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A 36-year-old male asked:

please provide some do's and don'ts for patients with fibromyalgia.

159 doctor answers68 doctors weighed in
Dr. Michael Rothman
Internal Medicine 35 years experience
Do: Do get enough rest, and don't overdo your daily activities.
Dr. Jimmy Bowen
Physical Medicine and Rehabilitation 34 years experience
Don't: Don't ignore non-pharmacologic management strategies that help you manage this disease.
Dr. Michael Rothman
Internal Medicine 35 years experience
Fibronmyalgia: Fibromyalgia is much more common in women and may be related to hormonal imbalances.
Dr. Sheeja Francis
Rheumatology 20 years experience
Regular: Regular practice of taichi can be more effective than medications for treatment of fibromyalgia.
Dr. Michael Rothman
Internal Medicine 35 years experience
Improving: Improving your overall health through proper diet, sleep, exercise is important.
Dr. Jimmy Bowen
Physical Medicine and Rehabilitation 34 years experience
This: This is something that a patient must manage, life style changes give you control.
Dr. Jimmy Bowen
Physical Medicine and Rehabilitation 34 years experience
"The: Myth: the pain is all in your head and not real.
Dr. Michael Rothman
Internal Medicine 35 years experience
Fibromylagia: Fibromyalgia is not incurable, however, your doctor needs to uncover the cause of your illness.
Dr. Michael Rothman
Internal Medicine 35 years experience
Find: Find and fix the cause of your fibromyalgia through a whole body (holistic) approach.
Dr. Jimmy Bowen
Physical Medicine and Rehabilitation 34 years experience
Sleep,: Sleep, exercise, stress reduction, medication, acupuncture, Alpha stimulation.
Dr. William Harris
Family Medicine 33 years experience
Treatment: Treatment priorities: 1) sleep quality, 2) mood management, 3) pain medications. Do light exercise.
Dr. James Gagne
Internal Medicine 48 years experience
Remember,: Remember, you're not sick or ill, you're miserable. Exercise a lot: become fit, flexible and strong.
Dr. Peter Kurzweil
Internal Medicine 50 years experience
Find: Find a personal trainer to learn to perform proper stretching exercises for all muscle groups.
Dr. Peter Kurzweil
Internal Medicine 50 years experience
Drinks: Drink eight glasses of water, seltzer, fruit juice or gatorade daily, literally.
Dr. Bennett Machanic
Neurology 52 years experience
Avoid: Avoid sedentary activities, exercise regularly, find good relaxation approaches & stress management.
Dr. Karen Sibert
Anesthesiology 39 years experience
Stay: Stay active! most pain syndromes get worse with inactivity. Try swimming, yoga, light weights.
Dr. Ted King
A Verified Doctor answered
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Minimizing: Minimizing stress in your life may help your fibromyalgia pain.
Dr. Ted King
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Remove: Remove yourself emotionally from stressful situations.
Dr. Ted King
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Soaking: Soaking in a warm bath, hot tub, or sauna or standing under a warm shower is helpful.
Dr. Ted King
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Consider: Consider joining a fibromyalgia support group.
Dr. Ted King
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Eliminate: Eliminate or reduce caffeine intake.
Dr. Ted King
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Get: Get regular exercise.
Dr. Ted King
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Don't: Don't bottle things up that are bothering you. Work on your communication skills.
Dr. Ted King
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Stress: Stress makes things worse. Make time for you each day and consider keeping a journal.
Dr. Ted King
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Fibromyalgia: It's a myth that: fibromyalgia isn't a real medical problem or "it is all in your head.".
Dr. Thomas Namey
Rheumatology 48 years experience
Exercise: Exercise more. Avoid stress. Sleep well! get a good mattress! avoid evening news!
Dr. Chevies Newman
Obstetrics and Gynecology 22 years experience
Start: Start treating insomnia and anxiety and mood sx's early, patients spasm at night and under stress.
