Winning at Fibromyalgia

Welcome to episode #21 of the Winning at Fibromyalgia podcast!

We have a special guest today Dr. Tamara Beckford. She is a Mom, Wife, ER physician, Host of Docs Who Care Podcast, Speaker and Wellness Expert coach and CEO of the Ur Caring Docs.

I brought Dr. Beckford on today because she helps professional women put their health and wellness first without guilt. She talks the talk and walks the walk. She is the embodiment of what it takes to live a full live and enjoy it. It takes work. I wanted to know her secrets.

We talk about so many things:

She can be found on www.urcaringdocs.com .

WAF Episode 19

Hello!

Welcome to episode 19 of the Winning at Fibromyalgia podcast! I feel a weird sense of pride that I am inching toward the number 20.

First of all, I want to acknowledge the tragedy and injustice going on in Ukraine. I am originally from Slovakia and during the era of Soviet union, Slovakia had Russian/Soviet military bases all over the country. We were still Czechoslovakia when we came under the political influence of the Soviet union in 1948. We were their “satellite” state until 1989 when the Velvet revolution happened and Communism and Soviet union fell apart. I do NOT know war.  My heart goes out to ALL the Ukrainians who did NOT sign up for this, who did NOT ask to be invaded. I am completely horrified by what unfolded this week. I hope and pray for miracles on the ground there.

I held my first virtual training on chronic pain last week, it was a success, I had one attendee who was a rheumatologist comment that she learned more from my presentation than she did in her fellowship. That was so good to hear and just solidified my conviction to continue doing this work. I will be doing more of these and I will always post on my website. So if you are not subscribed to my website, please do so right now so that you can be kept abreast of what is going on  www.winningatfibromyalgia.com

So today, I am going to share with you how life and mind and the body are interconnected in my OWN life. I teach my clients somatic tracking and fierce self-compassion and I practice it myself, but it does not always go as I want it to.

So this past week was my vacation week and it started off well enough. I gave the virtual talk on Fibromyalgia on Saturday. I joined a virtual coaching program for female physicians on Sunday. Life was good  I had big plans for how I am going to declutter my basement office  and all the things I was going to do for my business.

On Tuesday, while exploring cape cod with my son I found out I was on call for Rheumatology. ON my vacation – big fail in planning on my end. But it did not take too long, and I was able to solicit one of my colleagues help in switching the call. Which was great Except the staff would contact me basically every day until Friday about one or the other thing happening with my patients. I gently re-directed them to an on-call provider.

Then, an upsetting situation related to a close family member/members was culminating on Wednesday/Thursday. I do not have permission to share publicly but it has to do with rejection – I asked to be somewhere with a close family member, and I was told no. And I did not take it well. I felt rejected, hurt and I took it personally. So I said some harsh words – something along the lines, don’t ever contact me again then. The story already started unfolding 2 months ago but it was kind of culminating this week.

On Thursday I had a planned appointment for pelvic ultrasound due to some health issues I am dealing with. I woke up Thursday morning with a pelvic/bladder type of pain. I am not kidding you. I was initially surprised and still a little sleepy trying to figure out what is happening. And then it dawned on me – my body is experiencing pain IN ANTICIPATION of the pelvic ultrasound! I was completely fascinated. This has never happened to me like that before so that was all new to me. I lay down in bed and decided to try a little somatic tracking. And it worked! Within minutes, probably. I basically was sitting with that pain (actually I was laying down but you get the point), I was trying to describe it to myself, the best I could, and was telling my brain, listen buddy, I know what is going on, we don’t like the pelvic ultrasound, it can be annoying but our track record of surviving these is 100 percent – that’s pretty good right? So why don’t you let go. So that got better. I was so relieved.

Then I checked the news and found out about the attack on Ukraine – and almost immediately my back started hurting. In between my shoulder blades. Stabbing/burning, annoying pain I get mostly with driving, or when I have to work longer than I want to basically anytime I engage in activities I don’t fully enjoy or when I cannot relax.

