Hello dear Understand your concern Ultimate cause of the fibromyalgia is not known Following are the factors associated with fibromyalgia: Genetic factor, overactivity of sympathetic system,defect in dopamine and serotonin pathways in brain, excessive stress and psychological disturbance Yous should consult the psychiatric ofr better treatment Doctor will give following advises: Life style changes like: Start exercise: Play mind games and walking and swimming Acupuncture therapy, Regular yoga Relaxation therapy: whole body massage and breathing technique in fresh air, Bath in salted water, Maintain weight according to normal BMI Take healthy diet: Green leafy vegetables, milk, meat, chicken that high in magnesium and diet rich in omega three fatty acid: egg, salmon fish, flaxseed oil Drug that help to reduce pain: Tramadol/hydrocodone, duloxentine, savella, Cognitive behavioral therapy Avoid negative self talk and behavior, be creative and learn new things Spends more time with family and friends Hope this may help you Contact HCM for further health query Best regards Dr. Sagar