Physical rehabilitation consisting of postural education, stretching, and low-level aerobics is beneficial in treating fibromyalgia. Taking part in an exercise program usually increases endurance and decreases pain. Low-level aerobic exercise has been shown to be especially beneficial. For patients reluctant to exercise because they are already feeling pain and fatigue, low-level aerobic activities such as walking, biking, swimming, or gentle water aerobics are generally the best way to start an exercise regimen. Exercise on a regular basis such as every other day with slow, gradual increments in activity enable patients to reach a better level of fitness. Oftentimes, a physical therapist can help design a specific exercise program to improve, posture, flexibility, and fitness.
The non-steroidal anti-inflammatory medications used to treat many rheumatic conditions do not have a major benefit in fibromyalgia, though some patients report modest pain relief with these compounds. Cortisone-based drugs are ineffective and should be avoided because of potential side effects. Medications which promote deep sleep, improve pain, and relax muscles may help patients with fibromyalgia get more rest. These include amitriptyline (Elavil), doxepin (Sinequan), cyclobenzaprine (Flexeril) and other medications which increase central nervous system serotonin levels. Although these medications are also used to treat depression, they are prescribed in lower doses for use at bed time. Many of these medications can cause dry mouth, increase appetite, constipation, and drowsiness. These side effects are rarely severe and often diminish over time.
Relaxation techniques such as meditation, mental imagery, progressive muscle relaxation, yoga, or biofeedback often play an important role in the management of fibromyalgia, in conjunction with medicinal intervention. Some people with fibromyalgia have such severe symptoms they are unable to function either at work or socially. These individuals may benefit from a comprehensive program that comprises physical and occupational therapists, medical social workers, rheumatologists, physical medicine physicians, mental health professionals, rehabilitation counselors, and sleep specialists.
Most people with fibromyalgia improve and are able to manage their condition effectively. A thorough understanding of the causes of fibromyalgia as well as aggravating and relieving factors is needed to help tailor better treatment and even preventive measures.
The therapies mentioned here are by no means all-inclusive. Also keep in mind that even the non-medicinal treatments can lead to problems if they are used incorrectly. If you think you have fibromyalgia or your aches and pains are not going away, please see your doctor. It's important that you maintain an active role in managing your symptoms. Although the pain can emotionally wear you down, you can still fight back.
