Most Fibromyalgia Treatments Not Supported by High-Quality Evidence

NEW YORK (Reuters Health) – Most therapies now available for fibromyalgia are not backed by high-quality evidence for their effectiveness in reducing pain or improving quality of life (QOL), according to a new research review.

“Out of 65 different therapies included in our review, we only found high-quality evidence supporting the effectiveness of cognitive-behavioral therapies, antidepressants and central nervous system depressants,” Dr. Vinicius Cunha Oliveira of the Universidade Federal dos Vales do Jequitinhonha e Mucuri in Diamantina, Brazil, told Reuters Health by email.

“Although the certainty about the effectiveness of these therapies is high, their effect sizes may not be clinically meaningful to patients,” he added. “It should be considered by clinicians in the decision-making process and discussed with their patients.”

Full story

Advertisement:

Bestseller No. 1
Topricin FIBRO Pain Relieving Cream (6 oz) – Rapid Relief For Fibromyalgia with Patented Formula - Reduces Duration and Intensity of Fibromyalgia Episodes, Improves Sleep and Restores Energy
  • DOCTOR AND PHARMACIST RECOMMENDED - Our patented fibromyalgia Pain relief rub is recommended by doctors and pharmacists, because our healing technology works and helps your body relieve pain at the cellular level without negative side effects so you can  say goodbye to pain.
  • REDUCES THE DURATION AND INTENSITY OF FIBROMYALGIA EPISODES - Rapid, soothing relief of muscle and nerve pain at tender points
  • HELPS REDUCE THE NEED FOR PAIN PILLS - This patented cream for fibromyalgia and neuropathy is effective reducing nerve pain naturally so you can use less pain pills.
  • IMPROVES SLEEP TO RESTORE ENERGY - Naturally reduces pain from fibromyalgia and allow you to sleep better and deeper.  Topricin Fibro Cream helps improve your quality of life.
SaleBestseller No. 2
Mayo Clinic Guide to Fibromyalgia: Strategies to Take Back Your Life
  • Abril M.D., Andy (Author)
  • English (Publication Language)
  • 272 Pages - 09/24/2019 (Publication Date) - Mayo Clinic Press (Publisher)
Bestseller No. 3
Fibrolief: Fibromyalgia Support Formula - Vitamin and Herbal Formula for Back, Neck, and Muscle Pain Relief - 120 Count (30 Day Supply) - Maximum Bioavailability and Alternative Pain Relief
  • FAST RELIEF: Perfected formulation of beneficial herbs, vitamins, minerals, fatty acids, and other high-quality ingredients to provide you with an easily absorbable, bioavailable product that works fast.
  • HEALTH AND WELLNESS SUPPORT: May help you overcome symptoms related to musculoskeletal and nerve pain, including headaches, back and muscle pain, mental fog, energy dips, and sleeping disorders.
  • PURE AND POTENT FORMULA: Holistically formulated with pure, raw ingredients provided by some of the best growers in the industry to create a quality and beneficial supplement.
  • QUALITY YOU CAN TRUST: We carefully chose each ingredient for their abilities to support energy levels, mood, and overall well-being.
  • 100% SATISFACTION GUARANTEE: All our products are covered by our "no-hassle" 1-year money-back guarantee. We have faith in our products and we stand behind them 100 percent.
Bestseller No. 4
The FibroManual: A Complete Fibromyalgia Treatment Guide for You and Your Doctor
  • Ballantine Books
  • Liptan, Ginevra (Author)
  • English (Publication Language)
  • 384 Pages - 05/03/2016 (Publication Date) - Ballantine Books (Publisher)
Bestseller No. 5
What Your Doctor May Not Tell You About (TM): Fibromyalgia: The Revolutionary Treatment That Can Reverse the Disease
  • St. Amand MD, R. Paul (Author)
  • English (Publication Language)
  • 432 Pages - 05/07/2019 (Publication Date) - Grand Central Publishing (Publisher)
Bestseller No. 6
Fibromyalgia Pain Relief FibroAid Multivitamin - Fibromyalgia Vitamins - Fibromyalgia Supplements - Pain Relief for Fibromyalgia - Supplements for Fibromyalgia - Fibro Relief Vitamins
  • REAL PAIN RELIEF: PhD formulated to support fibromyalgia pain relief through targeted vitamins.
  • ONE A DAY: Take only one of our fibromyalgia supplements for maximum pain aid when you need it most!
  • NON GMO: No artificial ingredients, no gluten, no wheat, no dairy, no sugar, no soy, no yeast.
  • MAXIMUM STRENGTH: Expert formulated for pain relief by targeting absorption in key deficiency areas.
  • MADE IN THE USA: FibroAid multivitamins are produced in Registered and GMP Certified Facilities.
SaleBestseller No. 7
The 30-Minute Fibromyalgia Cookbook: 75 Quick and Easy Anti-Inflammatory Recipes
  • Nasar RDN, Bonnie (Author)
  • English (Publication Language)
  • 150 Pages - 09/08/2020 (Publication Date) - Rockridge Press (Publisher)
Bestseller No. 8
About Fibromyalgia
  • Amazon Prime Video (Video on Demand)
  • Gaiam (Producer)
  • English (Playback Language)
  • English (Subtitle)
Bestseller No. 9
I have Fibromyalgia Awareness T-Shirt
  • Fibromyalgia Awareness Supporting, Fibromyalgia Awareness month, Fibromyalgia Awareness warrior
  • Beat Fibromyalgia Awareness, Fibromyalgia Awareness ribbon, support Fibromyalgia Awareness ribbon
  • Lightweight, Classic fit, Double-needle sleeve and bottom hem
Bestseller No. 10
Conquering Your Fibromyalgia: Real Answers and Real Solutions for Real Pain
  • Lenz MD, Dr. Michael (Author)
  • English (Publication Language)
  • 270 Pages - 01/29/2021 (Publication Date) - Independently published (Publisher)

