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Treatment of fibromyalgia is symptomatic. There is no specific treatment available as no specific cause is identified. Pharmacological and non pharmacological measures are used in combination to get a good control of pain and for a long symptom free period.

Non pharmacological measures
Psychological therapy
Relaxation and stress management technique-as stress is the responsible for the worsening of the fibromyalgia symptoms.
Yoga and pranayama- for anxiety and stress relief
Physical massage
Wax therapy, ultrasound and infra red technique- to relieve pain
Acupuncture and acupressure in some cases may relieve pain and discomfort
Muscle stretching and strengthening exercise- this if overdone will cause increased pain and stiffness
Aerobic exercise and swimming-offer some improvement in the pain and muscle stiffness
Diet – a good nutritional balanced diet is required fish oil, magnesium and malic acid has some advantage in reducing the severity of pain.

Pharmacological measures
Pain reliving drugs- NSAID’s are the initial drug of choice followed by short course of low dose steroids when needed
Antidepressants- SSRI and SSNRI are used in selected cases
Anti seizure drugs- gabapentin and pregabalin are used for the relief of pain
Dopamine agonists-pramipexole and ropinirole
5-HT3 receptor antagonist tropisetron and guaifenesin.

Hope this helps you. Please do write back if you have any additional concerns.
Please accept my answer in case you do not have further queries

Wishing you good health...

Regards.
Dr Saurabh Gupta.
Orthopaedic Surgeon.

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