Then I had the said ultrasound – and it was not normal but again, nothing horribly major. Then more news on Ukraine. And then I was reminded again about the sore family situation when I felt rejected (I still do).

So most of these things were out of my control. And they were affecting me. And I felt I was kind of losing it. I was catastrophizing and exaggerating: The world is falling apart (although one could argue that when innocent people are being slaughtered the world really is falling apart); my body is falling apart and my family is rejecting me. I needed help.

I did ask for help and received a lot of online support and suggestions on how to deal with the overwhelm over the news of war in Ukraine. One perspective stood out – from a friend who grew up in war time. She wrote: “I grew up in wartime. It started when I was 3 years old and went on for 8 years. I remember rationed oil, good and the long lines in front of bakeries and supermarkets. I missed schools and so many final exams. I well remember the red alarm and my parents rushing us out the door to go take shelter under the staircase. I remember the taped windows and the ruins of the bombed sites. War was ingrained into our lives from the beginning. It was part of our household, part of our daily life. We were awaiting the red alarm every damn night and having fun to reunite with the neighbors under the staircase or in the parking garage. …Life was going on. We were traveling, meeting with friends, celebrating birthdays at the same time that we were lining up outside phone kiosks after each attack to call our loved ones to make sure they are alive”. She was a young child, the war was engrained in her upbringing. This is not to diminish he tragedy of what is happening. My friend’s words were: This may sound absurd, but the passion and hope for living always overcomes killing…Its time for us to stop hate and war.

This gave me perspective. It is ok for me to be upset over the world’s events. It is ok for ALL of US to be upset. Because what is happening is horrid and unjust. At the same time, I am not helping anyone by freaking out. So I took a pause, I took a pause to breathe, to collect myself, to decide what to do next. While not being ok with all of this. But taking the pause and breathing did help me calm my brain. I felt at peace – still upset but realizing that I cannot help anyone by wrecking my mind and body over this. It helps to be calm and maybe plan out my next steps on how I can help.

My Doctor called me about the ultrasound the next day and we discussed the findings. She told me my options. I heard her out, without freaking out. I am not dying.

My situation with my family is not sorted out. When I am ready I will reach out to apologize for my harsh words. And we will see what happens. They may choose to forgive or not. We may be in each other’s lives again or we may not. IN the meantime, I am giving myself grace and patience and love. Because nobody else will love me and be my best friend if I am not my best friend first. If I don’t give myself what I need, nobody else will do it. That’s the thought I want to leave you all tonight. Meet yourself where you are at, give yourself all the love and all that you need. Like you would do to someone you truly love and care about. Because that person is you first.

Warmly

Martina Ziegenbein, MD

From my friend’s FB page:

https://unitedhelpukraine.org/...

OR https://www.facebook.com/UnitedHelpUkraine.org/

https://www.redcross.ca/ (The federal government will match donations made to the Canadian Red Cross to help bring humanitarian relief to Ukraine)

https://bcufoundation.com/donate-today/ (Friends of Ukraine Defense Forces Fund (FUDF Fund)

https://www.ucc.ca

https://savelife.in.ua/en/donate/ (a Ukrainian organization operating on the grounds in Ukraine; I would hold off on this one since all banks are currently frozen and therefore relief efforts must be through other sources)

For other resources on how you can help as well as information on what is going on from people on the ground, please visit: linktr.ee/RazomForUkraine

Episode 18: Howard Schubiner, the Director of the Mind Body program and the best physician you can ask for when you have chronic pain

Dr. Schubiner is a clinical professor, Founder and Director of the Mind Body Medicine Center at Ascension Providence Hospital in Southfield, MI. He treats patients with chronic pain and makes their lives better. By curing or reducing the pain.

He is my role model, I have first met him in September 2021 on a conference call as part of my participation in Whole Health Medicine Institute course, and my whole trajectory was changed after his lecture. I then took his course Freedom from Chronic pain and learned so much about pain, and what to do about it. And I want to be a little bit like him  I want to be myself, of course but a little bit like him 

3:07 We started off by talking about Boulder Back pain study – the first of its kind, that showed that pain reprocessing therapy (PRT) works! For chronic back pain! 33 of the 44 patients in PRT arm experienced significant meaningful improvement in their pain! that’s huge!

