What do you recommend to patients when they are having an acute flare of fibromyalgia symptoms?

Great, this is a really important area and unmet need in the field of fibromyalgia management. Unlike other nociplastic disease states (e.g., migraine), there are no rigorously studied abortive therapies to rapidly treat a flare of centralized pain. Indeed, all the therapies we use for FM are intend...

If a patient with fibromyalgia is having a flare of symptoms I would first determine whether this is in keeping with the usual waxing and waning of fibromyalgia symptoms or represents something different. For example, I might consider a new, localized pain source, such as tendonitis. Otherwise, I wo...

Most importantly, what is the cause of the flare? Was there a recent life stress, a change in schedule, or poor sleep related to some other event/circumstance that may be examples of causes of flare-ups in symptoms? Identify the potential cause and then decide on are there are pharmacologic or non-p...