Alternating constipation and diarrhea
Numbness/tingling in the feet and hands
Medications – Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and ketoprofen, help decrease pain and inflammation. Acetaminophen is a safe, effective analgesic, and for severe pain, narcotic analgesics are used. Antidepressants are used for pain, as well as symptoms of anxiety and depression. The three FDA-approved drugs for fibromyalgia include Savella, Cymbalta, and Lyrica.
Botox injections – Botulinum toxin (Botox) will paralyze muscle groups when injected. This is done to relieve tension and alleviate pain. In a recent research study, participants who received Botox injections for fibromyalgia reported functional ability improvement and pain relief.
Trigger point injections (TPIs) – For tender points, the doctor may choose to injection a long-acting anesthetic into these areas. TPIs show an efficacy rate of approximately 98%, according to clinical studies.
Acupuncture – This ancient Chinese therapy is used to restore energy flow and stimulate production of endorphins in the brain (neurotransmitters that improve mood and relieve pain). Fine needles are inserted into many areas of the body during a session, which lasts approximately 20-30 minutes.
Nutritional supplements – There are several over-the-counter (OTC) products used for fibromyalgia. S-adenosyl-L-methionine (SAMe) is a natural substance used for fatigue and morning stiffness. Melatonin improves sleep, and D-ribose increases cellular energy synthesis in certain muscle cells.
Stress reduction – Because symptoms are triggered by stress, effective stress management helps. Cognitive behavioral therapy helps the patient establish healthy patterns of behavior by replacing negative thoughts with more pleasant ones. In addition, relaxation measures are used to reduce stress and improve mood.
Exercise – The cornerstone of fibromyalgia treatment is exercise. An effective exercise program includes aerobic exercise, strengthening, and stretching.