Natural Approaches to Fibromyalgia Treatment


Fibromyalgia is a condition that often is a diagnosis of exclusion meaning that it is a diagnosis arrived at
after ruling out other conditions. Because of this, fibromyalgia usually takes a long time before it is
finally diagnosed which can serve as a source of stress. Once it is diagnosed, there are no easy
conventional medical solutions other than pain killers and antidepressants.
Symptoms of fibromyalgia usually include widespread muscular pain and tenderness, chronic fatigue,
unrefreshed sleep, cloudy thinking, and emotional sensitivity. The degree of pain and fatigue will vary
between patients.


Complicating matter, there are also many conditions that accompany fibromyalgia such as: IBS,
migraines, allergies, and even urinary issues.


Fibromyalgia can be caused by either physical or emotional trauma, following an infection, as part of an
autoimmune disorder (such as lupus), or may just run in the family.


Classically, fibromyalgia is diagnosed after certain criteria are met. One of these being the experience of
chronic pain for at least three months. Eighteen specific points along the body are also examined
requiring a minimum of eleven of them to present as tender points upon palpation. Finally, patients
should also present with pain on both sides of the body involving muscles that are situated above and
below the waist. Diagnosis of fibromyalgia keeps evolving and so doctors may use differing criteria when
looking at this disorder.


Treating fibromyalgia via naturopathic medicine requires a combination of considerations involving
supplementation, relaxation techniques, physical treatments, and lifestyle modification. Naturopathic
doctors are excellent at individualizing treatment plans for patients and depending on their expertise,
can provide various services. I’ve described some natural approaches below:


Vitamin D: This fat soluble vitamin has effects on the proper functioning of nerves and muscles and has
been found to be low in those suffering with chronic pain. Testing of Vitamin D and subsequent
supplementation, if found to be low, can help the body regain proper functioning of muscle fibers.


Vitamin B12: This vitamin is required for proper functioning of nerves and its deficiency can lead to
nerve pain, muscle spasms, foggy mind, and fatigue. Though oral B12 may be of great use, intramuscular
or intravenous B12 may also help those greatly deficient in this vitamin. Trigger point injections of this
vitamin is also useful in releasing tender myofascial trigger points.


Magnesium: This mineral is used in many of the body’s reactions and is often deficient in people
suffering from muscle aches. Magnesium has the dual action of relaxing both muscles and the nervous
system in general so it can also help reduce stress and elevate mood.


D-Ribose: This supplement, which is not the same as regular sugar, provides high amounts of
intracellular energy for your muscles and helps stop pain. By increasing energy, it also acts to relieve the
fatigue experienced by most fibromyalgia sufferers.


Acupuncture: This therapy stimulates the flow of blood and nutrients to myofascial trigger points which
helps relieve them and leads to a reduction of pain. Acupuncture also calms the mind and frees the

patient from stress and sleep issues. I would recommend seeking gentle practitioners of acupuncture as
we do not want to stress the body with excessive manipulation of acupuncture needles.


Bowen Therapy: This is a soft-tissue activation technique which works on the fascial layer sitting on top
of the muscles. Often there are problems with this layer leading to a dysfunction of the underlying
muscle layer. This type of therapy is also a very gentle technique which often helps alleviate stress and
activates the parasympathetic nervous system leading to a deep relaxation state needed for repair.


Avoid allergies: If you are sensitive to foods or chemicals then you need to avoid them as allergens can
create low-grade inflammatory immune reactions leading to pain and discomfort. There are many tests
from blood examinations to manual muscle testing which can shed light on your sensitivities.


Cutting out sweets: Sweets lead to the activation of inflammatory processes within the body which can
lead to pain. Also, sugary foods can lead to significantly increased instances of sugar crashes culminating
in fatigue and foggy thinking.


More veggies: Studies have shown that choosing more vegetarian foods can help reduce pain in those
suffering with fibromyalgia. This can be correlated to the mineral and vitamin rich aspects of vegetables
and the fact that it takes less energy to breakdown vegetables than it does meat. It is a good idea to
cook or steam your veggies to make them easier to digest.


Sleep: Those suffering from fibromyalgia require more sleep than the standard 6-8 hours. I would
recommend 9-10 hours of sleep to help the body recover and repair adequately. This of course means
earlier onset of sleep and ensuring you are not disrupted from your sleep. There are many great articles
on this site you could refer to for helping with your sleep such as various teas, heavier blankets, and
proper sleep hygiene.


Stress management techniques: Meditation, deep breathing, and mild forms of exercise such as Tai Chi
can help reduce both physical and mental stress. When we are not stressed, our nerves and muscles will
relax leading to less pain and discomfort.
The takeaway message from the above examples is to reduce physical and mental stress while
nourishing your body with clean foods and providing the body with ample opportunity to rest and heal.


Heidari, B., Shirvani, S.S., Firouzijahi, A., Heidari, P., Hajian-Tilaki, K.O., “Association between nonspecific
skeletal pain and vitamin D deficiency”. International Journal of Rheumatic Diseases. 2010, 13(4), 340-
Kaartinen, K., Lammi, K., Hypen, M., Nenonen, M., Hänninen, O., Rauma, A.L., “Vegan diet alleviates
fibromyalgia symptoms”. Scandinavian Journal of Rheumatology. 2000, 29(5), 308-313.
Teitelbaum, J.E., Johnson, C., St. Cyr, J., “The Use of D-Ribose in Chronic Fatigue Syndrome and
Fibromyalgia: A Pilot Study”. The Journal of Alternative and Complementary Medicine. 2006, 12(9): 857-


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