I get commissions for purchases made through links on this website. As an Amazon Associate I earn from qualifying purchases.

Foam Rolling for Fibromyalgia

Foam Rolling for Fibromyalgia

The first thing to know about foam rolling is that there are a lot of nonsensical and made up claims for it with a lot of pseudoscience. The warning is be careful what you read about the use of foam rolling by the gurus and pseudo experts. The claims that get made for the use of foam rolling are not backed up by the scientific research on it. Having said that, it is useful. Athletes use it as part of a warm-up and recovery routines. It can help for some specific conditions such as self-massage for plantar fasciitis.

It does not loosen fascia, that is impossible. Its does not release toxins – that is a claim often made by the scientifically illiterate…. and so on. Do not believe the hype.

Given the muscle pain and trigger points in fibromyalgia, can it actually help beyond the hype and personal anecdotes that surrounds its use? While the research does show some benefits in athletes and muscle aches, there is an extraordinary lack of research on its use in fibromyalgia. There is this study (in Italian) that showed that in people with fibromyalgia that the group that used the foam roller did better than the control group on measures of depression, pain, anxiety and sleep quality. So that is a good finding and does support the use of foam rolling in fibromyalgia.

By all means, please try the foam roller. It does appear that it can help. Just do not fall for the hype, marketing and pseudoscience that gets claimed for it.

All you need to do is buy a foam roller (online or at the local sports shop) and find a program (online, in books, or get a personal trainer).

