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Welcome to INPR, we are a disease Management Program for patients with Chronic Fatigue Syndrome, Myalgic Encephalomyelitis, POTS, Long-Covid, Fibromyalgia and other chronic conditions. We have treatment options that are fully customizable and flexible. We practice evidence-based medicine and offer you a holistic approach to managing your chronic symptoms. We are located in Westlake, Ohio – although we offer Telemedicine appointments to patients located in any part of Ohio.
To become a patient of INPR, please call us at 440-425-0155 for more information. Please scroll down for intake paperwork.
Myalgic Encephalomyelitis, Chronic Fatigue Syndrome, Fibromyalgia, POTS, EDS, Long-Covid, and Connective tissue diseases are difficult to manage chronic health issues.
Myalgic Encephalomyelitis (ME), also known as Chronic Fatigue Syndrome (CFS), is a complex, chronic illness that affects multiple systems in the body and is characterized by severe fatigue, muscle and joint pain, and cognitive impairments. The exact cause of ME and CFS is not yet known, but it is thought to be the result of a combination of genetic, environmental, and infectious factors.
Symptoms of ME and CFS can range from mild to severe and can often fluctuate in intensity. In addition to fatigue and muscle and joint pain, common symptoms of ME and CFS include sleep disturbances, headaches, flu-like symptoms, digestive issues, and cognitive impairments such as difficulty concentrating and remembering things. The severity and duration of these symptoms can vary widely among individuals, and many people with ME and CFS experience periods of improvement followed by relapses.
There is currently no cure for ME and CFS, and treatment is focused on managing symptoms and improving quality of life. Treatment plans may include medications to address specific symptoms, such as pain relievers or sleep aids, as well as lifestyle modifications such as pacing oneself and making time for rest. Some people with ME and CFS may also find relief from complementary and alternative therapies such as acupuncture, massage, or meditation.
The impact of ME and CFS on an individual’s life can be significant. Many people with ME and CFS are unable to work or participate in activities they once enjoyed, and the illness can also have a significant impact on relationships and social connections. People with ME/CFS need to have a supportive network of family, friends, and healthcare providers, as well as access to appropriate care and resources.
Despite the challenges posed by ME and CFS, it is important to remember that people with this illness are not alone and that there are organizations and resources available to help manage the physical, emotional, and social impacts of the condition. Research into the causes and treatments of ME and CFS is ongoing, and there is hope that with continued efforts, a better understanding of this complex illness will lead to improved therapies and outcomes for those living with ME and CFS.
Low-dose Naltrexone (LDN) is thought to work by modulating the immune system and reducing inflammation. Some studies have suggested that it may help improve symptoms of Chronic Fatigue Syndrome (CFS), including fatigue, pain, and sleep quality. However, more research is needed to fully understand the potential benefits and risks of LDN for CFS.
LDN is a medication that is typically used to treat opioid addiction, but it has also been used off-label for various other conditions. Some of the conditions that LDN has been used for include:
It is important to note that LDN is still considered an experimental treatment for many of these conditions, and more research is needed to fully understand its effectiveness and safety.
Pacing therapy for Chronic Fatigue Syndrome (CFS) is a treatment approach that involves setting limits on physical and mental activity to manage and improve symptoms. The goal of pacing therapy is to balance rest and activity in a way that allows a person with CFS to live as normally as possible, while also avoiding overexertion or exhaustion.
Pacing therapy involves creating a schedule or plan for daily activities and breaking tasks into smaller, manageable chunks. It may also involve taking regular breaks throughout the day, setting realistic goals, and gradually increasing activity levels over time.
Pacing therapy may be used in conjunction with other treatments, such as medication and cognitive behavioral therapy, to help manage the physical and emotional symptoms of CFS. It is important to work with a healthcare professional or therapist to develop a personalized pacing plan that meets the needs and goals of the individual.
No, “long haul covid” refers to the symptoms and effects of COVID-19 that persist for a prolonged period of time, often months or longer, after the initial infection has resolved. Chronic fatigue syndrome (CFS), on the other hand, is a complex and poorly understood medical condition characterized by severe and persistent fatigue that is not relieved by rest, and is accompanied by a variety of other symptoms such as muscle pain, difficulty concentrating, and sleep disturbances. While some people with long haul covid may also experience symptoms similar to those of CFS, the two conditions are not the same and should not be confused. Treatment and symptoms for these conditions may have similarities. Managing physical and emotional stressors, medications, and therapies can help with management of both ME, CFS, and Long-Covid symptoms.
