Dear Friends,

As I have mentioned before on this website, in my experience with chronic pain patients of any type, most have an the underlying of Fibromyalgia-Chronic Fatigue Immune Dysfunctional Syndrome (FM-CFIDS). 

Examples of patients with FM-CFIDS can be found in my patients with Reflex Sympathetic Dystrophy (RSD), Trigeminal Neuralgia (TN), Failed Back Surgery Syndrome (FBSS), chronic lower back pain, intractable migraine-tension type intractable headaches, etc. 

In some patients, FM-CFIDS can leads to Reflex Sympathetic Dystrophy (RSD) - a severe condition of uncontrolled pain in the limbs after a minimal accident or surgery. 

I have discovered this connection after finding that all my patients who were diagnosed for chronic RSD also had FM-CFIDS.

Finally, I have found that patients with chronic pain improve substantially when they find their spirituality or inner peace with the belief in God. I never thought I would be saying, or writing these words, but the end results of my daily work seems to suggest Miracles with the help of Someone more powerful than I. 

Unfortunately, many physicians and other health care professionals, can not help their patients with chronic pain because of the confusion regarding addiction, physical drug tolerance and physical withdrawal from narcotics: See definitions and guidelines of the American Society of Addiction Medicine at www.asam.org .

Best of Luck and feel free to e-mail me directly at doctorgatell@msn.com

Sincerely yours, 

Dr. Gatell

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John A. Gatell, M.D.
Copyright © 1999-2004 Angel Pain Relief Center. All rights reserved.
Revised: March 25, 2007