I'll be upfront with you... I have seen very few 'total' success stories, and the ones that I have seen, and where the success lasted more than a couple of months, all turned out to be cases where they'd been misdiagnosed with fibro and got better when their real problem was found. That said, though, I've had very good results with very severe symptoms with my current doctor.
How I ended up this way is... well, pretty much a novel-length story, and a depressing, frightening one, at that. I'll condense as much as I can and still let you know where I'm coming from, but if you want to skim or skip down to 'solutions', I'll split this into two parts and put a line of stars where I get to the things that have helped me, like so:
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HOW FIBRO/CFS AFFECTS ME, AND HOW I 'CAUGHT' IT
There is a tendency towards similar issues that runs in the female side of my family but requires a 'triggering event' to develop to anything serious, so until I was 25 I had only minor, occasional annoyances -- depressed immune system, tendency towards anemia, respiratory sensitivities, painfully tender skin, etc., all on the 'irritation' level -- and led a pretty normal life. Worked, went to college, went out with my husband, took care of my little boy, all with no problem. Then I had serious health issues when I got pregnant again, including Bell's Palsy a couple of weeks before I gave birth (a month early), and ended up, a month after my daughter was born, back in the hospital for emergency gallbladder removal. Botched surgery led to acute pancreatitis, and I was in a true hellhole of a hospital for three months, nearly died several times, and the same people who botched the first surgery ended up splitting me open from sternum to navel, rooting around a bit, doing nothing at all, and leaving me with a 2 inch deep gash that promptly became infected. By the time I managed to stay undrugged and lucid long enough to realize I was going to die there if I didn't leave, I'd also acquired a broken collar bone, an infected IV port which ran straight into my aorta, and severe pneumonia.
I expected to die in the hospital I transferred to, but at least there I could see my babies before I did, and I would be _home._ The new hospital promptly administered massive antibiotics, IV nutrients (I was so malnourished from the pancreatitis, that my hair and nails were falling out), and 4 units of blood, they managed to get me stable enough to surgically drain my lungs, and much to everyone's surprise, I actually lived. Recovery took a year and half a dozen semi-surgical procedures, then I promptly fell and fractured my wrist in a particularly nasty way, and had to have pins in for 12weeks. Pins happened to be pressing against a nerve, causing pain and damage, but removing them would risk shattering the tiny bones and I could end up with 20% or less functionality in that wrist. I'm a writer and an amateur artist... I decided I could deal with the pain. So after that was healed, too, I went out and found a job and started trying to get on with my life...
And it just didn't work. No matter how much I tried to 'get used to it' I never built up any endurance, never gained any strength. I was sick all the time. I threw up frequently and pretty much stopped sleeping. Energy was non-existent (as was libido, needless to say), and I hurt. I hurt everywhere, all the time. I thought maybe I just needed to get back in shape... maybe I'd underestimated what it would take to get there... and I'd liked going to the gym before I got sick. But before, when I went in tired and achy and not wanting to move, if I made myself do it anyway, it'd be hard and painful at first, but I'd soon start feeling better and by the end of my 50min work out I'd be full of energy and feeling bouncy and happy. After, though, no matter how long I forced myself to try, I never felt better. The pain never eased. I never 'woke up' from the exertion... instead, the pain just increased exponentially with every moment, the exhaustion became crushing and overwhelming, and eventually I'd just collapse, crying. Maybe worst of all, I didn't _recover_ from over-exertion anymore. If I'd pushed until I was sore and stiff before, I'd be sore for a couple of days, but if I kept working through those two days, I'd be over it fast... and it took about 2 hours hard workout to make me sore. Now, a 30 minute workout would leave me in crippling levels of pain, recovering from it would take at least a week, sometimes two, and if I tried to 'work out the soreness', it never, ever worked and instead just added to the pain and length of recovery. Needless to say, building any real muscle tone turned out to be impossible, and that, in turn, made the condition worse.
I also discovered the joys of fibro tender points, as they began to flare constantly and with knife-like intensity. It got bad enough that I _was_ crippled by it. A block's walk would have me staggering and limping, biting my lip so hard I drew blood to keep from crying from pain. My job, even though it was a sit-down tech support job, proved physically impossible, and I got fired for missing too much work. I'd never been fired before. I've held one other job since then, when the tech crash temporarily slammed my husband hard and we simply _had_ to have the money, and eventually I got fired from it for the same reason. Fortunately, my husband is able to make enough to support our family without me working, and has enough experience and skill that his unemployment was a temporary thing, because had I been a single parent at that time... well, I think I'd be dead and my kids would be with my mother, to be honest.
