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Yoga Therapy for Fibromyalgia
By: Freia Ramsey

Fibromyalgia is muscle fiber pain. It is a syndrome and a syndrome is characterized by a list of symptoms. These symptoms include but are not limited to;


Widespread pain Muscle pain
Morning stiffness Sleep disorders
Anxiety Cognitive or memory impairment (fibro fog)
Depression Abdominal complaints (irritable bowel syndrome)
Painful menstruation Vision problems
Nausea & dizziness Weight gain (hypothyroidism)
Chronic headaches Skin problems
Muscle twitches Muscle weakness
Chemical sensitivities

To be diagnosed in the medical community with Fibromyalgia, a person would need experience pain in 11 of 18 trigger points, or tender points that are located in all four quadrants of the body. There are many theories about the causes of Fibromyalgia but presently there isn’t any clear evidence of the root cause of this syndrome and there isn’t a cure. Sufferers of Fibromyalgia have so much pain and fatigue that their quality of life can suffer dramatically. Often they need to severely limit their normal activities and a lot of people have to modify or quit their jobs. Traditionally it had been thought that this was psychosomatic that it was all in their heads. So on top of the pain and fatigue and stress of this syndrome, people with Fibromyalgia can feel isolated, misunderstood and helpless.


It is helpful for those with Fibromyalgia to seek a variety of alternative treatments for their syndrome in addition to or instead of traditional medical prescription drugs. It is widely believed that lifestyle changes such as improved nutrition through whole foods and good quality supplements, increased water intake, regular gentle exercise can greatly improved a person’s quality of life and decrease the severity of the symptoms. Acupuncture, acupressure, shiatsu, massage, Reiki, yoga, and chiropractic care have also been found to be helpful. The practice of yoga addresses many of the symptoms of Fibromyalgia through its many different modalities from the pranayama (breath work), mudras (hand gestures), asana (postures), yoga nidra (yogic sleep), to meditation.


Pranayama (breath work):
There is a lot of pain and heat in a person with Fibromyalgia so the breath work should be cooling, soothing and balancing.
Ujaii breath with dirgha breath: To deepen and lengthen the breath, soothe the nervous system and get increased oxygen to cells. Improves energy levels and peace of mind.
Anulom Biloma: To integrate the sides of the brain, recharge the entire body and activates the charkas.
Bhramari: To relax the body and nervous system and activate the glands in head.
Mudras (hand gestures):
Since there are many symptoms of Fibromyalgia, there are many different mudras that could be used depending on what the person is experiencing.
Gyan Mudra (Mudra of Knowledge): For fibro fog, to improve memory, concentration, to sharpen the brain and for insomnia and depression.
Vaya Mudra (Mudra of Air): This mudra prevents all the diseases that occur due to the imbalance of the air. It cures Rheumatism, Arthritis, Gout, Parkinson’s Disease and paralysis. Fibromyalgia in Ayurvedic Medicine is considered a rheumatic disease.
Surya Mudra (Mudra of the sun): Balances thyroid reduces anxiety and corrects indigestion.
Prana Mudra (Mudra of Life): Improves the power of life, improves immune system, and improves vitamin deficiency and fatigue.

Asanas (Postures):
People with Fibromyalgia have a much harder time recovering from physical activity than other people do. What might cause slight soreness in a muscle to someone with out the condition can cause so much soreness and fatigue the next day that a person with Fibro can’t get out of bed. For this reason it is important to keep the practice very gentle and to encourage practitioner to stay well within their range of comfort. Because of the nature of the muscle soreness, it is more comfortable to have pressure on muscles than gentle touch. So the asanas that include compression such as child’s pose, apanasana and other forward folds are helpful and soothing. Rythmic movements are also helpful so the practice should include deep breathing coordinated with a gentle vinyasa krama. Initially the asana part of the yoga practice should be only ten to fifteen minutes and then work towards longer times once the person begins to monitor their reaction to the practice in the days following. Journaling is very helpful and a better way of tracking the benefits of the practice than just noticing how it feels to be doing the asanas.


Yoga Nidra (Yogic Sleep) and Mindfulness Meditation:

Both of these methods help to train the body to relax to turn off the stress response and allow the body and mind some rest in order to rejuvenate. They also allow the practitioner to be fully present in the moment, accepting what is and allowing their expectations about how things should be to wash away with their breath.


Guided Meditation:
Experience you entire body all at once. Notice the places where you are in pain. Feel and breath into the most painful place in your body. Sending loving attention, compassion and forgiveness to this area of your body. Breath into the pain. Move towards the center of the pain. Notice the shape of it, it’s mass and it’s weight. Notice its color and texture. Now move deeper into the pain. Really notice this sensation of pain and see if it moves or shifts or changes in any way as you observe it. Ask the pain if it has a message for you. This could be in words, a visual, a smell, sound or just a knowing. Maybe you don’t get a message right now, but don’t worry the more you listen the more you’ll hear. Send that area of your body unconditional love. Say to that sensation, “even though you are in pain, I love you. Even though you are sad, I love you. Even though, you feel alone, you are not alone, I am here with you. I love you just the way you are.

Affirmation:
I am a radiant beautiful being.
I am a spiritual being having a physical experience.
My body is in balance.
I nurture and love myself.
I may be in pain, but I am not my pain.
I am never alone, my angels are with me.
My life has purpose and meaning and I am important in this world.
These yogic practices can help to create a better more positive life for people with Fibromyalgia. Hopefully some or all of the physical pain and other symptoms will be alleviated, but even if they aren’t, the experience of the pain will shift and the emotional suffering that is layered on top of the physical pain can be eased. There is hope and there are choices and that knowledge makes all the difference.

 

Sources:
www.iytyogatherapy.com/news/fibromyalgia.pdf
www.healthandyoga.com/html/news/print/gormley_fibro
www.americanyogaassociation.org/10fibromyalgia.html
www.Chronicfatigue.about.com/od/treatingofmscfs/a/exercise
www.FibromyalgiaHope.com
www.yogajournal.com/health/1301