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 .
The effectiveness of chiropractic management of fibromyalgia patients: a pilot study.
OBJECTIVE To demonstrate the effectiveness of chiropractic management for fibromyalgia patients using reported pain levels , cervical and lumbar ranges of motion , strength , flexibility , tender points , myalgic score and perceived functional ability as outcome measures . DESIGN A. Preliminary r and omized control crossover trial . B. Before and after design . PATIENTS Twenty-one rheumatology patients ( 25 - 70 yr ) .  CHIROPRACTIC INTERVENTIONS : Treatment consisted of 4 wk of spinal manipulation , soft tissue therapy and passive stretching at the chiropractors ' discretion . CONTROL INTERVENTION : Chiropractic management withheld for 4 wk with continuation of prescribed medication . MAIN OUTCOME MEASURES Changes in scores on the Oswestry Pain Disability Index , Neck Disability Index , Visual Analogue Scale , straight leg raise and lumbar and cervical ranges of motion were observed . RESULTS Chiropractic management improved patients ' cervical and lumbar ranges of motion , straight leg raise and reported pain levels . These changes were judged to be clinical ly important within the confines of our sample only . CONCLUSIONS Further study with a sample size of 81 ( for 80 % power at alpha < or = .05 ) is recommended to determine if these findings are generalizable to the target population of fibromyalgia suffers
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 .