I had the typical experiences with doctors, of course. "There's nothing wrong with you, it's all in your head.... You're depressed, take these anti-depressants.... you're just fat, lose weight and you'll be fine.... I can't find anything wrong with you that I can fix, so you're just a drug seeker...." I believed them and hated myself half the time, resented their patronizing bullshit and hated _them_ the other half, and felt afraid, confused, and hopeless just about all the time.
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THINGS THAT HAVE HELPED
Eventually I found halfway decent doctors, got a little pain control...
Ultram (Tramadol, 50-100mg up to every 6hrs... it's non-narcotic and non-addictive, and for fibro patients who it will work at all, it tends to work very, very well with very few side-effects.) worked for me for five years, at which point I proved to be one of the 5% or so of people who could become acclimated to it after long-term use, and it stopped working... returning me to my previous state of useless agony. When I asked my doctor if we could try a different medication (after researching standard fibro treatments and finding out what had a good chance of working with the least risks), he basically told me that he absolutely could not, that no one would, that I just needed to learn to live with it, and treated me like a drug-addict. And this was a man who I'd respected, who'd I'd been seeing for 5 years -- during which I hadn't had a single change in medication. In fact, at the beginning of that time, he'd given me a scrip for 30 vicodan tablets for use with migraines... and I still had half of them. So I went doctor hunting again, had even more hellish experiences, some not-too-bad ones, and eventually ended up with the most wonderful doctor in the world, who understood perfectly when I broke down crying in her office out of sheer shock at being treated like a human being.
She kept up on all the lastest studies on fibro and cfs (as well as several other 'imaginary' diseases), and was willing to try things until she found something that let me live again, but first she ordered some seriously thorough blood tests on the outside chance she could find something that _was_ curable. Turned out that my vit. B levels were low, so she supplemented that with shots for a few months, and that while my thyroid function was in low-normal range, there'd been several studies that show that in people presenting fibro/CFS symptoms with thyroid levels in that range, supplementing to bring the numbers up into the mid-high level very often resulted in significant improvement. Theorized reasons varied, but my personal bet is that we have an issue with _utilization_ of the stuff that's in our blood... we may be producing plenty of it, but if we're only able to use it 20% as efficiently as a 'normal' person, then maybe it wouldn't be plenty for one of _us._ She also changed my primary pain medication from oral to a time-release patch, so I could avoid the 'dead times' between my last dose of meds wearing out and the next one kicking in, and added on a neurological-specific pain medicine called "Lyrica". It's specifically for pain caused by over-firing nerves, and studies have shown it decreases pain in about 80% of tested fibro patients. Side-effects can be an issue, though... sleepiness is the biggest one. Aside from the things my doctor has found for me, there are three things that are over-the-counter that I've found help consistently. 1)melatonin an hour or so before bedtime to ease sleep problems (and thus improve _everything!_), but in very _small_ doses. There's some evidence to support the theory that FMS sufferers don't produce adequate levels of melatonin on their own. Studies show that taking too much can actually make sleep problems _worse_, and that most effective dose is between 0.25mg and 0.75mg. So 250-750 MICROgrams... the smallest you can usually find are 1milligram tablets... fortunately, they're easy to break. If the dose is right, you should find it easy to drift off to sleep (but not impossible to resist, like sleeping pills), easier to stay asleep, and about a billion times easier to get _back_ to sleep when things disturb you in the night. You should wake up feeling refreshed and alert. If you wake up groggy, or have trouble waking up after a normal amount of time, or if you have bizarre, vivid dreams, this can be a sign that you are taking too much _or_ too little. Adjusting the dose can be tricky, but not too hard, and it's worth the trouble.
2)Creatine monohydrate. It's a muscle building supplement which is designed to flush the lactic acid, which builds up after a hard workout from your muscles. Lactic acid build-up is part of what causes the pain when you over-do things. In healthy people, it's flushed out naturally, mostly overnight, letting the little micro-tears that use creates in muscles heal up, too. That last bit happens in deep-sleep, and since we don't get enough of _that_... it's pretty easy to see how something designed to give muscles a hand can help. I found that it reduced my pain, if I took it beforehand, when I inevitably had to do something I knew was going to hurt me (taken at loading dose), and taken regularly (at maintenance dose) let me build muscle again... though slowly.
