While no clinical trial to date has specifically targeted fatigue , r and omized controlled trials , systematic review s , and meta-analyses indicate that treatment modalities studied in the context of other fibromyalgia symptoms could also improve fatigue .
Fatigue is a disabling , multifaceted symptom that is highly prevalent and stubbornly persistent .
Although fatigue is a frequent complaint among patients with fibromyalgia , it has not received the same attention as pain .
Reasons for this include lack of st and ardized nomenclature to communicate about fatigue , lack of evidence -based guidelines for fatigue assessment , and a deficiency in effective treatment strategies .
Fatigue does not occur in isolation ; rather , it is present concurrently in varying severity with other fibromyalgia symptoms such as chronic widespread pain , unrefreshing sleep , anxiety , depression , cognitive difficulties , and so on .
Survey-based and preliminary mechanistic studies indicate that multiple symptoms feed into fatigue and it may be associated with a variety of physiological mechanisms .
Fibromyalgia syndrome improved using a mostly raw vegetarian diet: An observational study
Background Fibromyalgia engulfs patients in a downward , reinforcing cycle of unrestorative sleep , chronic pain , fatigue , inactivity , and depression . In this study we tested whether a mostly raw vegetarian diet would significantly improve  fibromyalgia symptoms . Methods Thirty people participated in a dietary intervention using a mostly raw , pure vegetarian diet . The diet consisted of raw fruits , salads , carrot juice , tubers , grain products , nuts , seeds , and a dehydrated barley grass juice product . Outcomes measured were dietary intake , the fibromyalgia impact question naire ( FIQ ) , SF-36 health survey , a quality of life survey ( QOLS ) , and physical performance measurements . Results Twenty-six subjects returned dietary surveys at 2 months ; 20 subjects returned surveys at the beginning , end , and at either 2 or 4 months of intervention ; 3 subjects were lost to follow-up . The mean FIQ score ( n = 20 ) was reduced 46 % from 51 to 28 . Seven of the 8 SF-36 subscales , bodily pain being the exception , showed significant improvement ( n = 20 , all P for trend < 0.01 ) . The QOLS , scaled from 0 to 7 , rose from 3.9 initially to 4.9 at 7 months ( n = 20 , P for trend 0.000001 ) . Significant improvements ( n = 18 , P < 0.03 , paired t-test ) were seen in shoulder pain at rest and after motion , abduction range of motion of shoulder , flexibility , chair test , and 6-minute walk . 19 of 30 subjects were classified as responders , with significant improvement on all measured outcomes , compared to no improvement among non-responders . At 7 months responders ' SF-36 scores for all scales except bodily pain were no longer statistically different from norms for women ages 45–54 . Conclusion This dietary intervention shows that many fibromyalgia subjects can be helped by a mostly raw vegetarian diet
While no clinical trial to date has specifically targeted fatigue , r and omized controlled trials , systematic review s , and meta-analyses indicate that treatment modalities studied in the context of other fibromyalgia symptoms could also improve fatigue .
Fatigue is a disabling , multifaceted symptom that is highly prevalent and stubbornly persistent .
Although fatigue is a frequent complaint among patients with fibromyalgia , it has not received the same attention as pain .
Reasons for this include lack of st and ardized nomenclature to communicate about fatigue , lack of evidence -based guidelines for fatigue assessment , and a deficiency in effective treatment strategies .
Fatigue does not occur in isolation ; rather , it is present concurrently in varying severity with other fibromyalgia symptoms such as chronic widespread pain , unrefreshing sleep , anxiety , depression , cognitive difficulties , and so on .
Survey-based and preliminary mechanistic studies indicate that multiple symptoms feed into fatigue and it may be associated with a variety of physiological mechanisms .