A member asked:

What is the best treatment for fibromyalgia?

14 doctors weighed in across 7 answers
Dr. Betty Keller answered

Specializes in Rheumatology

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.

Answered Aug 7, 2014

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Dr. Betty Keller answered

Specializes in Rheumatology

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.

Answered Sep 5, 2019

6.3k views

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Dr. Laurence Badgley answered

Specializes in General Practice

? 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.

Answered Dec 1, 2014

3.5k views

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Dr. Erik Messamore answered

Specializes in Psychiatry

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

Answered Feb 24, 2015

3.2k views

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Dr. Ronald Krauser answered

Specializes in Rheumatology

The one that works best for you. No single med is best among those that are effective in fm.

Answered Feb 1, 2020

5.1k views

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Dr. David Hardin answered

Specializes in Wound care

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.

Answered Feb 1, 2020

5.1k views

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Dr. Laurence Badgley answered

Specializes in General Practice

? 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.

Answered Feb 1, 2020

3.5k views

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