? What Treatments Are There For Fibromyalgia? ???
💗 What Treatments Are There for Fibromyalgia💗 ???
Because of the uncertainty of the causes of fibromyalgia and the limited successes found with any treatment, most of those suffering from the disease try a variety of different treatments.
💗As well, many also try a combination of treatments to determine a way to at least manage their pain.
There are currently two drugs on the market in the United States and Canada to manage fibromyalgia, pregabalin and duloxetine.
💗As well, the FDA has approved milnacipran, but other markets have not done so at this time.
Pregabalin, marketed in the United States as Lyrica, modulates the influx of calcium, leading to a better regulation of pain. Duloxetine, known as Cymbalta in the US, regulates the flow of serotonin.
Milnacipran, most commonly marketed as Savella, also regulates the flow of serotonin, but does not have as adverse side effects as Duloxetine.
Along with these drugs for management, many fibromyalgia sufferers are prescribed anti-depressants or anti-seizure medications to help treat the disease to varied levels of success.
When it has proven successful, it has usually been significantly so.
But in many cases there was little to no noted improvement in conditions or a minimal improvement with adverse side effects.
💗As well, both anti-depressants and anti-seizure drugs have been found to take several months to truly show any positive effects, if any leading many doctors to lean away from prescribing them.
Some doctors also prescribe opiod painkillers, but this practice is starting to be phased out as it does not appear to sufficient address fibromyalgia pain and tends to lead to addiction.
While the European League Against Rheumatism has recommended usage of weak opiods like tramadol in the past, recent evidence has shown that these do not help with pain but as less effective serotonin regulation than other drugs on the market.
While dopamine levels tend to be low in most fibromyalgia patients, there has been little success in treating them by increasing dopamine levels.
Compared to other dopamine related disorders like restless leg syndrome and Parkinson’s disease, the rate of improvement through the usage of dopamine agonists is low for fibromyalgia.
In light of side effects including decreased impulse control, this path of treatment is rare both in its usage and its success.
A more recent treatment has been human growth hormone, or HGH.
This has either been done by a treatment cycle of HGH over several months to attempt to improve the body’s regulation of the hormone, or usage of sodium oxybate to increase production through lengthening deeper stage sleep.
While studies are still preliminary, results have been encouraging.
Psychological and physical therapies, as well as alternative medicines, have been embraced by some to supplement or replace medication again to mixed success.
Because of the uncertain nature of the disease in general, these treatments are usually used to aid in coping with the disease if not to alleviate pain or fatigue.
Psychological treatments usually attempt to use a multifaceted approach to address the underlying factors that may cause fibromyalgia and help enable better coping with the discomfort.
Cognitive behavioral therapy, especially focusing on exercise and education on sleep hygiene have helped some sufferers better manage their fibromyalgia.
Therapies focusing on alleviating post traumatic stress disorder have also made positive inroads toward the treatment of fibromyalgia.
Improving fitness through exercise and physical therapy have been found to help in pain management, fatigue and sleep in many patients.
Cardiovascular exercise, especially swimming has been found to be very helpful as it adds in resistance training.
With the trial and error nature of treatment of fibromyalgia, many turn to alternative medicinal approaches to supplement or replace other treatments.
Most common is the use of acupuncture, which based on the nature of pain sensitivity in fibromyalgia seems counter intuitive.
In spite of that, some report that it does aid in pain management if not alleviation.