Alternative Treatments for Fibromyalgia

How well do they work?

By Jeanie Lerche Davis
WebMD Feature

Reviewed by Brunilda Nazario, MD

To get relief from fibromyalgia pain, more and more people are trying alternative treatments. It's often instinctive -- putting an icepack on a painful spot or reaching for the heating pad when muscles hurt. Or it feels good – like a massage. Even acupuncture is becoming a mainstream pain treatment, with endorsements from the NIH and the World Health Organization.
Now, researchers are honing in on how these various home remedies and alternative treatments work.
"In all these therapies, we're stimulating pressure points... we think there may be a similar underlying mechanism in how they work," says Tiffany Field, PhD, director of the Touch Research Institute at the University of Miami School of Medicine.
Pressure applied to the right spot triggers all sorts of changes in the body -- in a good way, she explains. The pressure points have nerve connections to major nerves in the body that affects physiological processes.”
This reduces flow of stress hormones and pain-inducing chemicals -- and ramps up production of mood-related brain chemicals such as serotonin, she says. The result: The body slows down, you feel calmer, sleep is more restful -- and you are able to tolerate the pain of fibromyalgia better.

Massage and Fibromyalgia Treatment

For the past three decades, Field has conducted more than 80 studies looking at massage's effects on various conditions. Her research team looks deeply at the underlying physiological processes involved in sleep -- especially as it relates to fibromyalgiapain.
Researchers tracked patients' sleep patterns, also measuring "substance P," a brain chemical that is central to fibromyalgia pain. People with fibromyalgia pain have higher levels of substance P in the spinal fluid. They also have lower than normal levels of mood-boosting serotonin.
When they get a massage, all that changes. Field's studies have shown less substance P in patients' saliva -- and they report less pain. They also have fewer painful tender points.
The studies typically involve 20-minute massages -- which is only practical if a significant other is trained to do it, she says. One bonus for the family masseuse: People who give massages have lower stress hormone levels, too.
To get the most benefit, it's important to apply moderate pressure. "It doesn't matter whether you're rubbing, kneading, or stroking -- it's the pressure that makes the difference," Field says. "You have to move the skin, actually see finger indentations in the skin. It doesn't hurt, but it's more than light stroking. We've found that light stroking doesn't help."
Massage also helps relieve depression, Field adds. "Depression is related to low serotonin, low dopamine, and increased cortisol. We can jazz that up with massage. There are a lot of positive benefits from massage."

Moist Heat, Cold Packs, and Fibromyalgia Treatment

Warm baths, ice packs, and pressure are the tried-and-true home remedies for many ailments. You burn yourself -- you immediately apply ice or hold it under cold water. Your joints hurt, you want moist heat. You hit your elbow, you're inclined to grab it.
There's a scientific reason why we instinctively do these things. "Temperature and pressure are very, very similar in pain control," Field says.
They reduce inflammation and pain by stopping the pain signal, she explains. "It's called the 'gate theory of neurons.' Temperature neurons and pressure neurons seem to be longer and more insulated than pain neurons. The more insulated the neuron is, the faster the message is going to travel."
Apply cold water, moist heat, or pressure -- and it closes the gate to the next signal, which is the pain signal. "Temperature and pressure neurons travel faster than pain neurons," says Field. "They're protective."

Field suggests this pain-relieving trick

Rub painful trigger points with a hard object (like a tennis ball or dowel rod). It's called self-massage, and it is very effective, she says. "People rub their arms and face with the tennis ball. They use a dowel rod on their legs. They're stimulating the pressure receptors, which helps end the pain. It works -- and it's something people can do on their own."

Tender points
Illustration locating the 18 tender points associated with fibromyalgia
The 18 tender points associated with fibromyalgia occur in symmetrical pairs from the back of your head to your inner knees.m:

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