Top Questions on Living with Fibromyalgia (FMS)

Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Yeah it might due to your pcod and also due to stress. Try to take bath in the bath tub with aroma soaps and oils which will definitely help you to get out of stress and also will facilitate to have sound sleep. If you still have this depression I suggest you to undergo few sessions with my friend who does very good counselling for you on video call. If yes share your whats app I can coordinate and guide you better. I can also take some sessions for you provided you are willing. Try to do this basically and for irregular cycles ensure that you are taking regular diet which is very important. 

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Dr. Rahul RaiMSPT (Master of Physical Therapy), Bachelor of physiotherapyPhysiotherapist

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U should counslt to physiotherpist. Take hot water bath with mix zipsm salt. Do regular exercises. Avoid stresss. For medcine prescribtion need private counsltation. 

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Dr. Rahul RaiMSPT (Master of Physical Therapy), Bachelor of physiotherapyPhysiotherapist

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Fibromylegia is occuer due to stress. Its start from upper back not in abdomin. Counslt to urologist. If usg shows normal thn go for ct abdomin contrast. 

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Dr. Prakhar SinghMBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)General Physician

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I am sorry to hear about your concern but will be happy to assist you. Symptoms resemble those of arthritis, but fibromyalgia affects the soft tissue, not the joints. The cause is unknown, but risk factors include traumatic injury, rheumatoid arthritis and other autoimmune disorders, such as lupus, and genetic factors. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you. 

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Dr. S. GomathiBPTh/BPTPhysiotherapist

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Ask her to undergo advanced physiotherapy asap along with medication for diabetes and blood pressure 

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Purvesh AgrawalAssistant professor, Senior resident , MD - Internal Medicine, MBBSInternal Medicine Specialist

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You start on these medications for fibromyalgia 1. Duloxetine 2. Nortryptyline you can approach me on msg for detailed prescription if you need help. 

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Dr. S. GomathiBPTh/BPTPhysiotherapist

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start advanced physiotherapy for 15 days, along with exercises and analgesics medications will help 

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Dheeresh K HMBBS, MD - Internal MedicineInternal Medicine Specialist

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It is not exactly curable, but there are many physical exercise, some medications, counseling that helps a lot of patients. Most important thing is to trust your doctor. Most fibromyalgia patients keep changing doctors. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Widespread muscle pain and tenderness. Symptoms requires a medical diagnosis widespread muscle pain and tenderness are the most common symptoms. People may experience: pain areas: in the muscles, abdomen, back, or neck pain types: can be chronic, diffuse, sharp, or severe pain circumstances: can occur at night gastrointestinal: constipation, nausea, or passing excessive amounts of gas whole body: fatigue, feeling tired, or malaise muscular: muscle tenderness, delayed onset muscle soreness, or muscle spasms sensory: pins and needles, sensitivity to cold, or sensitivity to pain mood: anxiety, mood swings, or nervousness sleep: difficulty falling asleep or sleep disturbances cognitive: forgetfulness or lack of concentration hand: sensation of coldness or tingling also common: depression, flare, headache, irritability, joint stiffness, painful menstruation, or tingling feet treatment consists of self care and therapy medication, talk therapy and stress reduction may help in controlling the symptoms. Self-carephysical exercise aerobic activity for 20–30 minutes 5 days a week improves cardiovascular health. If injured, pursuing an activity that avoids the injured muscle group or joint can help maintain physical function while recovering. Stress management pursuing an enjoyable activity or verbalising frustration to reduce stress and improve mental health. Relaxation techniques deep breathing, meditation, yoga, rhythmic exercise and other activities that reduce symptoms of stress therapies support group a forum for counseling and sharing experiences among people with a similar condition or goal, such as depression or weight loss. Biofeedback controlling the body's heartbeat, brainwaves, breathing and blood pressure by monitoring them with sensors. Cognitive behavioral therapy a talk therapy focused on modifying negative thoughts, behaviours and emotional responses associated with psychological distress. Hydrotherapy using water to relieve pain, treat diseases and maintain health. For example, mineral baths and hot tubs. Chiropractic treatment techniques adjusting the spine and massaging the back muscles to relieve pain. Stretching stretching exercises can improve flexibility and improve physical function. Graded exercise therapy physical exercise that starts very slowly and gradually increases over time. Massage relaxes tense muscles. Acupuncture insertion of needles into specific points on the body to relieve pain and treat other conditions. A form of traditional chinese medicine. Medications selective serotonin reuptake inhibitor (ssri) eases symptoms of depressed mood and anxiety. Analgesic relieves pain. Nonsteroidal anti-inflammatory drug relieves pain, decreases inflammation and reduces fever. Nerve pain medication blocks pain caused by damaged nerves. Muscle relaxant reduces muscle tension and helps relieve muscle pain and discomfort. Fibromyalgia medications can help reduce the pain of fibromyalgia and improve sleep. Common choices include: •pain relievers. Over-the-counter pain relievers such as acetaminophen (tylenol, others), ibuprofen (advil, motrin ib, others) or naproxen sodium (aleve, others) may be helpful. Your doctor might suggest a prescription pain reliever such as tramadol (ultram). Narcotics are not advised, because they can lead to dependence and may even worsen the pain over time. •antidepressants. Duloxetine (cymbalta) and milnacipran (savella) may help ease the pain and fatigue associated with fibromyalgia. Your doctor may prescribe amitriptyline or the muscle relaxant cyclobenzaprine to help promote sleep. •anti-seizure drugs. Medications designed to treat epilepsy are often useful in reducing certain types of pain. Gabapentin (neurontin) is sometimes helpful in reducing fibromyalgia symptoms, while pregabalin (lyrica) was the first drug approved by the food and drug administration to treat fibromyalgia. Therapy a variety of different therapies can help reduce the effect that fibromyalgia has on your body and your life. Examples include: •physical therapy. A physical therapist can teach you exercises that will improve your strength, flexibility and stamina. Water-based exercises might be particularly helpful. •occupational therapy. An occupational therapist can help you make adjustments to your work area or the way you perform certain tasks that will cause less stress on your body. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Medications can help reduce the pain of fibromyalgia and improve sleep. Common choices include: Pain relievers. Over-the-counter pain relievers such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others) may be helpful. Your doctor might suggest a prescription pain reliever such as tramadol (Ultram). Narcotics are not advised, because they can lead to dependence and may even worsen the pain over time. Antidepressants. Duloxetine (Cymbalta) and milnacipran (Savella) may help ease the pain and fatigue associated with fibromyalgia. Your doctor may prescribe amitriptyline or the muscle relaxant cyclobenzaprine to help promote sleep. Anti-seizure drugs. Medications designed to treat epilepsy are often useful in reducing certain types of pain. Gabapentin (Neurontin) is sometimes helpful in reducing fibromyalgia symptoms, while pregabalin (Lyrica) was the first drug approved by the Food and Drug Administration to treat fibromyalgia. Therapy A variety of different therapies can help reduce the effect that fibromyalgia has on your body and your life. Examples include: Physical therapy. A physical therapist can teach you exercises that will improve your strength, flexibility and stamina. Water-based exercises might be particularly helpful. Occupational therapy. An occupational therapist can help you make adjustments to your work area or the way you perform certain tasks that will cause less stress on your body. 

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