5:43 Most patients with chronic back pain DO NOT have structural cause! (they may have “findings” on MRI but clinically they don’t account for the pain)

9:43 neuroplastic pain is real

10:00 neurocircuitry principles: brain processes ALL pain, with emotional injry/pain, brain can turn on the pain!

12:19 Diving into HOW DO WE KNOW WHETHER your pain is neuroplastic?

 15:15: we usually assume that pain means there is something wrong with our bodies

 16:48 It all comes down to HOPE

 18:35 Why it is important to have Marvel and be curious about your pain and brain

 20:05 Where to start with pain reprocessing – start with LOVE, COMPASSION and LISTENING

 22:56 the pain usually does not come out of nowhere

 23:45 Pain is reinforced and driven over time -> the more fear and frustration we have, the more pressure we put on ourselves, the more pain we often have

 26:25 How to overcome the lack of belief (in the diagnosis of neuroplastic pain)

 28:16 Ongoing stigma against role of psychology in pain but patients understand and get it – how the pain can be caused by our nervous systems/brain

31:31 Approach to pain reduction in fibromyalgia: education, emotional processing, what changes needs to happen in patients’ lives; gradual exposure to activities that cause pain

 35:50 PRT is not “coping” with pain but getting rid of the pain!

 36:11 speed of recovery depends on how fast we can learn, not on how long we had the disease!

 38:19 Predictive processing by the brain

 43:14 more about Emotions processing: NOT everybody needs to deal with emotions before they get better (boulder pain study emotional processing was not included). But given the state of current world, and high stress in everyone’s lives, it is important to at least address them because releasing the anger and resentment can be therapeutic

 You can find Dr. Schubiner at: https://www.unlearnyourpain.com

Episode 17

Hello hello hello! 

Welcome to episode #17 of Winning at Fibromyalgia podcast!

I just want to spend a moment expressing gratitude to those who tune in and listen – thank you. I appreciate you. My little website analytics gives me some stats on my podcast and among them is a list of countries where my listeners are. I am so humbled to see I have listeners in US, Canada, Germany, UK, Australia, New Zealand, South Africa, Quatar. It is TRULY an honor to be reaching so many parts of the world. I would LOVE, love, love to hear from you. Who are you? What brought you to my podcast? What would you love to hear about that I have not addressed yet? I would love to know 

I was able to interview Dr. Howard Schubiner earlier this week. You are in for a treat. Dr. Schubiner is one of the leading researchers in the field of chronic pain but also actually runs a Mind Body program in Michigan, Ascension hospital in Southfield. The episode will drop soon. I learn from him every time I hear him talk, and I sat on 8 of his talks because I took his Pain reprocessing course.

SO How are you all doing?

In preparation for the episode with dr. Schubiner, I thought it would be an appropriate time to review some of the basic knowledge of the neuroplastic pain and what works for it. And also, to address what some of my patients have been telling me lately.

This may sound simple, almost silly, maybe, to some of you, but this is it. This is the secret to improving or elimination of pain.

The big question is of course “HOW DO I TURN THE DANGER SIGNAL DOWN”? I will answer with three examples and then summarize:

She saw me again two days ago. She reported that her head pain “wanted” to come back several times, and she quickly realized what was happening, that she was putting pressure on herself and getting stressed out and she gave herself permission to not be perfect.

SO in this case, the answer to HOW DO I TURN THE DANGER SIGNAL DOWN was: giving oneself permission to NOT be perfect and take time to relax.

She also told me about other wins related to this small change – her grandkids came to visit, and they are quite noisy and rumbunctious – and it went fine. Because she stayed calm and relax despite a little chaos.

