Emerging Non-Pharmacological Refractory Intervention for Pain Relief in Fibromyalgia: A Case Report

  • Saif Al-Zoubi Department of Medicine and Surgery, Yarmouk University, Irbid, Jordan
  • Alameen Alsabbah Faculty of Medicine, Yarmouk University, Irbid, Jordan
  • Maggie Wassouf Faculty of Medicine and Medical Sciences, University of Balamand, Beirut, Lebanon
  • Asmaa Al-Mnayyis
Keywords: Fibromyalgia, Pain, Pain relief, Non-pharmacological

Abstract


Fibromyalgia (FM) is a common disorder characterised by widespread musculoskeletal pain often associated with fatigue, sleep, memory and mood disturbances. Females are more likely to suffer from FM and experience a reduced quality of life. This is a case report of a 21-year-old female patient diagnosed with FM whose pain was managed by a non-pharmacological method, weightlifting exercises. The patient suffered from chronic generalised muscular pain, muscle stiffness, fatigue, depression and anxiety. She was started on a tight progressive weight-lifting program to increase muscle mass. The program led to a resolution of symptoms after 3 months of gradual improvement, in addition to stopping taking analgesics for the pain. Notably, a relapse occurred after halting the exercise program suggesting that the weight-lifting regime was correlated to reducing symptom severity and better quality of life. Exercises involving weight-lifting could potentially provide an affordable treatment option for patients with FM.

References

1. Clauw DJ. Fibromyalgia: a clinical review. JAMA 2014 Apr 16;311(15):1547–55.

2.    Jahan F, Nanji K, Qidwai W, Qasim R. Fibromyalgia syndrome: an overview of pathophysiology, diagnosis and management. Oman Med J 2012 May;27(3):192–5.

3.    García-Ríos MC, Navarro-Ledesma S, Tapia-Haro RM, Toledano-Moreno S, Casas-Barragán A, Correa-Rodríguez M, et al. Effectiveness of health education in patients with fibromyalgia: a systematic review. Eur J Phys Rehabil Med 2019 Apr;55(2):301–13.

4.    Thomas SA, Knight L, Balian A. Treatment of fibromyalgia pain. US Pharm 2016;41(3):51-4.

5.    Busch AJ, Webber SC, Richards RS, Bidonde J, Schachter CL, Schafer LA, et al. Resistance exercise training for fibromyalgia. Cochrane Database Syst Rev 2013 Dec 20;2013(12):CD010884. doi: 10.1002/14651858.CD010884. 

6.    Ericsson A, Palstam A, Larsson A, Löfgren M, Bileviciute-Ljungar I, Bjersing J, et al. Resistance exercise improves physical fatigue in women with fibromyalgia: a randomized controlled trial. Arthritis Res Ther 2016 Jul 30;18:176. doi: 10.1186/s13075-016-1073-3.

7.    Busch AJ, Barber KA, Overend TJ, Peloso PM, Schachter CL. Exercise for treating fibromyalgia syndrome. Cochrane Database Syst Rev 2007 Oct 17;(4):CD003786. doi: 10.1002/14651858.CD003786.pub2.

8.    Lacasse A, Bourgault P, Choinière M. Fibromyalgia-related costs and loss of productivity: a substantial societal burden. BMC Musculoskelet Disord 2016 Apr 16;17:168. doi: 10.1186/s12891-016-1027-6.

9.    Jones KD. Recommendations for resistance training in patients with fibromyalgia. Arthritis Res Ther 2015 Sep 17;17(1):258. doi: 10.1186/s13075-015-0782-3.

10.  Hackney AC. Stress and the neuroendocrine system: the role of exercise as a stressor and modifier of stress. Expert Rev Endocrinol Metab 2006 Nov 1;1(6):783–92.

Published
2023/06/24
Section
Case report