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Treatments for Fibromyalgia (FMS)

Author: Shelley Ensz. Scleroderma is highly variable. See Types of Scleroderma. Read Disclaimer
Overview of Fibromyalgia Treatments
Alternative Therapies
Exercise
Medications
Peripheral Nerve Stimulation

Overview of Treatments for Fibromyalgia (FMS)

Participating in clinical trials can give patients access to newly emerging treatments for fibromyalgia and help scientists find a cure. (Also see: Autoimmune Diseases, and Overview of Fibromyalgia and Chronic Fatigue Syndrome)
Clinical Trials: Fibromyalgia. A list of current and new clinical trials in the United States on Fibromyolgia. Center Watch.

Alternative Therapies

Fibromyalgia: Moderate Drinking May Ease Symptoms. Patients with fibromyalgia (FM) who drink low or moderate amounts of alcohol have less severe symptoms than nondrinkers, and Mayo Clinic researchers suspect that alcohol's ability to raise γ-aminobutyric acid (GABA) levels might be the reason. Medscape. 03/15/2013.
Massage therapy for fibromyalgia symptoms. In massage therapy of fibromyalgia, we suggest that massage will be painless, its intensity should be increased gradually from session to session, in accordance with patient's symptoms; and the sessions should be performed at least 1–2 times a week. (SpringerLink) L. Kalichman. March 20 2010.
Influence of Craniosacral Therapy on Anxiety, Depression and Quality of Life in Patients with Fibromyalgia (FM). The present study shows that craniosacral therapy improves the quality of life of patients with FM, reducing their perception of pain and fatigue and improving their night rest and mood, with an increase in physical function. Our craniosacral therapy protocol also reduces anxiety levels, partially improving the depressive state. G. A. Matarán-Peñarrocha. eCAM Advance Access. September 3 2009.
Chiropractic treatment for fibromyalgia: a systematic review. Currently, there is insufficient evidence to conclude that chiropractic is an effective treatment for fibromyalgia. Edzard Ernst. (SpringerLink) Clinical Rheumatology June 22, 2009.
Efficacy of hydrotherapy in fibromyalgia syndrome (FMS)—a meta-analysis of randomized controlled clinical trials. There is moderate evidence that hydrotherapy has short-term beneficial effects on pain and HRQOL in FMS patients. J. Langhorst. Rheumatology Advance Access. July 16 2009.

Exercise

Effect of Pilates Training on People With Fibromyalgia Syndrome (FMS): A Pilot Study. We suggest Pilates as an effective and safe method for people with FMS. We believe that further research with more participants and longer follow-up periods could help assess the therapeutic value of this popular physical exercise method. L. Altan, MD. Archives of Physical Medicine and Rehabilitation. Vol 90, Issue 12, Pp 1983-1988. December 2009.
Effect of aerobic exercise training on oxygen uptake and kinetics in patients with fibromyalgia. The aim of this study was to investigate relation between cardiopulmonary performance and muscular microcirculation in patients with fibromyalgia syndrome (FMS). The results suggest that cardiopulmonary system in charge of delivering oxygen to whole body and muscular microcirculation may have dysfunction in patients with FMS. Mustafa Dinler. Rheumatology International (Springerlink). 09/28/09.
Cardiovascular Autonomic Modulation After Acute Resistance Exercise (RE) in Women With Fibromyalgia (FM). After acute RE, women with FM responded differently from controls. These postexercise responses may be attributed to the altered autonomic responsiveness to physiologic stress that characterizes FM. J.D. Kingsley. Archives of Physical Medicine and Rehabilitation. Volume 90, Issue 9, Pages 1628-1634 (September 2009).
Moderate Exercise Increases Expression for Sensory, Adrenergic, and Immune Genes in Chronic Fatigue Syndrome (CFS) Patients But Not in Normal Subjects. Muscle fatigue and pain are major symptoms of CFS. After moderate exercise, CFS and CFS-FMS (Fibromyalgia) patients show enhanced gene expression for receptors detecting muscle metabolites and for sympathetic nervous system, and immune system, which correlate with these symptoms. Alan R. Light. The Journal of Pain. 03 August 2009. (Also see: CFS)
Pool exercise for patients with fibromyalgia (FMS) or chronic widespread pain: A randomized controlled trial and subgroup analyses. The exercise-education programme showed significant, but small, improvement in health status in patients with FMS and chronic widespread pain, compared with education only. K. Mannerkorpi. Journal of Rehabilitation Medicine. September 2009.

Medications

Longterm Therapeutic Response to Milnacipran Treatment for Fibromyalgia. A European 1-Year Extension Study Following a 3-Month Study Over 1 year, milnacipran 100, 150, and 200 mg/day exhibited sustained and safe therapeutic effects on predominant symptoms of FM. Registered as trial no. NCT00757731 Jaime C. Branco, JRheum. April 1, 2011.
A European Multicenter Randomized Double-blind Placebo-controlled Monotherapy Clinical Trial of Milnacipran in the Treatment of Fibromyalgia (FM). Milnacipran is an effective and safe treatment for pain and other predominant symptoms of FM. J. Branco. Journal of Rheumatology. February 15 2010.

Peripheral Nerve Stimulation

Peripheral nerve stimulation for fibromyalgia. In this chapter, the authors discuss the possibilities of using greater occipital nerve stimulation as a treatment for fibromyalgia, based on available clinical studies. [This nerve is located on the back of the head just above the neck area.] Plazier M. Prog Neurol Surg. 2011;24:133-46. (Also see: Fibromyalgia Treatments)
 
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