What are some tips for avoiding and managing flare-ups in fibromyalgia?

Updated: Apr 23, 2020
  • Author: Chad S Boomershine, MD, PhD, CPI, CPT; Chief Editor: Herbert S Diamond, MD  more...
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Patients should learn to identify the factors that trigger flare-ups (although, on occasion, no trigger can be identified) and what measures to take to decrease their symptoms. [109] Tips for avoiding and managing flare-ups include the following:

  • Treat infections quickly

  • Avoid changes in diet

  • Exercise as prescribed (ask patients not to increase their routine without consulting a physician)

  • Moderate changes in activity

  • Avoid unnecessary life changes

  • Treat changes in mood or sleep early and aggressively

  • Always start new medications at the lowest possible dose

  • Prepare for unavoidable situations that have caused flare-ups in the past (eg, arrange for an increase in sleep medication or for help with housework and child care)

  • Encourage patients to pace their activities and know their limits

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