In mild cases, symptoms may go away when stress is decreased. Treatment includes patient education, physical therapy and counseling. Many fibromyalgia sufferers have found support groups helpful.

Traditional treatments are geared toward improving the quality of sleep, as well as reducing pain. Deep level (stage 4) sleep is so crucial for many body functions, such as tissue repair, antibody production, hormones, immune system chemicals and perhaps even the regulation of various neurotransmitters. The sleep disorders that frequently occur in fibromyalgia and chronic fatigue patients are thought to be a major contributing factor to the symptoms of this condition.

Medicines that boost your body‘s level of serotonin and norepinephrine--neurotransmitters that modulate sleep, pain and immune system function--are commonly prescribed.

Examples of drugs in this category would include Elavil, Flexeril, Sinequan, Paxil, Serzone, Xanax and Klonopin. A low dose of one of these medications may be of help. In addition, nonsteroidal, anti-inflammatory drugs (NSAIDs) like ibuprofen may also be beneficial.

Most patients will probably need to use other treatment methods as well, such as trigger point injections with lidocaine, physical therapy, acupuncture, acupressure, relaxation techniques, osteopathic manipulation, chiropractic care, therapeutic massage, or a gentle exercise program.

No special diets are recommended at this time, though some reports indicate that fish oil, magnesium/malic acid combinations, or vitamins may be effective. Reducing stress and improving coping skills may also help reduce painful symptoms.

Improved fitness through exercise is recommended. The best way to begin a fitness program is to start with low impact exercises like walking and swimming. Starting slowly helps stretch and mobilize tight, sore muscles. High-impact aerobics and weight lifting could cause increased discomfort. Gentle stretching and light massage may help relieve symptoms, as will electronic acupuncture and relaxation techniques.

Severe cases of fibromyalgia may require a referral to a pain clinic