SaleBestseller No. 1
Amazon Basics High-Density Round Foam Roller, 36 Inches, Black
  • High-density foam roller with molded edges
  • Ideal for balance, strengthening, flexibility, and rehab exercises
  • Made in the USA from molded polypropylene to maintain firmness
  • Lightweight, easy to clean and transport
  • Measures approximately 36 x 6 x 6 inches (L x W x H)
Bestseller No. 2
321 STRONG Foam Roller - Medium Density Deep Tissue Massager for Muscle Massage and Myofascial Trigger Point Release, with 4K eBook - Lavender
  • 12. 75 inches x 5. 25 inch diameter ,  lightweight yet rugged solid core massage roller with EVA tread and triple grid 3D massage zones mimics the finger , palm , and thumb of a therapist's hands .
  • Medium density muscle roller is comfortable to use - making it easy for beginners , but still effective at penetrating the soft tissue layer of tired muscles . Soft enough to use while in pain from lower back injury , sciatica or plantar fasciitis .
  • One of the best recovery tools to treat muscle pain , increase performance and flexibility. Rolling before and after exercise sis part of a great stretching routine . Increases blood flow to massage site , flushing away stored lactic acid .
  • Stretch overworked and strained muscles of the leg , arms , and feet by rolling during your warm up and cool downs . Provides instant benefit to the hamstring , IT band , glutes , and calves by delivering superior massages at home or in the gym .
  • Loved by runners , exercise athletes , yoga and pilates students , swimmers , physical or sports therapy patients , and aid those just doing a normal fitness workout . Great for the arch of the foot , and any part of the superior body but the spine or neck .
SaleBestseller No. 3
The Original Body Roller - High Density Foam Roller Massager for Deep Tissue Massage of The Back and Leg Muscles - Self Myofascial Release of Painful Trigger Point Muscle Adhesions - 13" Black
  • 3D textured rollers measure 12.5 x 5.5 inches with triple massage zones to replicate the fingers , thumbs , and palms of the human hand .
  • Roll before and after your work out at the gym , Pilates , or yoga to condition and stretch muscle tissue , and remove painful trigger points . Dual grid design has finger zone with ridges , and spiked bumps on the opposite side .
  • Great for runners , after a long workout , or as part of your stretching routine . Heavy Duty EPP construction tough enough for athletes , and still comfortable enough for a beginner .
  • Choose from lightweight and portable 13" model or get full body coverage with our 17" model to get physical therapy grade massages , deep stretches , and acupressure relief all in the privacy of your own home .
  • Speed up recovery , treat muscle pain , increase performance , flexibility , and mobility . One of the best fitness tools to help your body recover , rolling before and after exercise is critical for beginners and pros alike .
SaleBestseller No. 4
Foam Rolling For Dummies
  • Ryan, Mike D. (Author)
  • English (Publication Language)
  • 432 Pages - 01/07/2021 (Publication Date) - For Dummies (Publisher)
Bestseller No. 5
LuxFit Extra Firm Speckled Foam Roller with Online Instructional Video (Blue, 18-Inch)
  • Foam Rollers For Muscles – LuxFit High Density Foam Roller is great for Physical Therapy, before or after Exercise, Yoga, and Massage Therapy. Foam Muscle Rollers helps to relieve Muscles Tension and increase Muscle Reflexology. Form Roller. Body Roller
  • Foam Exercise Roller Helps Prevent Muscle Injury - Perfect for positioning, balance, postural and muscle re-education, spinal stabilization, body awareness and coordination, ranging and strengthening activities. Yoga - Fitness Foam Roller. Foam Roller for IT Band
  • Extra Firm Gym Foam Roller - Molded polypropylene foam technology has a 2 lbs. per cubic foot density, Smooth surface, Will not lose its shape after heavy use, and Repels Liquids. Trigger Point Foam Roller. Stretching Foam Roler
  • 4 Sizes Available For All Your Needs – 36 Inch, 24 Inch, 18 Inch, 12 Inch. 36 Inch foam roller is our largest size. Black Foam Rollers are great for Back Pain and Back Exercises. Great for core stabilization, balance, and stamina. 6 Inch wide Round Foam Roller. Foam roller for physical therapy & exercise
  • Full 10 Year Limited Warranty - MADE IN THE USA! - with Free Online Instructional VIDEO - Using your own body weight let the faom roller do a MyoFascial release to provide Maximum Relaxation Relief. Deep Tissue Foam Roller Massage. Foam Roller for Back. Leg Roller. Exercise Roller
Bestseller No. 6
321 STRONG 5 in 1 Foam Roller Set Includes Hollow Core Massage Roller with End Caps, Muscle Roller Stick, Stretching Strap, Double Lacrosse Peanut, Spikey Plantar Fasciitis Ball, All in Giftable Box
  • The perfect gift for yourself , or a loved one that's into exercise and working out , this kit has it all -> Our classic triple zone massage roller with end caps for storage , great for deep tissue massage and stretching legs and lower back .
