Treatment
The goal of treatment is to relieve or control the symptoms. Treatments include:
Physical and Behavioral Therapies
- Physical therapy (gradual aerobic exercise and stretching regimen)
- Heated pool treatments—Aquatic training in warm water (eg, strength, aerobic, and relaxation exercises) may help improve symptoms.
- Application of heat to painful areas
- Alternative treatments, such as massage , acupuncture , relaxation training , trigger point therapy, biofeedback
- Cognitive behavioral therapy
Lifestyle Changes
- Eating a healthful diet
- Learning to cope with physical and mental stress
-
Doing
regular, moderate, low-impact exercise with your doctor's approval
-
Try gentle exercise that does not strain painful areas, such as:
- Walking
- Biking
- Swimming, preferably in warmer water
-
Try gentle exercise that does not strain painful areas, such as:
- Doing regular stretching exercises
- Maintaining a regular sleep schedule
Medications
These medications may help to improve symptoms:
- Weak opioids (eg, tramadol , paracetamol)
- Antidepressants (eg, amitriptyline , fluoxetine , duloxetine , milnacipran, moclobemide , pirlindole)
- Pain relievers (eg, tropisetron, pramipexole , pregabalin )
- Sodium oxybate (eg, Xyrem), a central nervous system depressant
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition. Copyright © 2026 EBSCO Publishing All rights reserved.