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Print ArticleTreating Fibromyalgia Pain
Alternative Treatments for Fibromyalgia
To get relief from fibromyalgia pain, more and more people are trying alternative treatments. It's often instinctive -- putting an icepack on a painful spot or reaching for the heating pad when muscles hurt. Or it feels good – like a massage. Even acupuncture is becoming a mainstream pain treatment, with endorsements from the NIH and the World Health Organization.
Now, researchers are honing in on how these various home remedies and alternative treatments work.
"In all these therapies, we're stimulating pressure points... we think there may be a similar underlying mechanism in how they work," says Tiffany Field, PhD, director of the Touch Research Institute at the University of Miami School of Medicine.
Pressure applied to the right spot triggers all sorts of changes in the body -- in a good way, she explains. The pressure points have nerve connections to major nerves in the body that affects physiological processes.”
This reduces flow of stress hormones and pain-inducing chemicals -- and ramps up production of mood-related brain chemicals such as serotonin, she says. The result: The body slows down, you feel calmer, sleep is more restful -- and you are able to tolerate the pain of fibromyalgia better.
Massage and Fibromyalgia Treatment
For the past three decades, Field has conducted more than 80 studies looking at massage's effects on various conditions. Her research team looks deeply at the underlying physiological processes involved in sleep -- especially as it relates to fibromyalgiapain.
Researchers tracked patients' sleep patterns, also measuring "substance P," a brain chemical that is central to fibromyalgia pain. People with fibromyalgia pain have higher levels of substance P in the spinal fluid. They also have lower than normal levels of mood-boosting serotonin.
When they get a massage, all that changes. Field's studies have shown less substance P in patients' saliva -- and they report less pain. They also have fewer painful tender points.
The studies typically involve 20-minute massages -- which is only practical if a significant other is trained to do it, she says. One bonus for the family masseuse: People who give massages have lower stress hormone levels, too.
To get the most benefit, it's important to apply moderate pressure. "It doesn't matter whether you're rubbing, kneading, or stroking -- it's the pressure that makes the difference," Field says. "You have to move the skin, actually see finger indentations in the skin. It doesn't hurt, but it's more than light stroking. We've found that light stroking doesn't help."
Massage also helps relieve depression, Field adds. "Depression is related to low serotonin, low dopamine, and increased cortisol. We can jazz that up with massage. There are a lot of positive benefits from massage."
Acupuncture and Fibromyalgia Treatment
Acupuncture, a traditional Chinese treatment, also helps ease fibromyalgia symptoms. Acupuncture works on brain chemicals to decrease anxiety, depression, insomnia, stress, and pain.
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Important Safety Information
Cymbalta® (duloxetine HCl) is approved for the treatment of depression and generalized anxiety disorder, and for the management of diabetic peripheral neuropathic pain and fibromyalgia.
What should I talk about with my healthcare provider?
Patients on antidepressants and their families or caregivers should watch for new or worsening depression symptoms, unusual changes in behavior, thoughts of suicide, anxiety, agitation, panic attacks, difficulty sleeping, irritability, hostility, aggressiveness, impulsivity, restlessness, or extreme hyperactivity. Call your healthcare provider right away if you have thoughts of suicide or if any of these symptoms are severe or occur suddenly. Be especially observant within the first few months of antidepressant treatment or whenever there is a change in dose.
You should also know that:
- Suicide is a known risk of depression and some other psychiatric disorders.
- Antidepressants may increase suicidal thoughts or behaviors in some children, adolescents, and young adults especially within the first few months of treatment or when changing the dose. No increased risk has been shown for adults over age 24, and risk decreased for those over age 65.
- All patients starting therapy should be monitored appropriately and observed closely for new or worsening depression symptoms, suicidal thoughts or behavior, or unusual changes in behavior.
- Cymbalta® is not approved for use in patients under age 18.
Who should NOT take Cymbalta?
You should not take Cymbalta if:
- You have recently taken a type of antidepressant called a monoamine oxidase inhibitor (MAOI)
- You have uncontrolled narrow-angle glaucoma (an eye disease)
- You are taking Mellaril® (thioridazine)
What other important information should I discuss with my healthcare provider?
Before starting Cymbalta, tell your healthcare provider:
- about all of your medical conditions, including kidney problems, glaucoma, or diabetes
- about your alcohol use
- if you are taking nonprescription or prescription medicines, including those for migraine, to address a possible life threatening condition
- if you are taking NSAID pain relievers, aspirin, or blood thinners. Use with Cymbalta may increase bleeding risk
- if you are pregnant, plan to become pregnant during therapy, or are breastfeeding an infant
While taking Cymbalta, tell your healthcare provider:
- if you have itching, right upper belly pain, dark urine, yellow skin/eyes, or unexplained flu-like symptoms, which may be signs of liver problems. Severe liver problems, sometimes fatal, have been reported
- if you have high fever, confusion, and stiff muscles to address a possible life-threatening condition
- before stopping Cymbalta or changing your dose
- if you experience dizziness or fainting upon standing, especially when first starting Cymbalta or when increasing the dose. Your healthcare provider may periodically check your blood pressure while you are taking Cymbalta
If you have any questions, talk to your healthcare provider before taking Cymbalta.
What are the possible side effects of Cymbalta?
The most common side effect of Cymbalta was nausea. For most people who had it, the nausea was mild to moderate. Other common side effects included dry mouth, sleepiness, constipation, decreased appetite, and, increased sweating. This is not a complete list of side effects.
