The use of chiropractic treatments has been in recent literature to help control pain in the FMS patient. Lithium therapy may work in FM by enhancing the effects of tricyclic antidepressants. There are three case studies utilizing lithium carbonate at 300 mg. All patients experienced a prompt and marked reduction of pain and stiffness. Laboratory parameters in these patients showed no evidence of lithium toxicity to the thyroid or kidneys.
Exercise is a key aspect of management.
Many FM patients are afraid of increasing the pain and fatigue if they exercise. When done properly, there is no exacerabation of symptoms. Such exercise will enhance general fitness, posture, flexibility, improve blood flow to muscles, and contribute to a general sense of well-being. Vitamin E is necessary for the prevention of the particular type of abnormal connective tissue changes which occur in primary fibrositis and for the cure of the condition. All three noted relief from edema, diurnal weight gain, and the aches and pains.