  • There's our premium massage stick for those hard-to-roll areas , like the quad , shin , and inner thigh . Control the intensity of the massage by pressing harder or softer with the handles . Flush lactic acid from muscle tissue after your workout .
  • After the deep tissue massager , the most important thing for your body is stretches . Our stretch strap is amazing for your hamstring and quads . Just wrap one end around your foot , and control the intensity by grabbing different handles .
  • Finally, 2 types of massage balls , both great tools for trigger point and myofascial release . Our double lacrosse ball is best for rolling the forearm , neck , and shoulders - our spike ball is great for the arches of your feet for plantar fasciitis .
  • All of this is backed by our lifetime manufacturer's warranty and 100% Satisfaction Guarantee , To purchase these items separately would cost over $75, making this a great value or a great gift (if you know anyone that likes massages...)        ; )
Bestseller No. 7
TriggerPoint CORE Multi-Density Solid Foam Roller with Free Online Instructional Videos Gray, 12"
  • Solid-core, EVA foam roller is more durable than standard polypropylene rollers that can break down and become soft
  • Unique multi-density GRID pattern provides targeted compression ideal for self-massage, relieving pain and improving flexibility
  • The Versatile 12-inch length is perfect for most muscle groups
  • 12-inch Trigger Point CORE foam roller; moderate compression
  • Includes access to free online instructional video library on foam rolling exercises from the experts at Trigger Point; approximately 12 x 4 inches; 325 pound weight limit; 1 year manufacturer's warranty
SaleBestseller No. 8
LuxFit Premium High Density Foam Roller 6 x 18 Round - Extra Firm With 1 Year Warranty black
  • FOAM ROLLERS FOR MUSCLES - High Density Foam Roller is great for Physical Therapy, before or after Exercise, Yoga, and Massage Therapy. Foam Muscle Roller helps to relieve Muscle Tension and increase Muscle Reflexology.
  • EXTRA FIRM FOAM ROLLER - Molded polypropylene foam technology has a 2 lbs. per cubic foot density, Smooth surface, Will not lose its shape after heavy use, and Repels Liquids.
  • 3 SIZES AVAILABLE FOR ALL YOUR NEEDS - 6x36, 6x18, 6x12. 36 Inch foam roller is our largest size. Black Foam Rollers are great for Back Pain and Back Exercises. Great for core stabilization, balance, and stamina.
  • FOAM EXERCISE ROLLER HELPS PREVENT MUSCLE INJURY - Perfect for positioning, balance, postural and muscle re-education, spinal stabilization, body awareness and coordination, and ranging and strengthening activities
  • FULL 1 YEAR LIMITED WARRANTY - MADE IN THE USA! - Using your own body weight let the roller do a MyoFascial release to provide Maximum Relaxation Relief. Firm roller for Deep Tissue Massage.
SaleBestseller No. 9
TriggerPoint GRID Foam Roller with Free Online Instructional Videos, Original (13-Inch), Black
  • Patented foam roller design offers a superior, multi-density exterior constructed over a rigid, hollow core
  • Constructed from quality materials that won't break down or lose shape from repeated use
  • Includes access to free online instructional video library on foam rolling best practices from the experts at Trigger Point
  • Trusted foam roller of physical and massage therapists, coaches, trainers and athletes
  • Original GRID: Standard density, 13 x 5.5 inches, 500 pound weight limit
Bestseller No. 10
AGILER Foam Roller – 2 in 1 Deep Tissue Massager – Medium Density Muscle Roller with Solid EVA Core – Triple Grid Massage Zones – Ideal for Recovery, Muscle Pain, Increased Flexibility
  • What You Need: Whether you’re dealing with post-injury recovery, you want to enjoy the benefits of a relaxing massage in the comfort of your own home or you need to improve your flexibility and performance, the Agiler back roller is the perfect choice!
  • Premium Construction: This massage toller is made with superior quality, highly durable construction, a combination of EVA foam with double thickness, medium density and triple grid 3D massage zones, being easy to clean, skin-friendly and guaranteed to last without deforming!
  • Enhanced Recovery: This foot roller is ideal for people suffering from sciatica, lower back pain, shoulder or neck pressure, plantar fasciitis, being the perfect tool for speeding up injury recovery and soothing muscle or tissue pain!
  • Incredibly Versatile: With regular use, the Agiler foam roller for back can increase your flexibility and boost your fitness performance. An excellent choice for working on your arms, legs, back, hips or neck, naturally improving body posture!
  • Portable and Lightweight: Unlike similar products on the market, this back roller foam for back pain is lightweight and compact, arriving in a convenient mesh bag for easy and safe storage. Your perfect companion for office, home, traveling or gym!