Example 2: Another patient of mine, Mary, whom I mentioned in episode 14 (part one of my musings on Who are you without your pain). She has anxiety, fibromyalgia, chronic neck and back pain and headaches. We started working on her headaches and pain in December and she had almost immediate success especially with her anxiety and headaches. What somatic tracking has allowed her to do is to FEEL SAFE – and once she experienced it the first time, she knew she could experience the feeling again – because she now knows how to bring it back. So exampled two deals with feeling safe. When you genuinely feel safe, and let your brain know this lovingly, it responds. I promise it does.

Example 3: being open to the concept that neuroplasticity is responsible for their pain and that it can cause the pain.

This is the roadblock for most of my patients in my regular rheumatology practice when I talk to them about fibromyalgia.

I evaluate patients with pain to rule out any structural cause. I listen and examine them, I usually run labs and frequently also order Xrays. That often is sufficient to rule out a structural problem or inflammatory rheumatic process. And for a reminder, we do that so that we can be confident in the diagnosis of neuroplastic pain which underlies fibromyalgia. I am very thorough and sometimes I do go to greater lengths to rule out a disease process. Then I am usually satisfied. And here is what happens – I review the results with my patient, I explain there is good news because I did not find anything structural hence most likely the diagnosis is truly fibromyalgia – hence neuroplastic pain. And very often, the response is – I understand but I think there is something wrong because I cannot believe that the pain would be so severe if the brain was all causing it. My patient cannot believe there is nothing wrong structurally because of the severity of pain.

My heart aches for them. Yet the miracles won’t start happening until they believe.

So let’s break down this lack of belief a little bit. Can mistakes happen? As in – is it possible for a rheumatologist to mis-diagnose someone as having fibromyalgia when they do have something more serious such as psoriatic or rheumatoid arthritis? Of course it is possible. Is it likely? I would say not. Rheumatologists are trained to detect inflammation. We look for it everywhere on exam. We look for it in labs. We are like hound dogs. I would almost say that with us, it is almost like in that saying “if all you have is a hammer, everything looks like a nail”. We do NOT want to leave a diagnosis that has potential for joint damage undiagnosed! We WANT to find it. But if we don’t have any evidence of inflammation, or if the evidence is pointing in the direction of the fibromyalgia, we call it fibromyalgia.

I would say MOST cases of fibromyalgia are not equivocal – meaning, you have a good amount of certainty that there is nothing additional inflammatory going on.

In smaller percentage, we question ourselves and whether there is inflammation – that’s when we do more imaging. But at some point, we do draw a line when we don’t find any evidence of inflammation, even with advanced imaging. We say, let’s stop looking for non-existing inflammation and let’s start addressing your problem.

 And how to gain confidence in your doctor? It is a good question and one that only you as a patient can answer. Most of us endorse a second opinion even encourage our patients to get it if what we identified is not landing home.

To summarize the 5 steps of my Winning at Fibromyalgia method:

I will leave you with that summary. I would love to hear back from you or if you left a feedback or lovely 5 star review.

Till next time 

Episode 16:

On PTSD, Chronic pain approach and CBT compassion with Dr. Leigh Ann Dooley

I am so excited about presenting this episode to all of you. Dr. Dooley is a board certified practicing Psychiatrist and currently works at Charlie Norwood VA Medical Center in Augusta, GA.

We chatted about so many things including what made her go into Psychiatry, who was her secret weapon in residency training and how she manages to stay above the stress. I loved her straight talk about her approach to PTSD and chronic pain. You will be able to hear and feel she truly cares about her patients. What I loved perhaps most about her is her passion for improvement and leaving things better than she found them. She is currently in the MPH program at Georgia State university, projected to graduate with the MPH degree in May. Because she wants to make things better for people and communities. I know I can find inspiration in that. And last but not the least, she is an ambassador to end the stigma around mental health in brown and black communities. It spoke to my heart when she genuinely sincerely talked about her experience and why she wants to make things better. I am so honored to introduce this human to you.

For the sake of disclosure, we do mention two non-FDA approved meds/approaches to pain and its associated symptoms: Provigil and cannabis.