Dr. Chevies Newman
Obstetrics and Gynecology 22 years experience
You: You must sleep well and not clinch your teeth at night, see bruxism, may benefit Clonazepam in pm.
Dr. Jimmy Bowen
Physical Medicine and Rehabilitation 34 years experience
Maintain: Maintain good sleep hygiene and get 6-8 hours of sleep a night. Avoid shift work. Exercise regularly.
Dr. Jimmy Bowen
Physical Medicine and Rehabilitation 34 years experience
Get: Get sleep, exercise regularly. Regulate the stress in your life.
Dr. Alan Ali
Dr. Alan Ali answered
Psychiatry 32 years experience
Moderate: Moderate aerobic exercises!
Dr. Bennett Machanic
Neurology 52 years experience
Most: Most patients do well on lyrica, cymbalta, or savella (milnacipran).
Dr. Lori Wagner
Internal Medicine 27 years experience
Stay: Stay active, both physically and mentally.
Dr. Tracy Berg
General Surgery 32 years experience
Know: Know your vit d3 blood level and take d3 supplements to achieve a blood level greater than 50.
Dr. Tracy Berg
General Surgery 32 years experience
Do: Do exercise and supplement your diet with vitamins and minerals.
Dr. Tracy Berg
General Surgery 32 years experience
Don't: Don't rely on narcotics for pain control.
Dr. Heidi Fowler
Psychiatry 25 years experience
Limit: Limit your intake of caffeine.
Dr. Steven Charlap
Holistic Medicine 37 years experience
Make: Make sure your magnesium and ferritin levels are within normal range.
Dr. Heidi Fowler
Psychiatry 25 years experience
Post: Post traumatic stress disorder is linked to fibromyalgia. Work through your trauma & address stress.
Dr. Heidi Fowler
Psychiatry 25 years experience
Reduce: Reduce stress levels with deep breathing exercises ; progressive muscle relaxation to decrease risk.
Dr. Heidi Fowler
Psychiatry 25 years experience
Maintain: Maintain body, mind & spiritual balance through acupuncture. Traumatic stress increases risk.
Dr. Heidi Fowler
Psychiatry 25 years experience
To: To reduce fibromyalgia symptoms, treat yourself to body massages.
Dr. Heidi Fowler
Psychiatry 25 years experience
Acupuncture: Acupuncture can be effective in reducing symptoms of fibromyalgia & leaves one centered & balanced.
Dr. Heidi Fowler
Psychiatry 25 years experience
Provide: Provide your family with educational materials so that they can understand your condition better.
Dr. Heidi Fowler
Psychiatry 25 years experience
Join: Join an on-line or local fibromyalgia support group. It will be a blessing & worth your while.
Dr. Heidi Fowler
Psychiatry 25 years experience
Consider: Consider supportive therapy to help learn new ways to cope, de-stress & lighten the burden.
Dr. Heidi Fowler
Psychiatry 25 years experience
Quality: Quality sleep is essential if you have fibromyalgia. Try to shoot for eight hours per night.
Dr. Heidi Fowler
Psychiatry 25 years experience
Cymbalta, (duloxetine) an antidepressant that is often prescribed for fibromyalgia, can help to reduce pain.
Dr. Heidi Fowler
Psychiatry 25 years experience
Lyrica (pregabalin) has been approved by the fda for treatment of fibromyalgia.
Dr. Heidi Fowler
Psychiatry 25 years experience
NSAID's: Nsaid's (nonsteroidal anti-inflammatory) meds are often a mainstay of pain relief for fibryomyalgia.
Dr. Heidi Fowler
Psychiatry 25 years experience
You: You will profit from limiting your caffiene intake.
Dr. Heidi Fowler
Psychiatry 25 years experience
STRETCH.: Stretch. Stretch. Stretch!
Dr. Heidi Fowler
Psychiatry 25 years experience
Remain: Remain physically active - even if you have to start out with baby steps.
Dr. Heidi Fowler
Psychiatry 25 years experience
Maintain: Maintain good posture.
