The latest treatments for fibromyalgia focus on symptom management and lifestyle modifications. According to the American College of Rheumatology (ACR), a minimum of three months of aggressive treatment may be necessary to achieve an optimal response.
The ACR recommends a multidisciplinary approach involving medication, patient education, and non-drug therapies such as physical therapy and cognitive behavior therapy.
Medication therapies may include an antidepressant, a muscle relaxant, an anticonvulsant, or a combination of these drugs. Low dose tricyclic antidepressants such as amitriptyline and low dose selective serotonin reuptake inhibitors (SSRIs) such as duloxetine can help relieve pain.
SSRIs can also be helpful for improving sleep quality. In addition, opiate drugs such as oxycodone, hydrocodone and tramadol can also be used to manage pain.
Non-drug therapies are also recommended for fibromyalgia. Education about the disorder and helpful techniques as well as setting realistic goals are suggested. Physical therapy helps improve mobility, strength, and endurance as well as reduce stress.
Cognitive behavior therapy (CBT) helps change the cycle of negative thoughts and beliefs associated with fibromyalgia. It also helps with sleep problems and depression. Other lifestyle measures include learning relaxation techniques, getting proper nutrition and exercise, and addressing any stress factors.
What helps fibromyalgia flare ups?
Staying on top of routine medical care and communication with your healthcare team about any changes in symptoms, lifestyle, or diet can help identify potential triggers.
In addition, lifestyle changes such as regular exercise and stress management can be key in preventing and managing flare ups. Gentle forms of exercises such as walking, swimming, and yoga can help to increase strength and flexibility.
Stress management techniques such as relaxation and meditation can also reduce flare ups.
Moreover, proper sleep can be crucial in managing and preventing flare ups. One way to improve the quality of your sleep is with specific sleep hygiene practices such as adhering to a regular sleep schedule, avoiding caffeine and large meals before sleep, and exercising during the day.
Other potential treatments for fibromyalgia flares include: heat therapy, acupuncture, topical pain relievers, and medications. Speak to your healthcare provider about which treatments are best for you.
Can fibromyalgia turn into MS?
No, fibromyalgia and multiple sclerosis (MS) are two distinct health conditions with different sets of symptoms and causes. That being said, they do share some common features, such as long-term fatigue, muscle pain and joint stiffness, as well as certain cognitive challenges.
However, they are separate diseases and one cannot “turn into” the other.
In rare cases, some people have been diagnosed with both diseases, but it is unclear if this is due to the conditions overlapping in some way or if the patient is actually suffering from two distinct illnesses.
Additionally, it is possible to have similar symptoms to both fibromyalgia and MS, and in this case, it is important for a physician to properly diagnose the issue.
Although fibromyalgia and MS are two different diseases, people diagnosed with one should watch for signs of the other. This includes joint pain, fatigue, and changes in thinking or talking. It is important to discuss these concerns with a doctor, who could then refer you to the most appropriate specialist for further evaluation.
What aggravates fibromyalgia?
Fibromyalgia is a chronic syndrome that can cause widespread pain and fatigue. Unfortunately, there are several factors that may aggravate the symptoms of fibromyalgia.
One of the most common aggravating factors for fibromyalgia is stress. As stress levels increase, the symptoms of fibromyalgia may become worse. Stress management can be helpful in reducing the severity of symptoms.
Additionally, lifestyle changes such as reducing physical exertion, making dietary changes, and receiving regular massage therapy can also help to reduce the severity of symptoms.
Temperature changes can also have an effect on the symptoms of fibromyalgia. Cold temperatures can increase the pain and stiffness associated with fibromyalgia. On the other hand, warm temperatures can increase the fatigue and body aches.
Although temperature changes may be unavoidable, using heating pads or taking hot baths can help to ease symptoms.
Other factors such as intense exercise and excessive physical exertion can also aggravate fibromyalgia. Overworking the body can cause the muscles to become stiff, triggering an increase in symptoms.
To prevent further aggravating fibromyalgia, it is important to get the recommended amount of physical activity and rest.
Lastly, certain medications and supplements can also worsen fibromyalgia. Some medications and supplements such as aspirin, ibuprofen, and omega-3 fatty acids can increase the intensity of fibromyalgia symptoms.
Always research and consult with your doctor before taking any new medications or supplements.
Do doctors prescribe narcotics for fibromyalgia?
Yes, doctors can and do prescribe narcotics for fibromyalgia. Narcotic medications are typically prescribed when other treatments for fibromyalgia, such as exercise and medication, have been unsuccessful in alleviating the patient’s symptoms.
Narcotics, however, should only be used in conjunction with a comprehensive treatment program. Generally, narcotics are used to address acute pain and are only prescribed when the patient has exhausted all other treatments, and with the understanding that the patient will not use the narcotic over an extended period of time.
It’s important to note, however, that the use of narcotic medications can be associated with adverse effects, including addiction, constipation, nausea, and drowsiness. Because of this, long-term use of narcotic medications for fibromyalgia is strongly discouraged.
Patients who struggle with long-term fibromyalgia symptoms, or who experience extreme or unmanageable episodes of acute pain, may benefit from a referral to a chronic pain management specialist or multidisciplinary pain clinic.
What is the main treatment given to patients who have fibromyalgia to prevent worsening the widespread of pain?
The primary treatment for fibromyalgia is often a combination of medication, physical and/or occupational therapy, and lifestyle changes. Medication is typically prescribed to target specific symptoms, such as pain or fatigue, and can range from over-the-counter medications to prescription drugs.
Physical therapy exercises may be used to help strengthen muscles, improve mobility and endurance, and reduce pain. Occupational therapy may also help those with fibromyalgia manage symptoms and improve their quality of life.
Additionally, establishing a regular sleep and exercise routine can help improve the symptoms of fibromyalgia. Developing healthy coping strategies for stress and anxiety, such as relaxation techniques, mindfulness, and healthy eating, can also be important for managing the illness.
It is also recommended to establish a support system of family and friends, and to seek out counseling or group therapy to help manage the psychological aspects of living with chronic pain.
