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Journal: Osteopathic Family Physician Date: 2026/04, 18(2):Pages: 36–40. doi: Subito , type of study: article

Full text    (https://acofp.org/news-and-publications/journal/preview-article-detail/?issueurlname=-spring-2026&urlname=multidisciplinary-care-models-managing-fibromyalgia)

Keywords:

article [2567]
fibromyalgia [46]
interdisciplinarity [38]
OMT [3800]
osteopathic manipulative treatment [3821]

Abstract:

Fibromyalgia (FM) is a prevalent syndrome characterized by widespread chronic pain, fatigue, sleep disturbances, and cognitive difficulties. Diagnosis is primarily clinical, often involving exclusion of other conditions. Effective management of FM requires a multidisciplinary approach that utilizes a stepwise methodology. Rather than aiming to eliminate disease, the focus should be on improving quality of life, primarily by providing symptomatic relief. Nonpharmacologic treatments, including patient education, exercise (especially aerobic), and cognitive behavior therapy (CBT), are crucial for improving pain and function. Pharmacologic options that are FDA approved for FM include duloxetine, milnacipran, and pregabalin. Amitriptyline, though not FDA approved for FM, has also demonstrated effectiveness in patients with FM. More conventional pain medications commonly prescribed in other chronic conditions, such as opioids and nonsteroidal anti-inflammatory drugs (NSAIDs), are generally not recommended. An osteopathic medicine approach can enhance the body’s self-healing capabilities and improve health in patients with FM. OMT may offer adjunctive benefits by addressing musculoskeletal somatic dysfunctions and normalizing autonomic tone. OMT, such as myofascial release, may be particularly relevant for patients with FM who often have a lower pain threshold. OMT with a patient-centered approach focusing on symptom management and improved quality of life is essential. Utilizing a multidisciplinary approach to FM treatment can allow for long-term improvement in a patient’s health and quality of life.

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