Dr. Heidi Fowler
Psychiatry 25 years experience
Learn: Learn to say "'no" to others. If you always say "yes" & overextend yourself , you'll pay the price.
Dr. Heidi Fowler
Psychiatry 25 years experience
Try: Try to go to bed at the same time each night, your body will appreciate the consistency.
Dr. Heidi Fowler
Psychiatry 25 years experience
The acts of meditating & visualization can help remove you from your pain & reduce pain levels.
Dr. Heidi Fowler
Psychiatry 25 years experience
Consider: Consider gentle exercise- tai chi, swimming, walking, biking, & water aerobics class or basic yoga
Dr. Heidi Fowler
Psychiatry 25 years experience
Ask: Ask your physician if you would benefit from chiropractic manipulation.
Dr. Heidi Fowler
Psychiatry 25 years experience
Learning: Learning to relax is essential to control fibromyalgia symptoms. Gain more control through biofeedback.
Dr. Heidi Fowler
Psychiatry 25 years experience
Breathe: Breathe in deeply through nostrils. Hold for count of 5. Exhale slowly through mouth. Repeat x 12.
Dr. Heidi Fowler
Psychiatry 25 years experience
Keep: Keep reminder & to do lists so you don't expend unnecessary energy & focus on trying to remember.
Dr. Heidi Fowler
Psychiatry 25 years experience
Leave: Leave work at work. Contain work stress so that it isn't seeping into your off time. Reduce stress!
Dr. Heidi Fowler
Psychiatry 25 years experience
Gentle: Gentle exercise will help reduce both pain & stiffness. It will contribute to a sense of wellness.
Dr. Heidi Fowler
Psychiatry 25 years experience
Hydrotherapy:: Hydrotherapy: warm shower, hot tub or calming soak in the bath tub.
Dr. Heidi Fowler
Psychiatry 25 years experience
Tea: Tea tree oil rubbed into effected areas may help to reduce pain over time.
Dr. Heidi Fowler
Psychiatry 25 years experience
Aromatherapy:: Aromatherapy: add rosemary oil to a warm tub of water. Now give yourself permission to relax!
Dr. Heidi Fowler
Psychiatry 25 years experience
Aromatherapy: Aromatherapy for fibromyalgia? Consider ginger, thyme, clove or lavender.
Dr. Heidi Fowler
Psychiatry 25 years experience
Sleep: Sleep is part of your pain relief prescription. Discuss melatonin with your doctor if sleep is difficult.
Dr. Ed Friedlander
Pathology 44 years experience
The: The best low-impact sport is swimming laps. The deeper sleep alone will help.
Dr. Heidi Fowler
Psychiatry 25 years experience
Flax: Flax seed contains omega-3 , alpha-linolenic acid. Consider cold-pressed flax seed oil daily.
Dr. Heidi Fowler
Psychiatry 25 years experience
Avoid: Avoid alcohol.
Dr. Heidi Fowler
Psychiatry 25 years experience
Drink: Drink at least eight 8 ounce glasses of water per day to detoxify ; hydrate your body.
Dr. Heidi Fowler
Psychiatry 25 years experience
Maintain: Maintain dietary fiber.
Dr. Heidi Fowler
Psychiatry 25 years experience
Stay: Stay away from saturated fat & processed foods.
Dr. Thomas Wright
Phlebology 29 years experience
Getting: Getting proper sleep and staying physically fit help prevent or lessen the symptoms of fibromyalgia.
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 13 years experience
Do: Do exercise as much as you can, don't think it has to be a marathon every little bit helps.
Dr. Mitchell Vogel
Ophthalmology 30 years experience
Don't: Don't let it control your life; you control it.
Dr. Thomas Namey
Rheumatology 48 years experience
Chill!: Chill! make yourself psychologically stronger. Exercise. Do everything to get good sleep!
Dr. Sandra Pinkham
Holistic Medicine 53 years experience
Magnesium: Magnesium and zinc block substance p, the mediator of pain.
