Duloxetine (Cymbalta) and milnacipran (Savella) may help ease the pain and fatigue associated with fibromyalgia. Your doctor may prescribe amitriptyline or the muscle relaxant cyclobenzaprine to help promote sleep. Anti-seizure drugs.
Common Medications for Fibromyalgia
Duloxetine (Cymbalta), milnacipran (Savella) and pregabalin (Lyrica) are FDA-approved to specifically treat fibromyalgia. Others are used “off-label” – meaning, they're used by doctors because of observed benefits but are not FDA-approved for fibromyalgia.
Reducing stress and relaxing
People may benefit from trying to avoid or limit exposure to stressful situations and making time to relax. While techniques such as meditation or deep breathing may help manage stress , it is important that people with fibromyalgia do not avoid physical activity altogether.
Stress. It's one of the most common triggers of flare-ups. While you can't get rid of all stress from your life, you can limit it.
Nature of the pain: Words commonly used to describe fibromyalgia pain include aching, dull, numbing, burning, tingling, pins-and-needles, throbbing, pounding, shooting, sharp, stabbing, blinding, knife-like, needle-like, and others.
Results: There were four parent stages of FM identified and labeled: 1) regional FM with classic symptoms; 2) generalized FM with increasing widespread pain and some additional symptoms; 3) FM with advanced and associated conditions, increasing widespread pain, increased sleep disturbances, and chemical sensitivity; ...
The central nervous system (brain, spinal cord and nerves) transmits information all over your body through a network of specialised cells. Changes in the way this system works may explain why fibromyalgia results in constant feelings of, and extreme sensitivity to, pain.
Some flares only last for a day or two but others may continue for several weeks or even months. The best way to prevent fibromyalgia flares is to identify what causes them and, when possible, try to avoid the circumstances that trigger them.
Magnesium
Not only is it credited with keeping the heart, kidneys and bones strong, it also helps us avoid muscle spasms, weakness and back pain, Dr. Teitelbaum says. Women with fibromyalgia may be deficient in magnesium, studies suggest. And magnesium may help relieve fibro pain and other symptoms.
The pain may get worse with activity, cold or damp weather, anxiety, and stress. This condition is more often diagnosed in people between the ages of 20 and 50. It is most common in middle-aged women.
There's no cure for fibromyalgia, but there are treatments to control your symptoms. Your doctor will probably start you on an exercise regimen and have you work with a physical therapist. Some have found real help from acupuncture, learning Tai Chi, or taking yoga classes.
The US Food and Drug Administration (FDA) has approved three drugs for use in fibromyalgia: pregabalin (Lyrica), duloxetine (Cymbalta), and milnacipran (Savella). Pregabalin is used to reduce pain and improve sleep.
Although large-scale studies are still needed to confirm their effectiveness, the newest FDA-approved treatments for fibromyalgia include Quell and milnacipran. Quell is an over-the-counter transcutaneous electrical nerve stimulator intended to be used for pain relief.
Leg pain is common in fibromyalgia. It may be caused by fibromyalgia itself or by other conditions that are common in fibromyalgia. These include neuropathy, RLS, ITB syndrome, MPS, and certain autoimmune diseases including rheumatoid arthritis and lupus. Treatment depends on your diagnosis.
Research has uncovered evidence that FM is an autoimmune disease. Neuroinflammation and small-fiber neuropathy appear to be important elements of it.
The FM/a ® Test analyzes your immune system's white blood cells for their chemokine and cytokine protein patterns. Those who suffer from fibromyalgia will show an abnormal pattern of these protective proteins.
Not all neurologists are embracing fibromyalgia, however. "It's a difficult condition to take care of. The patients have chronic pain, they call a lot, and they tend to have a lot of comorbidities," says Dr. Kissel.
Diagnosis of Fibromyalgia
Currently, there are no specific laboratory or imaging tests for fibromyalgia. The main symptoms—pain and fatigue—are shared with many other conditions, so doctors typically try to rule out other causes for your symptoms.
Sometimes, your muscles will twitch. Other times they will burn or ache with deep stabbing pain. Some patients with fibromyalgia have pain and achiness around the joints in their neck, shoulders, back, and hips. This kind of pain makes it difficult to sleep or exercise.
Any new pain in your body is often the first sign of fibromyalgia — especially in your muscles. Trust your instincts and listen to your body. Visit a healthcare provider if you're experiencing new pain, fatigue and other symptoms — even if it feels like they come and go.
A fibromyalgia attack is also known as a flare-up. An attack can come on suddenly and cause mild to severe pain. These attacks may cause aching, burning, throbbing, or stabbing.
If you avoid treating fibromyalgia, you may descend into a spiral. The chronic pain and fatigue limits your physical activities and exercise. That, in turn, weakens your body. You may begin to feel isolated, fearful, suspicious, lonely, and afraid, which can strain relationships.