Fibromyalgia: A Practical Clinical Guide


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A practical clinical guide

Therapy can be a crucial component of the fibromyalgia treatment process. People experiencing fibromyalgia often report episodes of anxiety , frustration, or low self-worth, and they are three times more likely to develop major depression than peers without the condition. Negative feelings can contribute to the pain cycle and make fibromyalgia symptoms even worse. By seeking the assistance of a qualified therapist , people with fibromyalgia are better equipped to handle the physical and mental challenges associated with the condition.

In addition to helping people find relief for fibromyalgia symptoms, therapy also provides needed emotional and psychological support. Counseling can help individuals experiencing fibromyalgia to approach and manage their situation with a positive outlook. Psychotherapy can help affected individuals to understand and better address their feelings about the issue.


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For example, studies show that individuals who receive cognitive behavioral therapy and operant behavioral therapy report a significant reduction in fibromyalgia pain after treatment. Please fill out all required fields to submit your message. By commenting you acknowledge acceptance of GoodTherapy. Leave this field empty. Get Listed Login. Good Therapy. Get Help Learn About. What Is Fibromyalgia? Other common symptoms of fibromyalgia include: Tension and migraine headaches Difficulty concentrating and problems with memory Increased sensitivity to light, sound, and temperature Numbness and tingling in the hands and feet Morning stiffness Urinary problems Irritable bowel syndrome IBS Painful menstrual periods While the etiology of fibromyalgia is unknown, there are biological and social factors which have been linked with the condition.

Invalid Email Address. Please confirm that you are human. Leave a Comment By commenting you acknowledge acceptance of GoodTherapy. Notice to users GoodTherapy. Mindfulness based stress reduction has been shown to significantly improve symptoms of fibromyalgia. Other complementary and alternative therapies sometimes called CAM or integrative medicine , such as acupuncture, chiropractic and massage therapy, can be useful to manage fibromyalgia symptoms.

Many of these treatments, though, have not been well tested in patients with fibromyalgia. It is important to address risk factors and triggers for fibromyalgia including sleep disorders, such as sleep apnea, and mood problems such as stress, anxiety, panic disorder, and depression. This may require involvement of other specialists such as a Sleep Medicine doctor, Psychiatrist, and therapist.

Fibromyalgia: Mayo Clinic Radio

Medications: The U. Food and Drug Administration has approved three drugs for the treatment of fibromyalgia. They include two drugs that change some of the brain chemicals serotonin and norepinephrine that help control pain levels: duloxetine Cymbalta and milnacipran Savella.


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Older drugs that affect these same brain chemicals also may be used to treat fibromyalgia. These include amitriptyline Elavil and cyclobenzaprine Flexeril. Other antidepressant drugs can be helpful in some patients. Side effects vary by the drug. Ask your doctor about the risks and benefits of your medicine. The other drug approved for fibromyalgia is pregabalin Lyrica.

Pregabalin and another drug, gabapentin Neurontin , work by blocking the over activity of nerve cells involved in pain transmission. These medicines may cause dizziness, sleepiness, swelling and weight gain. It is strongly recommended to avoid opioid narcotic medications for treating fibromyalgia. The reason for this is that research evidence shows these drugs are not of helpful to most people with fibromyalgia, and will cause greater pain sensitivity or make pain persist.

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The Fibromyalgia Help Book: Practical Guide to Living Better with Fibromyalgia - Prohealth

Tramadol Ultram may be used to treat fibromyalgia pain if short-term use of an opioid narcotic is needed. Over-the-counter medicines such as acetaminophen Tylenol or nonsteroidal anti-inflammatory drugs commonly called NSAIDs like ibuprofen Advil, Motrin or naproxen Aleve, Anaprox are not effective for fibromyalgia pain. Yet, these drugs may be useful to treat the pain triggers of fibromyalgia. Thus, they are most useful in people who have other causes for pain such as arthritis in addition to fibromyalgia. For sleep problems, some of the medicines that treat pain also improve sleep.

Fibromyalgia: Practical Approaches To Diagnosis and Treatment

These include cyclobenzaprine Flexeril , amitriptyline Elavil , gabapentin Neurontin or pregabalin Lyrica. It is not recommended that patients with fibromyalgia take sleeping medicines like zolpidem Ambien or benzodiazepine medications. Even with the many treatment options, patient self-care is vital to improving symptoms and daily function. In concert with medical treatment, healthy lifestyle behaviors can reduce pain, increase sleep quality, lessen fatigue and help you cope better with fibromyalgia.

With proper treatment and self-care, you can get better and live a more normal life. Here are some self-care tips for living with fibromyalgia:. Fibromyalgia is not a form of arthritis joint disease. It does not cause inflammation or damage to joints, muscles or other tissues. However, because fibromyalgia can cause chronic pain and fatigue similar to arthritis, some people may advise you to see a rheumatologist. As a result, often a rheumatologist detects this disease and rules out rheumatic diseases. For long term care, you do not need to follow with a rheumatologist.

Your primary care physician can provide all the other care and treatment of fibromyalgia that you need. The American College of Rheumatology has compiled this list to give you a starting point for your own additional research. The ACR does not endorse or maintain these websites and is not responsible for any information or claims provided on them.

It is always best to talk with your rheumatologist for more information and before making any decisions about your care. Updated March by Isabelle Amigues, M. This information is provided for general education only. Individuals should consult a qualified health care provider for professional medical advice, diagnosis and treatment of a medical or health condition.

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Fibromyalgia Fast Facts Fibromyalgia affects two - four percent of people, women more often than men. Fibromyalgia is not an autoimmune or inflammation based illness, but research suggests the nervous system is involved.

There is no test to detect this disease, but you may need lab tests or X-rays to rule out other health problems. Though there is no cure, medications can reduce symptoms in some patients. Patients also may feel better with proper self-care, such as exercise and getting enough sleep. What is fibromyalgia? Other symptoms of fibromyalgia that patients most often have are: Tenderness to touch or pressure affecting muscles and sometimes joints or even the skin Severe fatigue Sleep problems waking up unrefreshed Problems with memory or thinking clearly Some patients also may have: Depression or anxiety Migraine or tension headaches Digestive problems: irritable bowel syndrome commonly called IBS or gastroesophageal reflux disease often referred to as GERD Irritable or overactive bladder Pelvic pain Temporomandibular disorder - often called TMJ a set of symptoms including face or jaw pain, jaw clicking, and ringing in the ears.

Criteria Needed for a Fibromyalgia Diagnosis 1. Cognitive memory or thought problems Plus number of other general physical symptoms 2. Symptoms lasting at least three months at a similar level 3. No other health problem that would explain the pain and other symptoms Source: American College of Rheumatology, Here are some self-care tips for living with fibromyalgia: Make time to relax each day. Deep-breathing exercises and meditation will help reduce the stress that can bring on symptoms.

Fibromyalgia: A Practical Clinical Guide Fibromyalgia: A Practical Clinical Guide
Fibromyalgia: A Practical Clinical Guide Fibromyalgia: A Practical Clinical Guide
Fibromyalgia: A Practical Clinical Guide Fibromyalgia: A Practical Clinical Guide
Fibromyalgia: A Practical Clinical Guide Fibromyalgia: A Practical Clinical Guide
Fibromyalgia: A Practical Clinical Guide Fibromyalgia: A Practical Clinical Guide
Fibromyalgia: A Practical Clinical Guide Fibromyalgia: A Practical Clinical Guide
Fibromyalgia: A Practical Clinical Guide Fibromyalgia: A Practical Clinical Guide
Fibromyalgia: A Practical Clinical Guide Fibromyalgia: A Practical Clinical Guide

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