Dr. Sandra Pinkham
Holistic Medicine 53 years experience
Use: Use mind-body-spirit. Overcome dietary deficiencies. Check 25-oh vit d and ferritin if menstruating.
Dr. Sandra Pinkham
Holistic Medicine 53 years experience
Read: Read kelly mcgonigal's "the will power instinct" to facilitate change because "do's & don't's" don't work.
Dr. Kenneth Grossman
Endodontics 44 years experience
Myth:: It's a myth that: there is a laboratory test for fibromyalgia.
Dr. Su Fairchild
Integrative Medicine 24 years experience
Check: Check a post challenge urine heavy metals. Chelate if high.
Dr. Thomas Wright
Phlebology 29 years experience
Fibromyalgia: You should exercise. Exercise and fitness are important to control symptoms.
Dr. Robert Binford
Thoracic Surgery 38 years experience
Avoiding: Avoiding gluten, dairy and chocolate can reduce the symptoms in some people.
Dr. Thomas Namey
Rheumatology 48 years experience
Get: Get rid of stressors. Get a good mattress. Exercise regularly. Don't chronically complain to friends!
Dr. Thomas Namey
Rheumatology 48 years experience
No: No drug is more effective than an exercise program: includes, savella, (milnacipran) cymbalta, & lyrica. Combine!
Dr. EVAN Leibowitz
Rheumatology 25 years experience
Join: Join a fibromyalgia support group in your community.
Dr. EVAN Leibowitz
Rheumatology 25 years experience
Avoid: Avoid narcotic pain medications such as Percocet they do not work in general.
Dr. William Newton
Pain Management 19 years experience
Do: Do give up or give in. Stay active.
Dr. Geoffrey Rutledge
Internal Medicine 41 years experience
Natural: Natural and soothing forms of exercise like yoga can help pregnant women with fibromyalgia.
Dr. William Newton
Pain Management 19 years experience
Take: Take advantage of the good days and don't stop living.
Dr. William Newton
Pain Management 19 years experience
Find: Find local support groups.
Dr. Larry Greenbaum
Rheumatology 37 years experience
Plan: Plan for aerobic exercise everyday or almost everyday.
Dr. Larry Greenbaum
Rheumatology 37 years experience
Go: Go to sleep and get up the same time everyday.
Dr. EVAN Leibowitz
Rheumatology 25 years experience
Myth:: It's a myth that: everyone with fibromyalgia has a psychiatric disorder.
Dr. EVAN Leibowitz
Rheumatology 25 years experience
Myth:: Myth: fibromyalgia symptoms are caused by depression or anxiety.
Dr. EVAN Leibowitz
Rheumatology 25 years experience
Myth:: Myth: medications will take all of my fibromyalgia symptoms away.
Dr. William Newton
Pain Management 19 years experience
No: No known cause.
Dr. Geoffrey Rutledge
Internal Medicine 41 years experience
Many: Many patients find others at fibro support groups offer the best techniques for managing symptoms.
Dr. EVAN Leibowitz
Rheumatology 25 years experience
Stretching: Stretching and mild to moderate aerobic exercise are important treatments for fibromyalgia patients.
Dr. Thomas Namey
Rheumatology 48 years experience
Fibromyalgia: Fibromyalgia patients are deconditioned. Improving fitness with exercise is as good as drugs!
Dr. EVAN Leibowitz
Rheumatology 25 years experience
Find: Find a cognitive behavioral therapist: very effective to help you cope with your symptoms.
Dr. EVAN Leibowitz
Rheumatology 25 years experience
There: There are 3 fda approved medications for fibromyalgia.
Dr. Randy Baker
Holistic Medicine 40 years experience
I: I recommend the book from fatigued to fantastic by jacob tietelbaum md for those with fibromyalgia.
Dr. Thomas Namey
Rheumatology 48 years experience
Many: Many patients with "fibro"have another dx. If no better with Cymbalta & lyrica, (pregabalin) see a rheum!
