Conversation: The conversation between human and AI assistant.
[|Human|] I ve been diagnosed with fibromyalgia and I also have muscle and skeletal issues and I do on occasion have spasms but this past week I have had some extreme fatigue and spasms to the point Im afraid to move around because I m cramping up so bad.I take zanaflex but truthfully this seems to make them worse.Could I be having an adverse affect to the medication?
[|AI|]  Hi, thank-you for providing the brief history of you. A thorough clinical assessment is advised. As you have been diagnosed with fibromyalgia, this condition has the pain up and down due to the inflammation of the fibers of the muscle. A muscle contains numerous fibers and inflammation in the fibers lead to pain. Also, the fatigue is the early occurrence due to rapid metabolism and also the spasm and cramp is the end result.in my clinical practice such cases are recommended with physical therapy, meditation and breathing exercises. Physical therapy - Therapeutic ultrasound therapy and TENS therapy will help reduce pain and inflammation. Also exercises will help regain the strength and improve the metabolism and endurance of the muscle. Meditation will help reduce the anxiety and also help in Performing well during exercises. Breathing exercises will help improve the oxygen carry blood capacity by tissues and there by helps reduce the inflammation. As the metabolism is slower in patients with fibromyalgia, having breathing exercises, meditation and exercise does play a big role in overall help of the condition. RegardsJay In Chat Doctor.