On approaching PTSD in general 9:52

Importance of self-compassion 11:39

Delving deeper into trauma focused interventions at 14:10 including prolonged exposure 14:34

How symptoms can initially get worse before they get better 16:30

Her experience with CBT (cognitive behavioral therapy) 24:57 and why ACT is important (acceptance and commitment therapy)

Her most rewarding experience 29:31

Her most frustrating experience 32:25 (hint: seeing other humans suffer)

Her comments about MPH and pursuing her passions in non-clinical career 33:50

Why she says “nothing is off the table” in chronic pain management at 40:00

Facebook: Leigh Ann Dooley, MD

IG: @realdealdocDooley

Hello my lovely listeners!

Welcome to Episode 15 of the Winning at Fibromyalgia podcast!
Today I continue to ponder question: Who are you without your pain? part 2

DO you listen to your intuition?

In one of the earlier episodes (episode 5) I outlined my approach to my patients and clients with chronic pain and summarized it in 5 steps:

Today I want to talk to you about the intuition part.

The pain reprocessing therapy focuses on sending safety messages to the brain as means of improving pain. And it does work. When I took the Pain reprocessing course of Dr. Alan Gordon (the author of the book WAY OUT) we learned to teach our patients to send safety messages to the brain. And it does seem to work for many patients with chronic pain.

But in my own practice and working with patients with fibromyalgia, it seems to me that identifying and understanding what led to the increased danger signal in the brain that triggered the pain circuitry in the first place is necessary to fully get out of it. That’s also emphasized in the Pain reprocessing course I took led by Dr. Schubiner, called “Freedom from Chronic pain” and the Whole Health Medicine Institute training I have been a part of for the past 6 months and bringing it to my clients live.

The WHMI method takes the approach of determining what is the root cause of whatever ailment that bothers the person the most. If any symptom is a message from the brain/our nervous system, what is the reason behind it?

Dr. Lissa Rankin is the founding “mother” of the WHMI and has been teaching health care providers on how to guide their patients/clients toward better health by over a decade. She is the author of the book Mind over Medicine, Fear cure and has a new book called Sacred Medicine out in April! We will talk about her book then because she agreed to be on my show around that time! So that’s super exciting! 

Dr. Rankin has been perfecting her method now for over a decade. The main premise of her method is that the body is wired for healing. When there is a disruption between our inner core, inner knowing or our integrity and what we do, chronic stress is a result of this imbalance. Then a symptom, or a group of symptoms resulting in a chronic illness or pain can develop. Chronic headaches, low back pain, IBS, obesity, high blood pressure, heart disease and even cancer. She helps guide patients and providers to their healthy self through series of 6 steps.

The 6 steps of WHMI include:

Almost every one of these steps deals with trusting your intuition. And that’s what I would love to to talk to you about today.

Merriam Webster definition of Intuition: 1 : the ability to know something without having proof.

It is that little voice that lets us know what we should be doing, or not doing. It lets us know when we don’t live in alignment with our true self, our core values. Intuition is that thing you feel when you are doing something that does not feel right or event think you should not be doing it but you do it anyway. Think extra projects at work, think spending time with family members that make you feel like crap, think piling on an extra project for your friend that you then have resentment about but do it anyway.

Why am I saying all these things?

Once you start accepting of the neuroplastic pain concept, and pain being a message from the brain/nervous system, you inevitably start thinking about why. Why you are in pain, why did your brain feel overwhelmed. As we dig deeper into why, we inevitably uncover the things that may have piled up and caused an overwhelm (and as a result danger signal) in your brain. You uncover things. Things you are doing or are NOT doing that may lead to improvement.

Sometimes it may seem easy. Like a patient told me once when I explained the concept of brain pain in fibromyalgia – “of course I know why I am hurting. I don’t eat right, I don’t exercise and I am sad my sister is dying from cancer”. So if you just did all the things you would feel better right? If you ate better, and exercised better and accepted your sister’s fate, you would feel better. Except it does not work this way. The real reason behind the pain lies in what led her to not exercising, and not eating right. Being sad about your loved one dying is a normal response to a sad situation and in and of itself does not usually cause pain.

