A 47-year-old female patient presented for Chiropractic care with a thirteen-year history of temporomandibular joint pain (TMJ) rated as a 8/10 (with 10 being most painful), disturbances in vision, deviated septum, restricted left sinus, fibromyalgia, chronic fatigue, excessive daytime sleepiness, “stone-like” muscles, chronic “vice-like” headaches, cognitive impairments, insomnia, chronic myofascial neck and shoulder pain, low back pain with radiation into her right leg, and a burning type pain bilaterally into her legs and feet. She had also been prescribed and utilizing amitriptyline medication for thirteen years, an antidepressant to help with insomnia. She additionally reported that for the past 13 years, most days were spent in bed, with any physical activity disabling her in pain. Prior to care, she began using the guaifenesin protocol for fibromyalgia for two months, and reported it decreasing the “trigger point” symptoms from a 10/10 to 9/10.
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