How is fibromyalgia treated?

Written in association with: Professor Hasan Tahir
Published:
Edited by: Conor Lynch

Fibromyalgia is a chronic condition marked by widespread musculoskeletal pain, fatigue, and heightened sensitivity to touch. It affects the way the brain processes pain signals, amplifying the perception of discomfort.

The exact cause remains unclear, but researchers believe genetic, environmental, and psychological factors contribute to its development. Stress, infections, or physical trauma can also trigger or exacerbate symptoms. In addition to pain, fibromyalgia often presents with disrupted sleep, cognitive difficulties referred to as "fibro fog," and mood disorders such as anxiety or depression. These overlapping symptoms make diagnosis challenging, as there is no definitive test for the condition.

 

Managing fibromyalgia requires a comprehensive, multidisciplinary approach tailored to the individual. Medications play a central role in controlling symptoms. Over-the-counter pain relievers can provide mild relief, while prescription medications like pregabalin and duloxetine are commonly used to address nerve pain and improve sleep. Antidepressants and anti-seizure drugs are also frequently prescribed to target the neurological components of the condition.

 

Lifestyle modifications are essential for effective symptom management. Gentle physical activity, such as yoga, swimming, or walking, can reduce stiffness and improve overall well-being. Developing consistent sleep routines and managing stress through techniques like mindfulness, meditation, or journaling can also alleviate symptoms. Cognitive Behavioural Therapy (CBT) is another valuable tool, helping patients navigate the emotional challenges of living with a chronic illness and equipping them with coping strategies for pain management.

 

Complementary therapies, including acupuncture, massage, and chiropractic care, may provide additional relief for some individuals. While these treatments do not work for everyone, they can be a valuable component of a broader management plan.

 

Each person’s experience with fibromyalgia is unique, so a tailored approach that combines medical, physical, and psychological interventions offers the best chance for improved quality of life. Though there is no cure, many individuals find that with the right support, they can regain control and lead fulfilling lives despite the challenges of fibromyalgia.

By Professor Hasan Tahir
Rheumatology

Professor Hasan Tahir is an esteemed award-winning and senior consultant physician and rheumatologist in London. He is a leading expert in his field providing specialist care for patients with all types of arthritis as well as fibromyalgiagout, back pain, osteoporosis and long COVID and is regularly instructed to provide his expert opinion in medical reports.

His excellence has been recognised in the form of numerous nominations and awards. Recently his team was accepted on the Aspiring to Excellence program for Ankylosing Spondylitis. He was awarded the Barts Health Innovations award for Service improvement and the British Society for Rheumatology award for the "Best emerging UK practice"

Professor Tahir is extremely passionate about research. He has received two separate recognition awards from the National Institute for Health Research. He has participated in a large number of research studies, investigating new treatments for not only arthritis but also COVID. His outstanding work as principal investigator in COVID treatment research was highlighted as part of a BBC hospital series. He has extensively published in peer-reviewed journals and has written chapters in medical textbooks.
 
He regularly partakes in medical education and is a member of the Royal College of Physicians clinical exam board and scenario editorial committee as well as on the panel of Chairs of International examiners for the MRCP PACES exam.
 
He is a co-designer of MySpA, an app that helps patients manage their arthritis independently.  

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