Treatment of fibromyalgia begins with developing an understanding of the nature of your pain. Your assessment begins with a comprehensive pain and medical history review as well as a physical examination. This allows me to make a thorough assessment of your pain and tailor a treatment plan to suit your individual needs.

Treatment options will include:

• A full explanation of fibromyalgia 
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• Medication review – Anti neuropathic drugs have been shown to be effective in management of pain as well as sleep distrubance in fibromyalgia. These drugs include tricyclic antidepressants and the gabapentinoid antiepileptic drugs. The current trends in prescribing is to move away from strong prescription pain killers for this type of pain.
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• Psycho-therapy and cognito-behavioural therapy involving relaxation techniques, such as mindfullness, as a part of multidisciplinary approach, can help in managing the pain. This can lead to less dependence on drugs and health care professionals.
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• Injections are rarely a viable long term solution for fibromyalgia but can be considered in the short-term to give ‘a window of opportunity’ to begin mobilising and improve muscle tone.  Options for injections include trigger point injections with either cortisone or botulinum toxin. Trochanteric bursa injections with cortisone  also may be offered to reduce hip pain and improve mobility and sleep.

While there is no cure for fibromyalgia, a variety of medications can help control symptoms. Exercise, relaxation and stress-reduction measures also may help.

Other treatment options that i can organise, depending on your needs may include:-

• Multidisciplinary treatment comprising
• Specialist physical therapy and rehabilitation
• Clinical psychology which includes techniques such as mindfulness and acceptance and conditioning therapy (ACT). Learn more about these techniques (here) and (here). This can be considered on an individual basis by appointment or in a group setting via a pain management progamme*