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Related Experiment Video

Updated: Sep 17, 2025

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Fibromyalgia: do I tackle you with complementary medicines?

Julien Nizard1, Françoise Laroche2, Fabrice Berna3

  • 1Nantes Université; Nantes University Hospital, Multidisciplinary Pain, Palliative and Integrative Care Department, UIC 22; UMRS INSERM-Nantes Université-Oniris 1229 RMeS Regenerative Medicine and Skeleton; Collège Universitaire des Médecines Intégrative et Complémentaires (CUMIC), Nantes, France.

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|June 27, 2025
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Summary

Fibromyalgia patients often use complementary medicine (CM) without informing doctors. This review defines CM, discusses risks and benefits, and offers guidance for safe integration into fibromyalgia management.

Keywords:
Complementary medicinesFibromyalgiaIntegrative medicineNon-pharmacological interventions, Non-pharmacological treatments

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Area of Science:

  • Pain Management
  • Integrative Medicine

Background:

  • Fibromyalgia management guidelines emphasize graded care and integrating nonpharmacological treatments and complementary medicine (CM).
  • Patients often seek CM due to medication side effects, persistent symptoms, or a perception of safety and naturalness.
  • Patients frequently withhold CM use from physicians due to fear of negative reactions, leading to potential risks.

Purpose of the Study:

  • To provide updated definitions of nonpharmacological treatments and CM used by fibromyalgia patients.
  • To discuss the potential benefits, risks, and challenges in evaluating these complementary medicine practices.
  • To propose a structured approach for healthcare providers to discuss CM with fibromyalgia patients.

Main Methods:

  • This narrative review synthesizes current literature on nonpharmacological treatments and CM for fibromyalgia.
  • It includes updated definitions, risk-benefit analyses, and evaluation challenges.
  • A structured discussion framework for patient-provider communication is proposed.

Main Results:

  • Nonpharmacological treatments and CM are widely used by fibromyalgia patients, often without physician awareness.
  • These practices carry potential benefits but also significant risks, including lack of regulation and safety concerns.
  • Challenges exist in evaluating the efficacy and safety of many CM modalities.

Conclusions:

  • Healthcare providers should proactively discuss nonpharmacological treatments and CM with fibromyalgia patients.
  • Assessing patient expectations, motivations, and prior experiences is crucial for adherence and safety.
  • Identifying "red flags" and guiding patients toward qualified practitioners and safe environments is essential.