Treatment of Fibromyalgia
The treatment of fibromyalgia focuses on managing symptoms, improving quality of life, and helping individuals maintain function and wellbeing. Fibromyalgia has no cure, but many people improve through a personalised combination of medication, therapy, and lifestyle changes.
Medication
Several medications can help relieve pain, improve sleep, and reduce fatigue:
Antidepressants, such as amitriptyline or duloxetine, to manage pain and improve sleep
Anti-seizure drugs, like pregabalin or gabapentin, which calm overactive nerves
Pain relievers, including paracetamol or low-dose tramadol (NSAIDs are often less effective)
Sleep aids, prescribed short-term to manage severe insomnia
Doctors often start with low doses and adjust based on response and side effects.
Non-Medication Therapies
1. Exercise and Movement
Low-impact activities such as walking, swimming, or yoga
Regular exercise can reduce pain and improve energy levels
A gradual and consistent approach is best—overexertion may worsen symptoms
2. Cognitive Behavioural Therapy (CBT)
Helps reframe thoughts about pain and disability
Improves coping strategies and reduces emotional distress
3. Mindfulness and Relaxation
Meditation, breathing exercises, and guided imagery help reduce stress
Mind-body therapies like tai chi or qigong can be beneficial
4. Occupational Therapy
Teaches energy conservation and pain management strategies
Helps adapt work and home routines to individual needs
Diet and Lifestyle
Balanced diet, rich in anti-inflammatory foods and low in processed sugar
Regular sleep schedule, with a calming bedtime routine
Limiting caffeine and alcohol, especially in the evening
Pacing activities, to avoid overdoing it on good days and crashing later
Support groups and educational resources are also crucial for emotional wellbeing and practical advice.
Emerging Treatment of Fibromyalgia
Some clinics offer transcranial magnetic stimulation (TMS)
Ongoing research into nerve-targeted therapies and brain stimulation
The treatment of fibromyalgia is most effective when patients are supported by a knowledgeable, multidisciplinary team. A holistic, patient-led approach improves outcomes and empowers individuals to take control of their health.
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