Dr. Randy Baker
Holistic Medicine 40 years experience
Many: Many with fibromyalgia are hypothyroid. A normal TSH does not rule this out; check free T3 (liothyronine) levels.
Dr. William Newton
Pain Management 19 years experience
3: 3 fda approved medication. Cymbalta, savella, (milnacipran) and lyrica.
Dr. Larry Greenbaum
Rheumatology 37 years experience
Antiinflammatory: Anti-inflammatory medications generally don't help unless you have arthritis.
Dr. Randy Baker
Holistic Medicine 40 years experience
Many: Many with fibromyalgia are deficient in magnesium. Magnesium malate, taurate ; glycinate are best.
Dr. William Newton
Pain Management 19 years experience
Stay: Stay active.
Dr. William Newton
Pain Management 19 years experience
Maintain: Maintain a healthy diet.
Dr. David Hardin
Wound care 36 years experience
Fibromyalgia: Fibromyalgia is just in your head!
Dr. Bettina Herbert
Physical Medicine and Rehabilitation 20 years experience
Try: Try eliminating dairy, gluten and sugar & add some strong probiotics. Follow strictly for a month.
Dr. Su Fairchild
Integrative Medicine 24 years experience
Myer's: Myer's cocktail IV once a week for 4 to 6 weeks may help some feel better.
Dr. Su Fairchild
Integrative Medicine 24 years experience
Find: Find an integrative medicine physician or an nd for better results.
Dr. Devang Patel
Family Medicine 16 years experience
I: I recommend tai chi and acupuncture along with proper stress management and coping skills. Meds later.
Dr. Kavita Gupta
Pain Management 38 years experience
Aquatic: Aquatic therapy is excellent for fm patients as less stress on the joints while in the water.
Dr. Laurence Badgley
General Practice 53 years experience
Aquatherapy: Aquatherapy is the best way for people with fibromyalgia to exercise.
Dr. James Eitner
Family Medicine 34 years experience
Do: Do exercise. Benefits equivalent to drugs. Most fms patients are severely deconditioned!
Dr. Stephen Rodrigues
A Verified Doctor answered
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Myofascial: Myofascial release therapy is the way to treat chronic complex pain. Start with stretching and yoga.
Dr. Adam Tripp
Psychiatry 15 years experience
DO:: Do: use medications like Cymbalta (duloxetine) for pain and slow steady exercise. Don't: lose hope.
Dr. Timothy Silver
Physical Medicine and Rehabilitation 24 years experience
Exercise: Exercise and good sleep hygiene are the starting points. Diet, medications & limit opiates.
Dr. Timothy Silver
Physical Medicine and Rehabilitation 24 years experience
Opiate: Opiate therapy does not help in most cases, have your doctor observe for opiate induced hyperalgesia.
Dr. David Rosenfeld
Pain Management 27 years experience
Stay: Stay active. Stay away from opioid pain medications.
Dr. Jason Siefferman
Pain Management 14 years experience
Good: Good sleep hygiene.
Dr. David Chrisman
Cosmetic Dentistry 33 years experience
Fibromyalgia: Fibromyalgia has a strong association to sleep problems.
Dr. Timothy Silver
Physical Medicine and Rehabilitation 24 years experience
FMS: Fms patients may benifit from a sleep study, for coinciding sleep apnea.
Dr. Thomas Namey
Rheumatology 48 years experience
Exercise!: Exercise! patients with fibromyalgia are in the lower 10% of fitness!
Dr. Darrell Herrington
Family Medicine 34 years experience
Treatment: Treatment usually requires meds for neuropathy, muscle relaxation, depression, and pain.
Dr. Thomas Wright
Phlebology 29 years experience
Good: Good sleep hygiene (eg completely quiet & dark bedroom) are important to managing fibromyalgia.
Dr. Thomas Namey
Rheumatology 48 years experience
Over: Over 2/3rds of my fibromyalgia referrals have another condition. If not improving, seek a referral!