3)Finally, Devil's Claw Root reduces the number of sudden, random, severe muscle cramps that I have. It also eases general achy pain a bit, but mainly it just keeps my muscles from tying themselves in knots.
As far as prescription medications go, I've tried several. Ultram was the one I liked best, because while it worked it had no side-effects. Other than that, pain medications vary so much that you'd really have to try them to find out whether they help you or whether, if they do, the side-effects are worth it. My personal regime is 75mcg/hr duragesic patch, hydrocodone 10/350 every 6 hrs as needed for breakthrough, 1 time-release 50mg ultram a day, Lyrica 50mg in the morning and 100mg at night, and some sort of muscle relaxant at night (I get tolerant fast, so I rotate through three or four dif. ones), as well as the supplements/herbals mentioned above. I also take prilosec or similar for stomach issues, and 180mg Armour thyroid a day, as well as a liquid B-complex supplement. For the CFS, I currently take Provigil every morning, and it's been a miracle for me... I can finally stay awake for more than an hour at a time, and it's so much _fun_ being able to do things again! I also feel better if I don't eat potatos and do eat a cup of yogurt or drink a pint of milk each day, but whether that's actually useful to anyone but me, I have no clue. Listed in order of most beneficial, I'd have to say what works best for me, are: patch, lyrica, thyroid, melatonin, provigil, creatine/muscle relaxant/devil's claw (all tied equally, really), hydrocodone, everything else. Exercise that does help me now includes swimming, yoga, and weight training, but excludes high-impact or 'fast' things such as aerobics or kick-boxing. Shiatsu massage, as long as the person is familiar with our nasty tender/trigger points, is also helpful. Hydrotherapy massage is _wonderful._ Meditation can help, but honestly it (along with all forms of hypnosis, too) works best for short-term pain, not anything chronic. Oh... one more thing that has helped me a lot is getting either a bit of natural sunlight (about 15 min is enough) every day, or (during winter months) supplementing heavily with Vit. D3 and calcium. At least 900Mg of D3. However, this could be because I am an unabashed cave-dweller, and would avoid sunlight like the plague if I hadn't discovered by accident that I appear to be solar-powered.
UVB-lights, such as used for some reptiles (iguanas, bearded dragons) at close range (we're talking under 18 inches, unfortunately) for an hour or so can do, in a pinch.
And that's about it, I think. I went from totally unable to work, play, think... unable to _live_, really... to, over the course of a year and a half, feeling good enough that I probably could hold a job if I needed to, and I certainly can do basic stuff around the house, play with my kids, swim in my pool, go to the gym and enjoy a good workout (though I still have to seriously downgrade my idea of 'good workout' and take care not to injure myself), and I've even recovered my long-dormant libido. Before I couldn't walk two blocks, now I can do a couple of miles easy. I fell asleep every couple of hours and felt exhausted all the time, now I still get tired ridiculously easily, but I _can_ stay awake all day and be functional, rather than all cloudy with exhaustion. I went from being a zombie to approaching the intellectual, knowledge-hungry, incurably curious, type of person I used to be back when I won all those scholarships and had such high hopes. I can finally take care of my family some, too, instead of just feeling guilty because they take care of me. So... while I _hate_ taking medicine more than anyone would ever believe, it's worth it to me. I tried natural and herbal methods first, of course... I've been a hard-core herbalist (though _NOT_ homeopath -- to be blunt, I honestly think homeopathic 'medicine' is the biggest scam I've ever seen, and have never seen a homeopathic 'success' that didn't have "placebo effect" written all over it) for over a decade. I still prefer herbal remedies where they work... but I have no problem with taking advantage of our modern pharmaceutical technology, either, if that's what it takes to be alive again. In my case, it did. In others, perhaps it doesn't... I did want to offer a different type of case-study from the ones I saw already here, anyway.
Well, this has run to novel length, sorry. I'd just hate to leave something out that might help somebody. I hope you do find something, somewhere that helps you, and the best advice I can really offer is that, no matter what, keep living. Don't settle for 'enduring'. Don't 'survive' this at the cost of your _life._ Make it fight you for anything it tries to take from you, and be proud of what you manage to hold onto... but don't feel ashamed to have a good cry sometimes, when you need to, too.
Best wishes,
Velvet