Utilizing the WHMI 6 step process I guide my clients to start the process of identifying what was the initial possible inciting event that led them to develop certain beliefs about themselves, that in turn may have led to various ailments or results of their actions.

Please know the invitation to dig deep is meant out of deep love and respect for you as my listeners, patients and clients. It is not meant to make you feel bad. It is truly an invitation to explore your inner knowing guide, your psyche, to find out what might have led to the results you are having today and where you need to go from here.

It is very often that we already know what we need to do. And we don’t do it. I know that if I want my joints to feel better in terms of my rheumatoid arthritis, I need to cut down on sugar and processed foods. And I am doing a world better since Christmas time. I am working with my faulty belief that full healing is not available for me. Because, it is.

One of my dreams is to found a brick and mortar Fibromyalgia healing center where I see patients in person, and where I will have a team of providers that help with various aspects of health including yoga teachers, massage therapists, physical therapists, psychotherapists. And I know that in order to get there I need to get more organized and keep taking action. And the reason this is SO hard is because it is better to stay invisible. More convenient. But that’s not an option for me anymore. The pain of regret is 100 times more heavier that pain of change and growth. So I keep forging forward.

I would like to know what is your intuition telling you? Are you heeding her call?

If not why not?

Can’t wait to hear from you.

Your loving expert fibromyalgia coach.

Find me on facebook under martina lenartova or on my website www.winningatfibromyalgia.com

Episode 14: Who are you without your pain? Part 1.

I would appreciate any feedback so hop online to facebook or www.winningatfibromyalgia.com and leave me an email 

I have never considered the question fully, in reference to the pain until recently, when one of my young patients told me during a somatic tracking exercise we were doing in the office, that that’s her concern. She has had pain since she was 16. She got injured during martial art practice, doing something she routinely does, the injury was not properly addressed, and she developed headaches within a month of the injury that very soon became chronic. With time additional symptoms added on like lightheadedness upon standing up, fatigue and anxiety. The headaches became debilitating to the point she had to drop out of college.

We saw each other for the first time before Xmas, she was referred to me for a positive ANA. I did a thorough evaluation and did not think there was any evidence of lupus or other rheumatic autoimmune disease. I suspected that given her history of injury and not really having it addressed properly, her nervous system may have gotten a high alert signal and started misfiring. I explained to her the concept of neuroplastic pain. How the pain is generated by super-alerted brain. The pain is real but not caused by damage or injury (her MRIs have been normal). I explained that the pain pathways can be rewired because that’s what neuroplasticity means.

We talked about somatic tracking and meditation exercises. She came back last week and reported feeling a little better, with less anxiety, she said the headaches have not changed much. While we were doing somatic tracking exercise, she became very lightheaded, we paused, she drank some water and quickly recovered. As she was drinking water, she told me: “I have had the headaches for such a long time, I don’t really know who I am without them”.

It startled me because I have not been asking that question my clients and patients up until that point! But it makes PERFECT sense because if you have had pain for a LONG time, and it has limited what you do or how much you do in your daily life, of course it is a new circumstance to consider who you are without your pain! What will I do if I don’t have pain or if I have less pain? Who am I without my pain? What will be different? Will anything be different?

I want to share one more example of how this question is relevant. I have another patient, a lovely lady in her early 60’s who has been a part of addiction support group for years now. She has been so supportive of other members during the weekly sessions that the main coach suggested to her to become a coach herself. She initially did not consider it. Since we started working together utilizing the somatic tracking and self compassion approach last month, she has now started feeling better and has changed her mind about becoming a coach. Her Life path is changing as a result of pondering the possibility of who she was without her pain and what she could do without her pain!

I would like to summarize the process of pain reprocessing therapy that led my young patient to the thought of “who am I without my pain”:

I really really do want to hear from you! Have you been on the pain journey? Have you had experience with feeling the POSSIBILITY of being without pain? What did you do? What happened?