It is not known for certain what causes Chronic Fatigue Syndrome (CFS). Some research suggests that CFS may be related to a combination of factors, including physical and emotional stress, a previous infection, and genetic predisposition. Depression may be one of these contributing factors, but it is not the cause of CFS. It is important to seek medical attention if you are experiencing chronic fatigue or any other persistent symptoms. Managing depression (which is often secondary to the disease process) can help prevent worsening of symptoms, as physical/emotional exertion can exacerbate symptoms.
Fibromyalgia is a chronic pain disorder that affects the musculoskeletal system, causing widespread pain and tenderness in the muscles, tendons, and ligaments. It can also cause fatigue, sleep disturbances, and cognitive difficulties. The cause of Fibromyalgia is not fully understood, and there is no specific cure. However, there are a variety of treatments that can help alleviate the symptoms of Fibromyalgia and improve quality of life.
Treatment for Fibromyalgia often involves a combination of approaches, including medications, lifestyle changes, and complementary therapies. Some commonly used medications for Fibromyalgia include pain relievers, antidepressants, LDN (low-dose Naltrexone, which is experimental) and anticonvulsants. Lifestyle changes that may be helpful include regular exercise, stress management techniques, and getting enough sleep. Complementary therapies such as physical therapy, acupuncture, and massage may also be beneficial. It is important to work closely with a healthcare provider to find the best treatment plan for your individual needs.
Long-Covid, also known as Post-Covid Syndrome or Long-Haul Covid, refers to the persistence of symptoms in some people who have had COVID-19, the disease caused by the SARS-CoV-2 virus. These symptoms can include fatigue, difficulty breathing, brain fog, and muscle and joint pain, among others. The severity and duration of Long-Covid symptoms can vary widely, and it is not yet fully understood why some people experience long-term effects while others do not.
Treatment for Long-Covid typically involves managing individual symptoms and providing support to help individuals recover their strength and function. This may include medications to relieve specific symptoms, physical therapy to improve mobility and strength, and counseling to address emotional and mental health issues that may arise as a result of the illness. In some cases, people with Long-Covid may need to make lifestyle changes, such as reducing their level of physical activity or making adjustments to their diet, to help manage their symptoms. There are also experimental therapies that have sometimes been used to treat Long-Covid symptoms such as hyperbaric oxygenation therapy and low-dose naltrexone. These therapies are not FDA approved at this time.
It is important for individuals with Long-Covid to work closely with their healthcare team and to follow a treatment plan that is tailored to their specific needs. It is also important for individuals with Long-Covid to be patient and to recognize that recovery can be a slow and incremental process.
Connective Tissue Disorders are conditions that affect the tissues that provide support and structure to the body, such as bone, cartilage, tendons, and ligaments. These disorders can be caused by genetic factors, autoimmune diseases, or other underlying conditions. An example of a Connective Tissue Disorder is Ehlers-Danlos syndrome.
Symptoms of Connective Tissue Disorders can vary widely and may include joint pain, stiffness, swelling, and difficulty moving. In some cases, these disorders can also affect other parts of the body, such as the skin, blood vessels, and internal organs.
Treatment for Connective Tissue Disorders typically involves a combination of medications, physical therapy, and other supportive measures. The specific treatment approach will depend on the specific disorder and the severity of the symptoms.
Medications that may be used to treat Connective Tissue Disorders include nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation, disease-modifying antirheumatic drugs (DMARDs) to slow the progression of the disease, and biologic drugs that target specific immune system proteins involved in the disease process. Connective Tissue Disorders has been linked to cause symptoms of Chronic Fatigue Syndrome (ME/CFS), and patients are treated with LDN (Low-dose Naltrexone) which may help with mood, pain or fatigue (this is considered experimental).
Physical therapy can help improve flexibility, strength, and function, and may involve exercises, stretches, and other techniques to help manage symptoms and improve quality of life.
In some cases, surgical procedures may be necessary to repair or stabilize damaged joints or to relieve pressure on nerves or other structures.
It is important for individuals with Connective Tissue Disorders to work closely with their healthcare team and to follow a treatment plan that is tailored to their specific needs. It is also important for individuals to be proactive in managing their condition, including following a healthy lifestyle and taking medications as prescribed.
No, you may also see us for individual appointments as well. We offer customizable plans that work within your budget. The program visits are discounted in comparison to individual appointments.
The program is roughly 4 months long. Although, you may do individual a la carte appointments, instead. It was designed to ensure the skills patients acquire in the program work with the evidence-based interventions implemented throughout the 4-month program.
Our team for patient care includes: a prescriber, a therapist, our office team, and our sleep specialist, Dr. Mohan (who can be consulted, as needed).
