Fibromyalgia Treatment and Symptom Management

Fibromyalgia is a long-lasting condition that causes widespread pain, fatigue and sleep problems. While there is no single cure, many people can manage symptoms well with a personalized treatment plan. Banner Health’s neurology and rheumatology teams work together to help you feel better and stay active. 

Effective care often includes medications, low-impact exercise, healthy sleep routines and stress management strategies. Counseling and complementary therapies may also support symptom relief. 

Medications to help manage symptoms 

Several prescription medicines can reduce pain and improve sleep and quality of life. Your provider will help choose the safest options for your health needs. 

Common medication types include: 

Antidepressants 

These medicines help with pain and sleep by adjusting chemicals in the brain involved in both mood and pain signaling. They may also improve depression or anxiety that can occur with fibromyalgia. 

Anti-seizure medicines

 Medications used for nerve pain and seizures, such as pregabalin or gabapentin, may help reduce nerve pain and sensitivity. 

Sleep and pain relief medicine 

In some cases, short-term pain relievers or medicines that improve sleep may be recommended. Always check with your doctor before combining medications to avoid side effects. 

Your care team will regularly review your medicines to make sure they continue to work for you. 

Physical activity and movement therapies 

Regular, gentle exercise is one of the most effective ways to ease fibromyalgia symptoms. Movement helps boost energy and mood by increasing endorphins. 

Options your provider may recommend include: 

• Physical therapy to build strength safely and improve mobility 
• Walking, swimming or water aerobics for low-impact conditioning 
• Stretching and balance exercises to reduce stiffness and falls 

Start slowly and build up over time with professional guidance. 

Mind-body and complementary therapies 

Some people find extra relief when they combine medical care with stress-reducing treatments, such as: 

• Yoga or tai chi for flexibility, balance and relaxation 
• Acupuncture to support natural pain control and improve blood flow 
• Massage therapy to loosen tight muscles and reduce stress 
• Meditation or breathing exercises to support mental well-being 

Your provider can help you explore safe, clinically supported options. 

Cognitive behavioral therapy (CBT) 

Cognitive behavioral therapy focuses on developing skills to manage stress, cope with pain and improve daily functioning. CBT does not suggest that symptoms are “in your head.” Instead, it gives you tools to: 

• Manage flare-ups 
• Improve sleep and activity pacing 
• Reduce the emotional toll of chronic pain 

For many people, CBT is a key part of long-term success. 

Building your personalized care plan 

Fibromyalgia affects everyone differently. Banner Health takes a team-based approach that may include: 

• Neurologists 
• Rheumatologists 
• Primary care providers 
• Physical therapists 
• Behavioral health specialists 
• Pain management experts 

We work with you to set goals that support independence and quality of life. With the right care and ongoing support, people with fibromyalgia can stay active and feel more in control of their health.