Please do contact me on fb or through my website at www.winningatfibromyalgia.com

Vulvar and vaginal pain, with and without sexual intercourse, is not particular or specific to fibromyalgia. However, it is not talked about often enough and it can be very disruptive to a woman's life. I am  chatting with Dr. Yasmin, a board Certified Gynecologist and Obstetrician who is specializing in intimate and sexual health of menopausal and postmenopausal women. 

SOme highlights:

5:20 - model of Dr. Yasmin's practice (both in office and virtual)

7:00 - the burden of pain in women with vulvodynia

9:13 - Dr. Yasmin's approach

12:52 causes of pain

14:10 approaches to treatment (hint: it may or may not involve injections!)

20:55 success rate of resolution of pain in Dr. Yasmin's hands

25:40 the switch of microphone and I answered some of Dr. Yasmin's questions :-)

Dr. Yasmin can be found online at www.alraymd.com, IG at @dryaz.alraymd and FB at Alray Direct Gynecology and Intimate Health Center https://www.facebook.com/alraymd

Episode 12 notes

Hello! It was so insightful to chat with Dr. Jill Bailey about her new adventure as a psychotherapist. She transitioned from being a Family Medicine physician into a psychotherapist after getting some additional training in 2021.

I picked her brain about how to approach anxiety and Here are some highlights on what we hit in our segment today:

Dr. Jill Bailey can be found at www.telecbt.ca for psychotherapy session intake forms.

She also does life coaching at: www.jillbaileymdlifecoaching.ca.

She said she would love to be back 

You can reach me on facebook at "martina lenartova" or visit my website at: www.winningatfibromyalgia.com

Course announcement

Well hello everyone!

I am Dr. Ziegenbein, your favorite Rheumatologist and fibromyalgia expert coach!

Welcome to this bonus episode of WAF podcast! I have an exciting announcement and what a better time to announce it than at the end of the year? 

Can you believe it is New year’s eve tomorrow???

As you notice today I don’t have the fancy music/so called “intro” because my person who does it is on vacation, and I don’t know how to do that 

The announcement is that I created a brand new, one of its kind, Winning At Fibromyalgia online class!

I feel so dramatic (and excited) about it, because I believe this will create a breakthrough in your life and struggle with fibromyalgia.

As a rheumatologist I evaluate women with fibromyalgia EVERY day.

What I get to hear from these women is all or some variations of the following statements:

And I am not even mentioning how they worry that there is something terribly wrong with their body, despite physicians not finding anything to put a finger on.

After MONTHS of studying, attending courses and reading books and scientific papers addressing this problem I Have a solution! I tried it myself, on my own fibromyalgia back pain and on my patients. It works.

The solution, in a nutshell is what neuroscience research had told us over the past decade. Which is that BRAIN IS CAUSING the pain and these brain pain pathways CAN BE REWIRED!!!!”

I have organized ALL of this information AND TOOLS in a way that you will go from “I can’t believe I will be in pain for the rest of my life!” –> to: “Oh my gosh, I can’t believe I did not know about this earlier!”

I believe in my program and the information I present so strongly that I GUARANTEE the results of empowering knowledge AND reduction in pain. Yes, you heard me right – I guarantee you the results. All you have to do is to show up and be willing to put in some work. I deliver the rest. Including your new belief and joyful excitement that your life CAN Look better! I promise you this is how powerful this information and tools are!

So how does this actually look like?

5,  The times will be Saturday or Monday at 9 pm. We review everything from the slides again and you will have a chance to ask questions.

Doesn’t it sound wonderful?

I certainly think so!

The result of participation of this course is a breakthrough in 3 major areas:

Is that something you would LOVE to participate in and experience? I would!

To summarize:

First 8 of you will get it for 499 USD; After that the price goes up for future participants.

So, this represents truly unique opportunity for you to learn about fibromyalgia, what to do about it, basically become your fibromyalgia BOSS.

I have never done this before and you have an opportunity to be one of the first groups to try it!

Don’t wait. Go to: www.winningatfibromyalgia.com and click on the course to sign up!

 Or directly to:

https://www.martinaziegenbeinmdcoaching.com/offers/AY47nzDf/checkout