We learn everything we can about our patients and take on the responsibility of helping you manage your illness by spending quality time learning about your symptomology. We also use holistic interventions including:
Our providers will continue to support you following your completion of the program and can be consulted, as needed. We will also continue to help you get refills on your discounted supplements and prescriptions.
Many diseases such as ME, CFS, Fibromyalgia, etc. are misunderstood and patients with these chronic illnesses are underserved. We decided to create this program to bridge the gap in managing these illnesses.
Our Co-Founder, Yassin Ghanem, CNP, is a patient with ME/CFS. He has suffered with his symptoms for many years before finding a prescriber who could manage his symptomology. Yassin brought many of the interventions that helped improve his quality of life to the program.
Yes, we will work with you to your comfort level. We understand getting care can be difficult and exhausting for some with disabling symptoms. We will discuss and create a care plan for you, and we also offer telemedicine appointments if that is your preference.
No, however we accept HSA, FSA, and CareCredit, which allows you to pay over the course of time. We also offer the Superbill so you can attempt to submit the appointment costs to your insurance company for reimbursement.
We spend several hours with our patients to help find route causes to their symptomology. We also use unique treatment options that may not be covered by insurance. We advocate for our patients and find affordable options when possible. If you are concerned about affordability – give us a call and we can explain these options in greater detail (440-425-0155).
Welcome to INPR, we are a disease Management Program for patients with Chronic Fatigue Syndrome, Myalgic Encephalomyelitis, POTS, Long-Covid, Fibromyalgia and other chronic conditions. We have treatment options that are fully customizable and flexible. We practice evidence-based medicine and offer you a holistic approach to managing your chronic symptoms. We are located in Westlake, Ohio – although we offer Telemedicine appointments to patients located in any part of Ohio.
During your visits with our prescriber, your medical history will be thoroughly reviewed, and appropriate lab work will be ordered (if necessary), to serve as the foundation for your care. Our prescriber is aware of the most up-to-date and innovative empirically based interventions utilized with the chronic illness community as well as medication sensitivities affiliated with Myalgic Encephalomyelitis and Chronic Fatigue Syndrome (Fibromyalgia, POTS, EDS, are more disorders we help manage).
We understand that your disease is biological in nature and therefore recognize that mental well-being is a contributing factor in disease progression and stress management. Our therapist is aware and mindful of the varying symptomology and its impact on the mind and body.
In collaboration with our therapist, we will develop your skills “toolbox,” which will serve as the foundation for your wellness journey. This toolbox will include interventions such as pacing therapy and energy envelope education. Our goal is to improve your quality of life through the utilization of these skills.
We know that every aspect of your life has changed as a result of your illness and acknowledge that change is difficult for everyone.
While our program is individualized, focusing on self-love and compassion to establish your empowered foundation is at the core of your work with our therapist. With the development of your “toolbox,” our goal is to help redirect your energy towards neuroprotective interventions to give you back your power and life!
“One day, I pushed myself through feelings of discomfort and hesitancy to send a message to my provider, Yassin Ghanem. After reading my message, he immediately scheduled a follow up meeting to discuss the severity of the symptoms I’d been having – crippling fatigue, relentless brain fog, difficulty concentrating, widespread body pain, muscle weakness, sensitivity to external stimuli – all which piled up to result in feelings of hopelessness. My ability to function effectively on a daily basis had been immensely compromised, and the simplest tasks began to feel impossible. Yassin Ghanem determined that there was a strong likelihood that I had been misdiagnosed with “Idiopathic Hypersomnia,” then introduced me to The Institute for Neurophysical Restoration Program at Arc Wellness Center. For years of my life, I fought desperately to find answers as to what the root cause of my suffering was – healthcare specialist after healthcare specialist, miscellaneous diagnoses and opinions – all to never walk away from the encounters feeling like I had an actual solution. It wasn’t until I met Yassin Ghanem and Leslie Stevens that I began to feel genuine hope; from day one, I knew without a doubt that I was heard, believed, and would be supported. After completing the program, my life has changed drastically. Although there is no cure for ME/CFS, this is the closest I’ve ever felt to it since the onset of the condition in my life. I am forever indebted to them for the work they’ve done – their dedication to this field has had an incredibly positive impact on me, beyond words. If you are debating on whether or not this program is the right fit for you, I would strongly encourage you to reach out to their team – you will feel the impact of their passion for understanding and treating chronic illness, their love for their work, and their level of immediate investment in ensuring you receive the care you need. Please don’t stop yourself from connecting to this resource – you no longer have to struggle to survive the way you have been. Thanks to the INPR Program and their providers, we no longer have to fall through the cracks in the medical system, nor do we need to postpone the care we need. I am beyond grateful for their help as it has drastically changed the quality of my life.”
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