Dr. Thomas Namey
Rheumatology 48 years experience
The: The three most effective therapies: cymbalta; lyrica; exercise. One is free!
Dr. Ihab Ibrahim
Pain Management 29 years experience
Start: Start with a doctor who believes he can help. Hold him accountable or move on. There is treatment.
Dr. Heidi Fowler
Psychiatry 25 years experience
Fibromyalgia:: Fibromyalgia: try swimming, water aerobics, walking, and bicycling.
Dr. Heidi Fowler
Psychiatry 25 years experience
Fibromyalgia:: Fibromyalgia: exercise regularly to assuage aches.
Dr. Heidi Fowler
Psychiatry 25 years experience
Fibromyalgia:: Fibromyalgia: eliminate or reduce caffeine.
Dr. Heidi Fowler
Psychiatry 25 years experience
Fibromyalgia:: Fibromyalgia: start any new exercise programs slowly.
Dr. Heidi Fowler
Psychiatry 25 years experience
Fibromyalgia:: Fibromyalgia: yoga may diminish stress & pain.
Dr. Heidi Fowler
Psychiatry 25 years experience
Fibromyalgia:: Fibromyalgia: tai chi may release tension, reduce pain, and increase wellness.
Dr. Heidi Fowler
Psychiatry 25 years experience
Fibromyalgia:: Fibromyalgia: seek balance. Over-exertion = pain.
Dr. Heidi Fowler
Psychiatry 25 years experience
Fibromyalgia:: Fibromyalgia: sleep is sacred.
Dr. Heidi Fowler
Psychiatry 25 years experience
Fibromyalgia:: Fibromyalgia: massage soothes soreness & stress.
Dr. Heidi Fowler
Psychiatry 25 years experience
Fibromyalgia:: Fibromyalgia: acupuncture alleviates aches.
Dr. Heidi Fowler
Psychiatry 25 years experience
Meditation: Meditation mitigates fibromyalgia symptoms.
Dr. Heidi Fowler
Psychiatry 25 years experience
Fibromyalgia: Fibromyalgia dictates the need to learn and use good self-care.
Dr. Heidi Fowler
Psychiatry 25 years experience
The: The national fibromyalgia association provides education and support.
Dr. Heidi Fowler
Psychiatry 25 years experience
Fibromyalgia:: Fibromyalgia: nourish your body with the help of a nutritionist.
Dr. Rodney Del Valle
A Verified Doctor answered
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Don't: Don't be afraid of talking about symptoms just because they will brand you a difficult patient.
Dr. Mark Silverberg
Ophthalmology 26 years experience
Many: Many fibromyalgia patients have dry eyes. Ask your ophthalmologist about treatment - it will help!
Dr. Su Fairchild
Integrative Medicine 24 years experience
A: A myers cocktail can decrease pain. The main ingredient is magnesium.
Dr. Su Fairchild
Integrative Medicine 24 years experience
Thiamine: Thiamine as thiamine pyrophosphate, same, and methylcobalamin can be helpful.
Dr. Su Fairchild
Integrative Medicine 24 years experience
Vitamin: Vitamin d levels need to be higher than 50 nmol/l. Replete as needed.
Dr. Alan Koenigsberg
Psychiatry 42 years experience
Medication: Medication treatments are very effective and safe. It takes time, expertise and patience!
Dr. Jimmy Bowen
Physical Medicine and Rehabilitation 34 years experience
Your: Your energy is like money in the bank. Only spend what you have, don't overspend or suffer.
Dr. Jimmy Bowen
Physical Medicine and Rehabilitation 34 years experience
A: A consistent low grade cardiovascular exercise will help you physically, emotionally and help sleep.
Dr. Ihab Ibrahim
Pain Management 29 years experience
Address: Address your depression and pain, be open to care givers suggestions.
Dr. Lynne Weixel
Clinical Psychology 36 years experience
Get: Get vit d! always be sure to take it w/ with a fat (healthy oils). It needs fat for absorption!

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