Hello dear Understand your concern You should consult the experienced psychiatric or neurologist for fibromyalgia. Exact cause of fibromyalgia flare is not known, Following are the factors: Genetic predisposition, Polygenic factor, Sympathetic overactivity, Psychological disturbance, defect in dopamine and serotonin pathways in brain, excessive stress and depression, Disturbance in sleep Doctor will give following advises: Life style changes Start exercise: Play mind games and walking and swimming Acupuncture therapy, Regular yoga Relaxation therapy: whole body massage and breathing technique in fresh air, bath in salted water Maintain weight according to normal BMI Take healthy diet. Green leafy vegetables, milk, meat, chicken that high in magnesium Diet rich in omega three fatty acid: egg, salmon fish, flaxseed oil Drug that help to reduce pain: Tramadol, duloxentine, savella Cognitive behavioral therapy Avoid negative self talk and behavior Be creative and learn new things Spends more time with family and friends Hope this may help you Best regards Dr. Sagar