Why are so many doctors hesitant to prescribe pain medications for fibromyalgia?

Ineffective: Pain medications, such as narcotics are often ineffective for the type of pain involved in fibromyalgia, and because it is a long term condition, there is a risk of addiction or tolerance, which is when a medicine that worked for a while doesn't work anymore.

Fibromyalgia: The current feeling is avoid using opioids in fibromyalgia. This does not mean that in severe cases opioids should not be used. Docotrs have to justify their prescription - so if the exam shows no objective findings then there would be no indication to write for an opioid - just saying "i have pain" is not enough.

Misunderstanding: Hesitancy to prescribe pain meds for fibromyalgia (fm) derives, in part, from ubiquitous doctor regard for a theoretical concept that fm pain is due to a faulty mechanism of pain recognition within central nervous system. My view, based on my clinical research, is that fm pain is a true peripheral neuropathy & can be effectively treated with analgesics until musculoskeletal causes are corrected.