Other theories include dysfunction of the adrenal gland, which produces cortisol, or a disturbance in the function of the central nervous system. Since doctors still don't know what causes fibromyalgia, treating it with medications has had mixed results. For many years, antidepressants have been prescribed for people with fibromyalgia. These drugs work to increase the level of serotonin and for some, have served to elevate mood, relax muscles and improve quality of sleep. Many find antidepressants helpful when used in conjunction with exercise and stress management.
Doctors say an important method of symptom management is participation in an exercise program.
Aerobic exercise, such as swimming and walking, improves muscle pain and tenderness in people with fibromyalgia, as does regular stretching. Fibromyalgia patients say a commitment to exercise is essential. However, start exercise programs slowly. Then increase activity to reduce the chance of a flare-up. Physical therapies like massage, ice, heat, chiropractic manipulation, acupuncture, acupressure and posture changes have been shown to help.