The patient must note pain with digital palpation, not just tenderness. Treatment has to be individualistic and holistic. The doctor should discuss with the patient the expected sequela and the treatment that could be of help. Treatment should consist of general vitamin and supplemental support, as well as calcium and a proper healthy diet. Non-medicinal treatment should include a thorough examination and proper diagnosis.
Prognosis is poor for the fibromyalgic patient without early intervention.
Therefore, gradual progression into an appropriately designed aerobic and conditioning program as early as possible is considered the most important treatment protocol. A referral for psychological counseling and cognitive treatment should be provided if indicated. Evidence has shown that electromyographic biofeedback may be an effective treatment modality. Other treatments directed at depleting substance P, the principle neurotransmitter of nociceptive impulses and type-C sensory neurons, could also be considered. A physician-directed program is needed to aid in the remission of this unrelenting and often disabling condition.