I get commissions for purchases made through links on this website. As an Amazon Associate I earn from qualifying purchases.

Aerobic exercise and fibromyalgia

There is no doubt about this. The evidence and science is really clear on this: aerobic exercise is helpful in those with fibromyalgia and leads to significant improvements in the quality of life. There is no doubt on this and we all probably should be doing it anyway.

The nature of the aerobic exercise probably does not matter. There are plenty of options such a cycling, swimming, walking or running. Running or jogging is often the easiest as there are no constraints on when or where that you can do it. It is also the cheapest, as all you need is a good pair of running shoes. It is often best to start out with a slow walk, then as that is comfortable a fast walk, and then when that is comfortable, alternate a slow jog with walking. Only as your body get used to it should you up how fast you jog and how far you jog. The important thing is to increase distances and speed slowly and gradually.

It is also probably advisable to get advice from a physician or exercise physiologist if it has been a while since you have participated in any form of exercise.

Sale
Mayo Clinic Guide to Fibromyalgia: Strategies to Take Back Your Life
  • Abril M.D., Andy (Author)
  • English (Publication Language)
  • 272 Pages - 09/24/2019 (Publication Date) - Mayo Clinic Press (Publisher)

I get commissions for purchases made through links on this website. As an Amazon Associate I earn from qualifying purchases.

Ultralaser treatment for fibromyalgia yields 75 percent pain reduction when applied to the hands

A new device that combines low-intensity laser light and therapeutic ultrasound considerably reduces the pain experienced by patients with fibromyalgia.

A scientific study has shown that application to the palms instead of to tender points on different parts of the body has better analgesic and anti-inflammatory effects. As a result of pain reduction, patients also sleep better and are able to perform daily tasks with less discomfort. Their overall quality of life also improves.

In an article published in the Journal of Novel Physiotherapies, researchers at the Optics and Photonics Research Center (CEPOF), one of the Research, Innovation and Dissemination Centers (RIDCs) supported by the São Paulo Research Foundation – FAPESP, describe the concomitant application of low-intensity laser light and therapeutic ultrasound for three minutes to the palms of the hands of patients diagnosed with fibromyalgia. The treatment consisted of ten twice-weekly sessions.

