Fibromyalgia is a pain syndrome without known cause or mechanism. There are no diagnostic studies for fibromyalgia; thus, it is known as a diagnosis by exclusion. It affects the muscles and sometimes bone tissue leading to aching and cramping pain that causes frequent sleep disturbances or chronic fatigue. One can typically identify multiple locations of tender muscle sites or trigger points. There is an association with arthritis, depression, and anxiety in many instances. Once other causes such as thyroid dysfunction are ruled out, treatment typically involves medication management and exercise.
The Gold Standard for benefit is: Physical Therapy and Mobility.
Medication Management includes:
- Lyrica (First Line Treatment)
- Cymblata or Savella (SNRIs)
- Low Dose Naltrexone
- Trigger Point Injections
- Ketamine Infusion Therapy
- Lidocaine Infusion Therapy