Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Fibromyalgia is a chronic pain disorder. The pain can be widespread throughout the body with tender points at specific anatomical sites. There is a reduced pain threshold, hyperalgesia (amplification of pain from painful stimuli that are expected to be painful) and allodynia (pain with stimuli that should not normally cause pain). There can be associated fatigue, depression and other somatic symptoms. These symptoms occur in the absence of other identifiable disease. The treatment for fibromyalgia is always conservative and more of psychotherapy. I will tell you some of the treatment modalities which can work best with you. 1. Exercise programmes including aerobic exercise and strength training may help some with fibromyalgia. The programmes should be tailored to the individual. From a practical point of view, these exercises should slowly increase in intensity, cutting back when symptoms worsen. Consult a physiotherapist to know which exercise is best for you. 2. Cognitive behavioral therapy may help, as may relaxation, rehabilitation, physiotherapy and psychological support. Consult a clinical psychologist also who will best teach you all these techniques. 3. It is not surprising that many traditional, Ayurvedic and herbal treatments have been promoted as helping with this chronic and distressing condition. You can try these options also as they have worked well for many of the patients. 4. Paracetamol, NSIADs, and Tramadol can be used for the management of pain. Corticosteroids and strong opioids are not recommended. This is due to the lack of evidence from clinical trials and the long term side-effects. Discuss about this with your treating doctor. 5. Antidepressants can help to reduce pain and improve function. Studies have shown that antidepressants are effective, at least in the short-term. The tricyclics are best for pain and selective serotonin reuptake inhibitors (SSRIs) for low mood. Discuss about these options with your doctor. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Sanjay Kini