“The study describes two innovations: the device and the treatment protocol. By emitting laser light and ultrasound simultaneously, we succeeded in normalizing the patient’s pain threshold. Application to the palms differs from the focus on tender points found practically everywhere today in fibromyalgia care,” said Antônio Eduardo de Aquino Junior, a researcher at the University of São Paulo’s São Carlos Physics Institute (IFSC-USP) in Brazil and a coauthor of the article.

The research was also funded by the National Council for Scientific and Technological Development (CNPq) and the Brazilian Innovation Agency (FINEP).

The principal investigator for the project was Vanderlei Salvador Bagnato, Full Professor and Director of IFSC-USP.

In the study, 48 women aged 40-65 and diagnosed with fibromyalgia were divided into six groups of eight at the Clinical Research Unit run by IFSC-USP in partnership with the Santa Casa de Misericórdia hospital in São Carlos, São Paulo State.

Three groups received applications of laser or ultrasound separately or combined in the region of the trapezius muscle. The other three groups received applications only to the palms.

The results showed that treatment involving application to the palms was more effective regardless of the technique, but the laser-ultrasound combination significantly improved the patients’ condition. Assessments were performed using the Fibromyalgia Impact Questionnaire (FIQ) and the Visual Analogue Scale for Pain (VASP).

A comparison of the groups showed a difference of 57.72% in functionality improvement and of 63.31% in pain reduction for the ultrasound-laser group in the case of application to the trapezius. Ultrasound-laser application to the palms produced a 73.37% difference in pain reduction compared with application to the trapezius.

Tender points

The idea of testing the effects of the new device in application to the palms of the hands arose from a review of the scientific literature.

“Previous studies showed that patients with fibromyalgia had larger numbers of neuroreceptors near blood vessels in the hands. Some patients even had red points in this region. We therefore changed focus to test the direct action of the technique on these sensory cells in the hands rather than just so-called pain trigger points, such as the trapezius, which is typically very painful in fibromyalgia patients,” said Juliana da Silva Amaral Bruno, a physical therapist and first author of the study.

The study showed that application to the hands affects all pain points in the patient’s body. The same FAPESP-funded center group had previously published an article in the Journal of Novel Physiotherapies describing a case study in applying the device to pain points. Although the results of this first study were satisfactory, global pain reduction proved impossible.

“Combined application of ultrasound and laser to pain points such as the trapezius was highly effective but did not succeed in reaching the other main innervations affected by the disorder,” Bruno said. “Application to the palms of the hands had a global result, restoring the patient’s quality of life and eliminating her pain.”

According to the study, the optimization of peripheral and brain blood flow via the activation of sensitive areas of the hands during the sessions normalized the patient’s pain threshold.

“It’s important to bear in mind that this isn’t a cure but a form of treatment that doesn’t require the use of drugs,” Aquino said.

Fibromyalgia is a chronic disease that involves widespread nonarticular high-intensity pain lasting longer than three months. It affects 3% to 10% of the adult population, with a higher prevalence in women. Although patients experience pain in practically the entire body, they do not present with injuries, inflammation or tissue degeneration. Two other mysteries are associated with fibromyalgia: its cause is unknown, and no cure has been found so far.

The standard treatment comprises physical exercise, anti-inflammatory and analgesic medication, and psychotherapy, as patients typically complain of extreme fatigue, difficulty concentrating, dizziness, depression and anxiety.

According to Aquino, the new device that combines ultrasound and laser therapy should come to market in early 2019. It is currently being tested for other pathologies by researchers at the FAPESP RIDC.

“We’re testing it for osteoarthritis, knees, hands and feet, and the results have been interesting. Other projects are being designed for other diseases,” Aquino said.

Sale
Mayo Clinic Guide to Fibromyalgia: Strategies to Take Back Your Life
  • Abril M.D., Andy (Author)
  • English (Publication Language)
  • 272 Pages - 09/24/2019 (Publication Date) - Mayo Clinic Press (Publisher)

I get commissions for purchases made through links on this website. As an Amazon Associate I earn from qualifying purchases.