fibromyalgia Syndrome Association (AFSA) grant funds
- First fibromyalgia tissue bank ensures research progress
- Rate your doctor or find a new one at the new DrScore website
• Sleep, Pain, Dopamine & Gray Matter Loss
- Researchers link loss of gray matter in the brain to pain, lack of dopamine, and disruption of REM (dreaming) sleep
- Treatments include dopamine-like agents, such as Mirapex and Requip
• Q & A with Rheumatologist
- Is neck pain due to fibromyalgia, arthritis, or trigger points?
- Stimulants for treating cognition and fatigue in fibromyalgia (Provigil, Ritalin, etc.)
- Robert Katz, M.D., on fibromyalgia and the straight neck phenomenon
• Research Paves Way to Treatments
- Doctors are beginning to understand what it will take to treat your pain on an individual basis; Daniel Clauw, M.D.
- Balancing your pain
- Genetic differences
- Treatment summaries: serotonin and norepinephrine reuptake inhibitors (SNRI) Cymbalta, Effexor, milnacipran; tricyclic antidepressants (TCA) Elavil;alpha 2 delta ligands; Flexeril, Lyrica, Neurontin; SNRI-modified-Ultram; exercise, CBT
- I. Jon Russell, M.D., Ph.D., on strategic polypharmacy
• Clinical Trials on Fibromyalgia
- The number of clinical trials is growing
- FDA approval of Lyrica – what’s next Cymbalta, milnacipran, Xyrem?
• Sleep Quality Buffers Mood, Stress and Pain
- A good night’s sleep makes a difference in your anxiety, mood, and pain level
- Quality versus quantity sleep
- Tips on how to improve your sleep
• A new Device for Better Nighttime Breathing
- Treatment with nasal insufflation (TNI) – simplified mask-free device could replace CPAP for many
- Why CPAP is poorly tolerated
- Benefits of TNI
• Pelvic Pain & Trigger Points
- Myofascial trigger points in your pelvic floor muscles (PFMs) may be the source of pelvic pain in men and women; symptoms include irritable bowel, interstitial cystitis, bladder urgency, cramping
- Laparascopy, endometriosis, GYN diseases and pelvic pain
- What cases PFM pain?
- Treatment methods for pelvic floor muscles
- Finding a physical therapist
• Therapies That Work
- Pelvic Floor Therapy Offers Surprising Benefits
- Staying on the Sunny Side (UV light therapy)
- Getting Involved Keeps Group Leader Going

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