Is Your Chronic Pain Related to Your Thyroid Health

Is your intuition telling you that your hypothyroidism or Hashimoto’s is causing your chronic pain?

​I’ve got news for you:

Your intuition may be right.

Let me show you how hypothyroidism causes chronic pain… but most importantly, let me help you learn how to fix it!

To understand how this works you really need to understand the concept of Tissue Level Hypothyroidism…

Tissue Level Hypothyroidism

(Dr. Mercola and Dr. Lowe discuss the relationship between Chronic pain, Fibromyalgia and Hypothyroidism)

Chronic pain in the setting of untreated Hypothyroidism or Hashimoto’s disease usually points to tissue level hypothyroidism.

Tissue level hypothyroidism refers ​to the idea that you can have adequate levels of thyroid hormone floating around in your blood stream, but because of inflammation or other causes it isn’t able to get into the cells to turn on your genes.

This is also known as Thyroid Resistance. And it is probably one of the most commonly missed thyroid conditions.

Standard laboratory tests can only measure what is happening in the blood stream.


We don’t care what’s happening in the blood stream because thyroid hormone has to get into cells to do its job!

If you have adequate thyroid hormone floating around in the blood, but none of it can get into your cells, then you have what’s known as tissue level hypothyroidism.

The Link Between Fibromyalgia, Chronic Pain and Hypothyroidism​

This is especially true if you’ve been diagnosed with Fibromyalgia.

You see…

Chronic pain and Fibromyalgia accompany each other, however no one has been able make the connection as to how or why.

But, if you look at the symptoms of Fibromyalgia and Hypothyroidism side by side you begin to see something amazing:

Fibromyalgia and Hypothyroidism present in almost the exact same way…​

Fortunately, there was a researcher named Dr. Lowe who put this all together for us. ​

He linked tissue level hypothyroidism as one of the main causes of Fibromyalgia. And he did this through a concept known as ‘deductively formulated theory‘.

This method of problem solving takes all of the competing theories that cause a disease and by the use of mathematical analysis pumps out the hypothesis that is most likely to be correct. ​(This is the same logic that Albert Einstein used to come up with his hypotheses – like the theory of relativity).

He also showed that the majority of patients who fell into this category really needed some form of T3 therapy to have resolution of their symptoms.

How do you know if you have Tissue level Hypothyroidism?

​Unfortunately testing blood levels of thyroid hormone are not 100% accurate. As a result it’s best to use a combination of serum markers as well as Physical exam findings and subjective symptoms to diagnose tissue level hypothyroidism.

The most commonly reported symptoms include:

1. ​Fatigue

2. Weight gain

3. Hair Loss

4. Muscle Tension and Trigger Points

5. ​Delayed Relaxation Phase of Deep Tendon Reflexes

What can you do to Treat Tissue Level Hypothyroidism?

Dr. Lowe created a treatment regimen which allowed him to have complete remission of symptoms in patients with fibromyalgia and chronic pain.

I have tailored his approach and added some areas to it and have had great success in treating patients with both Chronic pain and Fibromyalgia in my practice:

  1. Getting on the right dose and type of thyroid medication (most people with chronic pain will need some form of T3 therapy – like NDT or liothyronine).
  2. Exercising to tolerance – This means exercising to maximum intensity. Even if that means jogging down the street for 10 seconds! You must be placing physiologic demand on your body to change your genes and balance hormone levels.
  3. Real, whole food, Nutritious Diet – Avoid highly processed foods and focus on fruits and veggies (AKA “real food”). If it has a food label or more than 1 ingredient – leave it out. You can read more about my 10 Day Thyroid Reset Diet here or learn about finding the best Hashimoto’s diet for you here.
  4. Trigger point therapy – Either by massage or through trigger point injections. In order to reduce pain these points MUST be taken care of otherwise they will potentiate further pain and muscle spasm.
  5. Replacement of Nutritional Deficiencies – Most commonly being high doses of B complex vitamins, Zinc, and Iron. But remember, deficiencies are highly variable so get tested!