Dr. Mehmet Oz @DrOz
There may be a new option for patients suffering from fibromyalgia, 1 of the most under-treated conditions out there: http://bit.ly/1sQr156
An example is one of today’s Twitter posts, regarding a segment on fibromyalgia treatment that aired recently:
The treatment under consideration is the injection of tender points with lidocaine. Lidocaine is often used as a local anesthetic. There are studies on its effectiveness as a pain control treatment for fibromyalgia by way of tender point injection going back to at least 1982.
The expert interviewed by Dr. Oz, Dr. Jennifer Caudle, did not specifically identify the study that prompted the discussion, however, this recently released piece of research, looking at the effects of injecting lidocaine versus saline, corresponds to her description. One of the study's findings was that while the lidocaine was more effective in reducing pain, the overall clinical impact for both lidocaine and saline was similar.
Other studies have looked at the impact of dry needling, in the form of acupuncture or simply as the insertion of a needle for injection without an injection. These studies have likewise found that needling tender points reduces hyperalgesia.
What the new study does that the older studies did not was highlight the idea that modifying impulses arising from the peripheral nervous system has clinical benefit in pain control (even though the pain of fibromyalgia is currently thought to be the result of aberrant signal processing by the central nervous system).
I think people with fibromyalgia deserve to be presented with factually accurate representations of their treatment options and that the Dr. Oz Show should step up its game on that front.
- Primary fibromyalgia
- Analgesic and anti-hyperalgesic effects of muscle injections with lidocaine or saline in patients with fibromyalgia syndrome
- Short-term improvement following dry needle stimulation of tender points in fibromyalgia
- Acupuncture in fibromyalgia: a randomized, controlled study addressing the immediate pain response