How to Handle Fibromyalgia
Fibromyalgia is considered a pain syndrome, not a disease, and it is best diagnosed by a rheumatologist or other physician familiar with the condition.
Instructions
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Visit a rheumatologist or other physician familiar with fibromyalgia if you have any or all of these symptoms: generalized pain and fatigue, recurrent headaches, disturbances in sleep, numbness or tingling of the extremities, "restless legs," morning stiffness, irritable bowel, or painful menstrual periods.
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Take whatever medications are prescribed if a diagnosis of fibromyalgia is made. These can include antidepressants Cymbalta and Savella, which is FDA-approved for treatment of fibromyalgia, and Lyrica, a medicine for pain caused by damage to the nervous system. Over-the-counter pain killers such as ibuprofen and prescription narcotics such as tramadol may also be prescribed, as well as several types of antidepressant medications and antispasmodic drugs for those with irritable bowel syndrome.
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Get sufficient, restful sleep. Discuss with your doctor any problems with sleep disturbances, such as restless leg syndrome. (See "Tips for better sleep" below). Eat an adequate, nutritious diet.
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Exercise. Commit yourself to regular physical exercise. Exercise is one of the best known treatments for fibromyalgia, although it is sometimes difficult because of the pain. Walking or other gentle exercise may be the best way to start and to build endurance for more vigorous exercise.
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Alternative medicine
Explore complementary and alternative therapies such as Feldenkrais, Pilates, massage, chiropractic, acupuncture, pain management techniques, and physical and occupational therapies. Many people with fibromyalgia say these therapies have helped their symptoms, according to the National Institutes of Health. -
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Make changes at work as needed to accommodate your condition. For some, work hours may need to be reduced, For others, a switch to a less demanding job may be necessary. Consult with an occupational therapist to improve your work station and to minimize physical pain.
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Tips & Warnings
Tips for better sleep: Don't consume alcohol, caffeine or chocolate treats in late afternoon or evening. Avoid afternoon naps because they can disrupt your natural sleep rhythms. Try to maintain a regular sleep schedule every day. Exercise is important to reduce symptoms of fibromyalgia, but try to do it at the same time each day and three hours or more before bedtime. Maintain a cool, quiet and dark bedroom and use it just for sleeping, avoiding computer work or late-night TV viewing. Do something relaxing and soothing, such as taking a hot bath, before retiring.
