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A 23-year-old member asked:

what is the best treatment for fibromyalgia?

7 doctor answers14 doctors weighed in
Dr. Betty Keller
Rheumatology 35 years experience
Integrative: A comprehensive approach to treatment is best. Treatment should address diet, vitamins, supplements, medications, stress reduction, and exercise. In addition, cognitive behavioral therapy, massage acupuncture and physical therapy have all shown to help treat fibromyalgia.
Dr. Betty Keller
Rheumatology 35 years experience
Integrative: Treatment programs must be individualized. Treatment programs are most effective when they combine patient education, dietary modification, supplements, medications, stress reduction ( meditation, yoga, deep breathing) and regular exercise. In addition, physical therapy, massage, acupuncture, chiropractic adjustments, and cognitive behavior therapy have all shown to help patients with fibromyalgia.
Dr. Laurence Badgley
General Practice 53 years experience
Natural therapies: ? fibromyalgia (FM) treatment. Treatment rationally from cause. "FM" w. multiple causes randomly conjoined. Potentiating causes: femaleness, childbirth, obesity, mechanical injury, prolonged inactivity w. soft tissue weakness from disease & hypermobility. Chronic soft tissue injury begets widespread soft tissue weakness & painful spasm. Cure w. aquatherapy, yoga, mindfulness therapies & cannabis.
Dr. Erik Messamore
Psychiatry 24 years experience
Some suggestions: Antidepressants are sometimes helpful - particularly lower doses of tricyclic antidepressants such as amitriptyline or nortrityline. Lyrica (pregabalin) has FDA approval for fibromyalgia. As others have answered, healthy lifestyle modifications can help, as can regular physical activity, stretching or yoga. You may also want to read this about acetyl-l-carnitine for FM http://www.drerik.com/?p=82
Dr. Ronald Krauser
A Verified Doctoranswered
A US doctor answeredLearn more
No one med is best: The one that works best for you. No single med is best among those that are effective in fm.
Dr. David Hardin
Wound care 36 years experience
Multiple things: There are four main drugs used in fibromyalgia: savella, (milnacipran) lyrica, Cymbalta and gabapentim. The associated sleep disorder can often be treated with Elavil or trazadone along with medications general progressive aerobic exercise and physical therapy narcotics are of relatively little help so taper them off slowly Zanaflex for muscle spasm sometimes helps stay away from Soma occasionally Flexeril ok.
Dr. William Gaya
Neurology 29 years experience
Agree, persistent gradual physical therapy and stretching exercise is very important.
May 4, 2013
Dr. Laurence Badgley
General Practice 53 years experience
Various: ? best fibromyalgia therapy. Cause unknown, cure elusive & several consultants needed: Rheumatologist for diagnosis & FDA-approved meds. Osteopath for soft tissue diagnosis. Alternative Physician for neutriceuticals. Yoga (gentle) instructor. Aquatherapy (P.T.) instructor. Cannabis consultant & meds for pain, mood, & sleeping. Mindfulness Therapy coach. Licensed masseuse. Need customized approach.

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Similar questions

A 41-year-old member asked:

Which treatment works the best and fastest for fibromyalgia?

4 doctor answers13 doctors weighed in
Dr. Betty Keller
Rheumatology 35 years experience
Comprehensive: There is no quick fix. The best treatment programs are comprehensive. Diet modification, appropriate medications and or supplements, regular exercise, stress relaxation techniques, counseling and cbt. Have all been found to help. Additional treatments options which can also be helpful include acupuncture, meditation, yoga, massage, chiropractic treatments, physical therapy, and water therapy.
Dr. Sahba Ferdowsi
General Practice 18 years experience
great answer. Wishing you'all the very best
Feb 16, 2012
Dr. Kirankumar Viramgama
Sleep Medicine 31 years experience
To the great list described by Dr. Keller I would add optional treatment with Ayurveda if available which is Traditional Indian Medcine and treatment based on body type(Prakruti) , toxin built up (Ama) and imbalance of energy in the body( Vikruti) with specific body type herbs, diet etc. Generally this herbs takes about 1 year to go deep in the tissue before one may see its effect.
Mar 18, 2012
A 41-year-old member asked:

I need new glasses.Whats best, reading, bi-focal or varifocal?

1 doctor answer2 doctors weighed in
Dr. Faramarz Hidaji
Cosmetic Surgery 29 years experience
Depends: That is not an easy question to answer. Your age, eye measurements, an visual needs are important in making a decision. See an eye doctor for advice.
A 37-year-old member asked:

What is the best diet for early stage cirrosis?

1 doctor answer1 doctor weighed in
Dr. Samuel Sadow
Bariatrics 48 years experience
Depends!: Best to completely avoid all alcohol and extra carbs. Ask your doctor to send you to a GI specialist for your liver problems.
Candler, NC
A 29-year-old female asked:

What is the success rate of acupuncture for fibromyalgia?

2 doctor answers5 doctors weighed in
Dr. Pamela Pappas
Psychiatry 42 years experience
Positive results: A review this year in clinical rheumatology found some positive results in treating fibromyalgia with acupuncture, homoeopathy, hydrotherapy and massage -- but not chiropractic. www.ncbi.nlm.nih.gov/pubmed/21614472.
A 21-year-old female asked:

What's the best thing to do to get pregnant?

1 doctor answer2 doctors weighed in
Dr. Kamel Sadek
Family Medicine 25 years experience
Education: Have intercourse on the days before, during and after ovulation (day 12, 13, 14, 15, 16) use a pregnancy kit to know when you are ovulating. After sexual activity, stay in bed with couple of pillows under your pelvis for 30 minutes. Have your partner eat healthy and exercise eat healthy, avoid alcohol and tobacco, exercise, take prenatal vitamins. Consult with your OB for advice and if religious, pray.

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