Presenter: David M. Brady, ND, DC, CCN, DACBN, IFMCP

Original Date: March 17, 2018

Research suggests that “classic” fibromyalgia (FMS) is a central pain processing disorder and does not appear to be a peripheral somatic disorder. Dr. Brady will emphasize the concept that this central-mediated disorder is strongly associated with psychological disorders, including trauma and abuse history, depression, anxiety, irritable bowel syndrome, and sleep disorder. Common mechanisms in-play regarding these concomitant issues and global pain will be fully explored and accurate differential diagnostic and comprehensive naturopathic therapeutic strategies will be discussed in-detail. The concept of “pseudo” or “false” fibromyalgia diagnostic labels will also be discussed, to include various organic and functional medical conditions, as well as somatic musculoskeletal conditions, which confound the accurate diagnosis of “classic” FMS will also be presented. Natural and pharmacological interventions options will be presented, including discussion of the following medications: - Savella (milnacipran HCl) - Duloxetine hydrochloride (Cymbalta) - Pregabalin (Lyrica) -Gabapentin -Naltrexone

1.5 General CEUs approved by OBNM