Fibromyalgia Treatment

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Additional Therapies

A number of different therapies, both traditional and alternative, have been effective in helping some fibromyalgia patients manage their symptoms. Some of these therapies include:

Acupuncture
Biofeedback
Chiropractic
Cognitive behaviorial therapy
Hot/cold pack application
Massage therapy
Myofascial release therapy
Nutritional supplementation
Physical therapy
Relaxation and breathing exercises
Tai chi
Therapeutic touch
Yoga

Exercise

Although many fibromyalgia patients feel like they are in too much pain to exercise, it’s an essential component of any fibromyalgia treatment plan. The fact is that without exercise, muscles become deconditioned, causing the pain and stiffness to get worse. On the other hand, exercise that is too strenuous can also increase pain. The best answer to this problem seems to be a very gentle, slowly graded exercise program.

One of the best forms of exercise for fibromyalgia patients is warm water aquatic therapy. There are a variety of different water exercise programs available, ranging from water aerobics to watsu. It takes less effort to move in water yet water provides resistance, so individuals get more benefit with less exertion. Being immersed in warm water also reduces the perception of pain and aids in relaxation.

Lifestyle Adaptations

Lifestyle changes are key to the effective management of fibromyalgia symptoms. Making positive lifestyle changes lays a good foundation upon which other treatment plans can be built. Recommended lifestyle adaptations include:

Getting more rest. (Avoid complete bed rest if at all possible as it will lead to deconditioned muscles and increased pain and stiffness.)
Pacing activities and following a manageable daily routine.
Reducing physical and emotional stress.
Improving nutrition. (Avoid alcohol, caffeine, sugar and food additives. Many fibromyalgia patients find a high protein, low carbohydrate diet to be most effective.)
Remembering to breathe deeply and practice relaxation techniques.

Resources:

Fibromyalgia. National Fibromyalgia Association, 2004.

Eriksen, J., P. Sjogre, E. Bruera, O. Ekholm, N.K. Rasmussen. “Critical issues on opioids in chronic non-cancer pain: an epidemiological study.” Pain, 2006. 125(1-2):172-9.

Last Updated: 3/7/09