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Fibromyalgia is a complex and often misunderstood chronic pain disorder that affects millions of people worldwide. Characterized by widespread musculoskeletal pain, fatigue, and tenderness in localized areas, fibromyalgia has long puzzled both patients and medical professionals. 

However, recent research suggests that the condition may be linked to gut bacteria, opening the door for new treatment options and a better understanding of this enigmatic ailment.

A Brief History of Fibromyalgia

The history of fibromyalgia can be traced back to the early 19th century when physicians first started to recognize and document symptoms consistent with the condition. In 1816, a Scottish physician named William Balfour described the presence of tender points and areas of localized pain in his patients, which he referred to as “rheumatic pains.” 

Over the years, fibromyalgia has been referred to by various names, including muscular rheumatism, fibrositis, and psychogenic rheumatism. It wasn’t until 1981 that a landmark study established the diagnostic criteria for fibromyalgia, which included the identification of tender points and widespread pain. 

In 1990, the American College of Rheumatology (ACR) officially recognized fibromyalgia as a distinct clinical entity and established a set of diagnostic criteria that are still used today.

Fibromyalgia Statistics

Fibromyalgia affects an estimated 2-8% of the population, with a higher prevalence in women than in men. According to the National Fibromyalgia Association, approximately 10 million people in the United States have fibromyalgia. The condition is most commonly diagnosed between the ages of 20 and 50, but it can affect people of all ages, including children.

Symptoms of Fibromyalgia

Fibromyalgia is characterized by a range of symptoms that can vary in intensity and duration. Some of the most common symptoms include:

  1. Widespread pain: Pain is typically experienced in various parts of the body, often described as a constant dull ache that lasts for at least three months.
  2. Fatigue: People with fibromyalgia often feel tired even after a full night’s sleep. They may also have difficulty falling asleep or staying asleep due to pain and discomfort.
  3. Cognitive difficulties: Fibromyalgia can affect a person’s ability to concentrate, remember information, and perform mental tasks. This is sometimes referred to as “fibro fog.”
  4. Tender points: These are specific areas on the body that are particularly sensitive to pressure. There are 18 tender points that doctors use to help diagnose fibromyalgia, although not all patients will have tenderness in every location.
  5. Other symptoms: Fibromyalgia can also cause a variety of other symptoms, such as headaches, irritable bowel syndrome, restless legs syndrome, and sensitivity to light, noise, and temperature.

Fibromyalgia and Gut Bacteria

In a groundbreaking study conducted by researchers at McGill University in Quebec, Canada, a strong link was discovered between gut bacteria and fibromyalgia. 

The study identified 19 different types of bacteria that were present in either greater or lesser quantities in people with fibromyalgia compared to a control group of healthy individuals. This research suggests that the composition of gut bacteria could play a role in the development and severity of fibromyalgia symptoms.

Using artificial intelligence techniques, the researchers were able to rule out factors such as diet, medication, physical activity, and age as potential causes for the differences in gut bacteria between fibromyalgia patients and healthy individuals. The study also found that the severity of a patient’s symptoms directly correlated with the presence or absence of certain bacteria, which is a novel finding in the field of fibromyalgia research.

While the study does not conclusively establish whether the gut microbiome is the cause of fibromyalgia or merely a consequence of the condition, the results hold promise for the future of fibromyalgia diagnosis and treatment. In fact, the researchers were able to use machine learning to accurately diagnose fibromyalgia based solely on the composition of the gut microbiome with an 87% accuracy rate. 

As more research is conducted in this area, the hope is to improve diagnostic accuracy and develop targeted treatments that address the role of gut bacteria in fibromyalgia.

Alternative Treatment Options for Fibromyalgia

In addition to traditional medical treatments such as pain relievers, antidepressants, and anti-seizure medications, there are several alternative treatment options that may help alleviate fibromyalgia symptoms:

  1. Dietary interventions: Since gut bacteria appear to play a role in fibromyalgia, making dietary changes that promote a healthy gut microbiome may be beneficial. This could include consuming a diet rich in fiber, fruits, vegetables, and fermented foods, as well as limiting processed foods and added sugars.
  1. Probiotics: Probiotic supplements, which contain beneficial bacteria, may help restore balance to the gut microbiome and potentially improve fibromyalgia symptoms.
  1. Physical therapy: Engaging in regular physical activity and targeted exercises under the guidance of a physical therapist can help improve flexibility, strength, and overall well-being for fibromyalgia patients.
  1. Acupuncture: This traditional Chinese medicine technique has been shown to help reduce pain and improve quality of life for some people with fibromyalgia.
  1. Mind-body therapies: Techniques such as meditation, yoga, tai chi, and biofeedback can help reduce stress and improve mental and emotional well-being, which may in turn help alleviate fibromyalgia symptoms.
  1. Massage therapy: Regular massage can help improve circulation, reduce muscle tension, and alleviate pain in fibromyalgia patients.
  1. Cognitive-behavioral therapy (CBT): CBT is a form of psychotherapy that focuses on changing negative thought patterns and behaviors. It has been shown to be effective in managing chronic pain, including fibromyalgia, by helping patients develop coping strategies and improve their overall mental well-being.
  2. Sleep hygiene: Improving sleep quality is essential for fibromyalgia patients, as poor sleep can exacerbate symptoms. Establishing a regular sleep schedule, creating a comfortable sleep environment, and avoiding stimulants before bedtime can help promote better sleep. If you have fibromyalgia, it’s imperative that you get restorative sleep. I recommend you download a free copy of my “How to Get a Goodnight’s Sleep” guide that has step-by-step instructions to improve your restorative sleep as well as a protocol.
  3. Supplements: Some fibromyalgia patients may find relief from symptoms by taking supplements such as magnesium, vitamin D +K2, and melatonin or sleep supplement. These supplements should be taken under the guidance of a healthcare professional.
  4. Aromatherapy: Essential oils, such as lavender, eucalyptus, and chamomile, have been shown to help reduce pain and promote relaxation in some fibromyalgia patients.
  1. Hydrotherapy: Warm water therapy, such as soaking in a hot tub or engaging in aquatic exercise, can help alleviate muscle pain and stiffness associated with fibromyalgia.

It is important to remember that the effectiveness of alternative treatments for fibromyalgia can vary greatly between individuals. What works for one person may not work for another, and it may take time and experimentation to find the most effective combination of therapies for each individual.

Hope on the Horizon for Improved Fibromyalgia Treatment

The discovery of the link between fibromyalgia and gut bacteria is a significant step forward in our understanding of this complex chronic pain disorder. As research continues to uncover the mechanisms behind this relationship, there is hope for more accurate diagnostic tools and targeted treatments that address the underlying causes of fibromyalgia.

In the meantime, individuals living with fibromyalgia can explore a variety of traditional and alternative treatment options to help manage their symptoms and improve their quality of life. By taking a comprehensive, holistic approach to treatment, it is possible to find relief and regain control over one’s health and well-being.


  1. https://pubmed.ncbi.nlm.nih.gov/31219947/ 
  2. https://pubmed.ncbi.nlm.nih.gov/21769128/ 
  3. https://pubmed.ncbi.nlm.nih.gov/24433463/ 
  4. https://pubmed.ncbi.nlm.nih.gov/27377815/

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