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Guest Post by Christine Case-Lo for Healthline

If you suffer from fibromyalgia (FM), you’ve probably had to deal with disbelief and dismissal for years. The widespread pain, fatigue, depression and sleep disturbances make everyday living a challenge. Conventional medicine is finally recognizing FM and offering options for treatment. But there is still no cure and no consistent treatment that works for everybody. It is often up to the patient to find their own best treatment plan.

Natural treatments may offer relief. There are a variety of exercise and relaxation techniques, complementary medical treatments, and dietary supplements that have an impact on the symptoms of FM.

Exercise and Relaxation – Retraining the Brain

Researchers believe that faulty signaling inside the brain causes FM. Though the “why” is not completely understood, some people process pain differently. This flawed pain processing often begins after an illness or a traumatic physical or emotional event.

Using relaxation and exercise techniques, it may be possible to re-train the brain to process these pain signals in a different way. By retraining the brain, FM symptoms may decrease.

Biofeedback is a technique to train your brain to control your responses. It uses a computer and surface electrodes. The feedback from monitoring helps you understand your body’s responses. A 2007 study in India showed that biofeedback could successfully treat FM.

Tai chi is a gentle form of movement and meditation originating in China, but practiced by millions around the world. A study in the New England Journal of Medicine showed that participation in a tai chi program was effective at improving quality of life for FM patients.

Yoga is another popular form of gentle exercise and meditation. A 2011 study found that 8 weeks of yoga resulted in decreased pain and reduced levels of the stress hormone cortisol in women with FM.

Exercise really does improve pain and quality of life in those the FM. Aquatic exercise routines have been shown to help. Aerobic and stretching exercises are also beneficial.

Complementary Medicine

Complementary medicine is made up of treatment methods from non-standard medical traditions. These include massage, acupuncture, meditation, Pilates, hypnotherapy, chiropractic and much more.

Acupuncture, especially electro-acupuncture where electrical stimulation is added to the needles during treatment, may help some people with FM pain. A 2013 review suggests that acupuncture may be beneficial, but the benefits of acupuncture over a “sham” acupuncture session were not that big. Surprisingly, both types seemed to help!

A 2008 study showed that massage and the more specific manual lymph drainage therapy (MLDT) could significantly improve pain and quality of life in women with FM.

Dietary Supplements

Conventional medicine uses pain relievers like NSAIDs (Motrin, Advil, Aleve) and prescription painkillers like tramadol as FM treatment.

Antidepressants have also become important medications for FM. Anti-seizure medications are also used to reduce the firing of certain nerves. Both of these classes of drugs work to change how the brain functions. They may help the out-of-whack pain signaling by changing the levels of neurotransmitters. Certain dietary supplements try to do the same thing.

Capsaicin is the chemical that makes hot peppers hot. Spreading it on the skin depletes the local supply of a messaging chemical called Substance P. That results in pain relief. There may be some relief at a tender spot if capsaicin cream is used.

5-HTP is a popular supplement for FM. 5-HTP is a “precursor” molecule to the neurotransmitter serotonin. Taking it may increase your levels of serotonin. But it may not work as well as a prescription antidepressant. It should not be taken at the same time as a prescription antidepressant.

Similarly, the supplement SAMe may also act as an antidepressant. According to NYU Langone Medical Center, SAMe did show some positive effects in people with FM. More studies are needed. There’s no evidence that SAMe is as effective and safe as taking a prescription antidepressant.

FM patients often have low levels of magnesium. Magnesium is an important electrolyte used by muscles. A 2013 study showed that taking magnesium citrate could decrease the intensity of pain and reduce the number of tender areas.

There’s hope!

You can change how you feel! Find a doctor who knows and understands FM. Work with that doctor to combine conventional and alternative treatments. You and your doctor can develop a plan that works to treat you and your unique FM.

Christine Case-Lo loves helping people understand more about health and science issues that impact their lives. Christine is a work-at-home mom, a writer and a special needs advocate. She has degrees in medical coding, bioengineering and pharmaceutical chemistry. Educational writing has been a passion of hers since childhood. She’s been contributing to Healthline for two years.

References-

• Fibromyalgia. (August 2012) National Institute of Arthritis and Musculoskeletal and Skin Diseases. Retrieved June 15, 2014 from http://www.niams.nih.gov/Health_Info/Fibromyalgia/

• Fibromyalgia: Treatments and Drugs. (February 2014) The Mayo Clinic. Retrieved June 15, 2014 from http://www.mayoclinic.org/diseases-conditions/fibromyalgia/basics/treatment/con-20019243

• Babu, A et al. (2007) Management of patients with fibromyalgia using biofeedback: a randomized controlled trial. Indian Journal of Medical Sciences. 61(8):455-461. Retrieved June 16, 2014 from http://www.indianjmedsci.org/article.asp?issn=0019-5359;year=2007;volume=61;issue=8;spage=455;epage=461;aulast=Babu

• Wang, C. et al. (2010) A randomized trial of tai chi for fibromyalgia. New England Journal of Medicine. 363:743-754. Retrieved June 15, 2014 from http://www.nejm.org/doi/full/10.1056/NEJMoa0912611

• Curtis, K. et al. (2011) An eight-week yoga intervention is associated with improvements in pain, psychological functioning and mindfulness, and changes in cortisol levels in women with fibromyalgia. Journal of Pain Research. 2011(4):189-201. Retrieved June 15, 2014 from http://www.dovepress.com/an-eight-week-yoga-intervention-is-associated-with-improvements-in-pai-peer-reviewed-article-JPR

• Mannerkorpi, K. et al. (2000) Pool exercise combined with an education program for patients with fibromyalgia syndrome. A prospective, randomized study. The Journal of Rheumatology. 27(10):2473-2481. Retrieved June 16, 2014 from http://europepmc.org/abstract/MED/11036846

• Nutting, M. et al. (1996) An exercise program in the treatment of fibromyalgia. The Journal of Rheumatology. 23(6):1050-1053. Retrieved June 16, 2014 from http://europepmc.org/abstract/MED/8782139

• Complementary, Alternative or Integrative Health: What’s in a Name? (January 2014) National Center for Complementary and Alternative Medicine. Retrieved June 16, 2014 from http://nccam.nih.gov/health/whatiscam

• Deare, J. et al. (2013) Acupuncture for treating fibromyalgia. Cochrane Database of Systematic Reviews. 2013(5):?????

• Ekici, G. et al. (February 2009) Comparison of Manual Lymph Drainage Therapy and Connective Tissue Massage in Women with Fibromyalgia: A Randomized Controlled Trial. Journal of Manipulative and Physiological Therapeutics. 32(2):127-133. Retrieved June 16, 2014 from http://www.jmptonline.org/article/S0161-4754%2808%2900352-7/abstract

• 5-Hydroxytryptophan. (2011) University of Maryland Medical Center. Retrieved June 15, 2014 from http://umm.edu/health/medical/altmed/supplement/5hydroxytryptophan-5htp

• SAMe. (2014) NYU Langone Medical Center. Retrieved June 15, 2014 from http://www.med.nyu.edu/content?ChunkIID=21460

• Bagis, S et al. (2013) Is magnesium citrate treatment effective on pain clinical parameters and functional status in patients with fibromyalgia? Rheumatology International. 33(1):167-172. Retrieved June 15, 2014 from http://www.ncbi.nlm.nih.gov/pubmed/22271372

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