Ginevra Liptan - The FibroManual: A Complete Treatment Guide to Fibromyalgia for You . . . and Your Doctor
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If you suffer from fibromyalgia and are struggling to get help from your doctor, youre far from alone. Ten million Americans experience the widespread muscle pain, profound fatigue, and fuzzy brain (fibrofog) that have long frustrated both patients and doctors. In this unique resource, Ginevra Liptan, M.D., shares a cutting-edge new approach that goes far beyond mainstream medical knowledge to produce dramatic symptom improvement.
Dr. Liptans program incorporates clinically proven therapies from both alternative and conventional medicine, along with the latest research on experimental options like medical marijuana. Since many health care providers have limited fibromyalgia expertise, The FibroManual includes a thoroughly sourced healthcare provider guide that enables readers to help their doctors help them.
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No book can replace the diagnostic expertise and medical advice of a trusted physician. Please be certain to consult with your doctor before making any decisions that affect your health, particularly if you suffer from any medical condition or have any symptom that may require treatment.
As of the time of initial publication, the URLs displayed in this book link or refer to existing websites on the Internet. Penguin Random House LLC is not responsible for, and should not be deemed to endorse or recommend, any website other than its own or any content available on the Internet (including without limitation at any website, blog page, information page) that is not created by Penguin Random House.
A Ballantine Books Trade Paperback Original
Copyright 2016 by Ginevra Liptan
All rights reserved.
Published in the United States by Ballantine Books, an imprint of Random House, a division of Penguin Random House LLC, New York.
B ALLANTINE and the H OUSE colophon are registered trademarks of Penguin Random House LLC.
Library of Congress Cataloging-in-Publication Data
Names: Liptan, Ginevra, author.
Title: The fibromanual : a complete fibromyalgia treatment guide for you and your doctor / Ginevra Liptan, M.D.
Description: New York : Ballantine Books, [2016] | A Ballantine Books Trade Paperback Original.Title page verso. | Includes bibliographical references and index.
Identifiers: LCCN 2016000491 (print) | LCCN 2016001478 (ebook) | ISBN 9781101967201 (paperback) | ISBN 9781101967218 (ebook)
Subjects: LCSH: FibromyalgiaTreatmentPopular works. | FibromyalgiaHandbooks, manuals, etc. | BISAC: HEALTH & FITNESS / Diseases / Musculoskeletal. | HEALTH & FITNESS / Healing. | HEALTH & FITNESS / Pain Management.
Classification: LCC RC927.3.L57 2016 (print) | LCC RC927.3 (ebook) | DDC 616.7/42dc23
LC record available at http://lccn.loc.gov/2016000491
eBook ISBN9781101967218
randomhousebooks.com
Book design by Diane Hobbing, adapted for ebook
Drawings by Bonnie Hofkin; flowcharts by Visible Logic, Inc.
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Praise for The FibroManual
The FibroManual is a real winner. Bringing together the best of conventional Western medicine and effective integrative approaches, it is hands down the most comprehensive book ever written on this subject. It will help thousands get better.
CHRISTIANE NORTHRUP , MD, New York Times bestselling author of Womens Bodies, Womens Wisdom
The FibroManual offers solid hope of living well with fibromyalgia. It includes valuable, insightful resources that reveal new integrative treatment options. People with fibromyalgia can feel confident in using Dr. Liptans science-based treatment protocols. The FibroManual should be the first book to read for people who are newly diagnosed.
JAN FAVERO CHAMBERS , president/founder, National Fibromyalgia & Chronic Pain Association
The FibroManual includes all the little things that have made the biggest difference in my own fibromyalgiatreatments that took me years to find on my own as a patient. This book will be required reading for my students.
TAMI STACKELHOUSE , founder, International Fibromyalgia Coaching Institute
An inspiring story about how a physician overcame her own fibromyalgia, this book contains important lessons for both doctors and patients, as well as lots of practical advice and excellent references if you wish to dig deeper.
RICHARD PODELL , MD, MPH, clinical professor, Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School
An easy-to-understand and well-referenced guide. Readers will find the answers they need to significantly improve their lives, and their care providers will find specific guidelines on therapies, medications, and supplements. I hope that they read this valuable book thoroughly, and that they keep it handy for frequent reference.
DEVIN J. STARLANYL , co-author of Fibromyalgia & Chronic Myofascial Pain Syndrome: A Survival Manual
Stop searching, the answers are all here! The FibroManual is a treasure trove of scientifically proven strategies to help both patients and providers understand and treat fibromyalgia. There is a lag between what scientists know and what your health care provider may know. Dr. Ginevra Liptan is here to help you bridge that gap with the easily understandable and accurate information in this book.
KIM DUPREE JONES , PhD, FNP, FAAN, associate professor, School of Nursing, Oregon Health & Science University
At last, heres a book with a practical and current map for managing all our fibromyalgia symptoms and an understanding that treatment should not follow a one-size-fits-all approach! I take this book to every appointment with my health care team.
MELISSA TALWAR , director of patient advocacy and communications, National Fibromyalgia Association
For Dad
W hen describing fibromyalgia to someone without the condition, I ask them to recall the muscle soreness that follows a flu shotthen to imagine that ache throughout their whole body, along with profound fatigue and mental fog. I might show them the best visual depiction of this pain that I have seen: The Broken Column, a self-portrait by the Mexican painter and fibromyalgia sufferer Frida Kahlo, in which her body is pierced by nails (Martnez-Lavn 2000).
The ten million Americans currently struggling with these debilitating symptoms get very little help from their doctors. Research has lagged far behind other diseases, bogged down by controversy and a century of arguments about whether it is a real illness. The fact that it primarily affects women has contributed to its categorization as a second-class or wastebasket diagnosis. The stigma attached to fibromyalgiaboth having it and treating itis why I half-seriously refer to it as the F-word of medicine.
Although more than six thousand studies have now illuminated the processes in the body that cause fibromyalgia and provided effective options for treatment, many physicians still dont understand it well enough to assist their patients (Hadker 2011; Perrot 2012). This leaves sufferers desperately trying to figure it out on their own, which is exactly what I experienced after developing fibromyalgia in my second year of medical school. This book provides all the information I needed back then, including research-supported medical guidance to bring to your doctors attention and specific advice on practical things you can do for yourself.
A t age twenty-six, I suddenly went from being a healthy and active (if overworked and poorly rested) medical student to barely functional, exhausted, and in pain all the time. I attributed it to the stress and long hours of school, so I tried to eat better and sleep more. But I just kept getting worse. I made appointments with some of the top specialists in Boston; none of them could figure out what was wrong. I saw alternative medical practitioners, including acupuncturists and naturopaths and a well-regarded holistic MD, but still no answers.
I was ultimately diagnosed by a chiropractor. Finally having a name for what I was going through was a relief, but then things went from bad to worse. One day during teaching rounds, my senior physician authoritatively announced, Fibromyalgia does not exist. I realized that many doctors, even my closest friends, dismissed sufferers as hypochondriacs. I told no one about my illness and was left to fend for myself with Dr. Google and self-help books.
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