Multidisciplinary Management of Fibromyalgia: Effective Treatments Including Antidepressants, Aerobic Exercise, Cognitive-Behavioral Therapy, and Yoga

Dear colleagues, fibromyalgia is a complex syndrome characterized by widespread chronic pain, fatigue, and a variety of other symptoms that significantly affect our patients' quality of life. Despite advances in understanding this condition, its etiology remains largely unknown, complicating its management. However, current evidence suggests that a multidisciplinary approach and the use of complementary therapies can offer significant improvements in symptoms and quality of life for patients.

Diving into Multidisciplinary Management and Complementary Therapies

The treatment of fibromyalgia requires a comprehensive approach that combines both pharmacological and non-pharmacological interventions. Among pharmacological treatments, antidepressants such as serotonin and norepinephrine reuptake inhibitors have shown efficacy in alleviating symptoms [1]. However, it is in the realm of non-pharmacological therapies where we find a broader spectrum of options.

Cognitive-behavioral therapy (CBT) has proven effective in improving pain management and quality of life in patients with fibromyalgia [2]. Additionally, aerobic exercise is recommended as a first-line intervention due to its ability to improve physical function and reduce pain [3].

Complementary therapies such as yoga and tai chi have also gained popularity due to their holistic approach and ability to enhance both physical and mental well-being [4]. These practices not only help improve flexibility and strength but also promote relaxation and stress reduction, crucial factors in managing fibromyalgia.

Conclusions

In conclusion, the management of fibromyalgia should be multidisciplinary, combining pharmacological treatments with non-pharmacological interventions and complementary therapies. Personalizing treatment according to the patient's needs and preferences is essential to optimize outcomes. As physicians, we must stay informed about advancements in fibromyalgia treatment to provide evidence-based care that enhances our patients' quality of life.

Referencias

• [1] Beyond the Pain: A Systematic Narrative Review of the Latest Advancements in Fibromyalgia Treatment
• [2] Chronic Musculoskeletal Pain: Nonpharmacologic, Noninvasive Treatments
• [3] Effect of tai chi versus aerobic exercise for fibromyalgia: comparative effectiveness randomized controlled trial
• [4] The Role of Complementary and Alternative Medicine Treatments in Fibromyalgia: a Comprehensive Review

Created 5/1/2025