If significant abnormalities are found a referral to psychiatric and neurological evaluation is done. These include complete blood count, sedimentation rate, blood chemistry including electrolytes, glucose, blood nitrogen, creatinine, calcium, phosphorus, liver enzymes, muscle enzymes, and serum protein, thyroid function and urinalysis. Testing for lyme disease is indicated where the disease is prevalent. HIV and viral hepatitis are indicated when there is a history of exposure or high risk life style. Further testing may be performed selectively based upon the history including serological test for viruses for candida, a test for immune function and brain imaging studies.
Symptom relief is important.
The main goal of treatment is to minimize disability. This is best accomplished through a multidimensional approach including Osteopathic structural evaluation and manipulation, modifying the autonomic nervous system thereby improving and restoring health. Nutritional supplementation, acupuncture and neurological stimulation through the use of manipulation maybe helpful to improve the patients well being. Consideration for herbal remedies are based upon a Chinese diagnosis may also be used based. Until we have more research verifying the exact cause and effect of treatment, we must focus on the aforementioned therapies to improve health.