Are exercise, stress reduction, or changes in diet helpful in the treatment of fibromyalgia?
Since the symptoms of fibromyalgia are diverse and vary among
patients,
treatment programs must be individualized for each patient. Fibromyalgia treatment
programs are most
effective when they combine patient education, stress
reduction, regular
exercise, and medications. Recent studies have verified that
the best outcome for each patient results from a combination of
approaches that involves the patient in customization of the
treatment plan.
Patient education
Patient education is an important
first step in helping patients understand and cope with the diverse symptoms.
Unfortunately, not all physicians are intimately acquainted with the vagaries of
this illness. Therefore, community hospital support groups and the local
chapters of the Arthritis Foundation have become important educational
resources for patients and their doctors. The Arthritis Foundation is a national
voluntary health organization that provides community education through
their many local chapters. Community hospital support groups also provide
an arena for patients to share their experiences and treatment successes
and failures.
Stress reduction
It is extremely difficult to measure stress levels in different
patients. For some people, spilling milk on the table can
represent a significant tragedy. For others, a tank rolling into the living
room might represent just another day! Therefore, stress
reduction in the treatment of fibromyalgia must be individualized. Stress
reduction might include simple stress modification at home or work, biofeedback,
relaxation tapes, psychological counseling, and/or support
among family members, friends, and doctors. Sometimes, changes in
environmental factors (such as noise, temperature, and weather exposure) can
exacerbate the symptoms of fibromyalgia, and these factors need to be modified. Optimal sleep is encouraged.
Exercise
Low-impact aerobic exercises, such
as swimming, cycling, walking, and stationary cross-country ski machines, can be
effective fibromyalgia treatments. Exercise regimens are most beneficial when
performed on an every-other-day basis, in the morning. How exercise benefits
fibromyalgia is unknown. Exercise may exert its beneficial effect by
promoting a deep level of sleep (non-REM sleep). Sometimes physical therapy can be helpful to optimally guide the exercise plan.
Fibromyalgia diet
Similarly, avoiding alcohol and
caffeine before bedtime can also help promote a more restful sleep. Foods that lead to comfortable sleep should be favored. While these dietary changes may not apply to everyone, they can be very helpful for some. There is no specific fibromyalgia diet or food supplements that are recommended for all patients. When patients have accompanying irritable bowel syndrome, the diet should be adjusted to not aggravate the bowels. Likewise, when patients have accompanying interstitial cystitis, foods that irritate the bladder should be avoided.