There was low- quality evidence that acupuncture  improves pain compared to no treatment or st and ard treatment , but good evidence that it is no better than sham acupuncture .
The evidence for homoeopathy , spinal manipulation and herbal medicine was limited .
No firm conclusions were drawn for efficacy of either spinal manipulation or homoeopathy for FM .
Background Fibromyalgia ( FM ) is a chronic , debilitating pain disorder .
Dissatisfaction with conventional medicine can lead people with FM to turn to complementary and alternative medicine ( CAM ) .
Two previous overviews of systematic review s of CAM for FM have been published , but they did not assessed for risk of bias in the review process .
A randomized clinical trial of fibromyalgia treatment with acupuncture compared with fluoxetine
Background To evaluate the effectiveness of acupuncture and compare it with fluoxetine in treatment of fibromyalgia syndrome ( FMS ) . Methods We conducted a prospect i ve , r and omized clinical trial . Fifteen patients were treated with acupuncture  and compared with a  control group ( n=15 ) of patients who received fluoxetine .  Visual analogue scale , Fibromyalgia Impact Question naire ( FIQ ) and determined number of tender points were used as outcome measurements . Results After four weeks , the acupuncture group was significantly better than the control group in the number of tender points . Total fibromyalgia symptoms were significantly improved in the acupuncture group compared with the control group during the study period ( P= 0.01 ) . The largest difference in mean FIQ total scores was observed at 4 weeks ( 42.2 VS . 34.8 in the control and acupuncture groups , respectively ; P= 0.007 ) . At the end of one year of the follow up , patients who received acupuncture were significantly better than the control group in all measures . Fatigue and anxiety were the most significantly improved symptoms during the follow up period . Discussion Acupuncture significantly improved pain and symptoms of fibromyalgia . Also , we found that acupuncture did not have any side effect and was tolerable
There was low- quality evidence that acupuncture  improves pain compared to no treatment or st and ard treatment , but good evidence that it is no better than sham acupuncture .
The evidence for homoeopathy , spinal manipulation and herbal medicine was limited .
No firm conclusions were drawn for efficacy of either spinal manipulation or homoeopathy for FM .
Background Fibromyalgia ( FM ) is a chronic , debilitating pain disorder .
Dissatisfaction with conventional medicine can lead people with FM to turn to complementary and alternative medicine ( CAM ) .
Two previous overviews of systematic review s of CAM for FM have been published , but they did not assessed for risk of bias in the review process .