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The Power of Acupuncture in Alleviating Fibromyalgia: Unveiling the Evidence

Fibromyalgia (FM) remains a perplexing puzzle in the realm of chronic pain conditions, characterised by widespread musculoskeletal discomfort, cognitive disturbances, and a myriad of strange, usually unpleasant symptoms.

Despite its prevalence, the cause of FM remains elusive, and its diagnosis often challenges conventional medical paradigms. However, amidst this complexity, a beacon of hope emerges in the form of medical acupuncture, a centuries-old therapy with a modern medical interpretation and application that continues to demonstrate remarkable efficacy in managing FM. In this blog, I'll dive into the compelling clinical evidence supporting the use of acupuncture in FM treatment, shedding light on its mechanisms and the profound impact it can have on patients' lives.

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The Enigma of Fibromyalgia: FM poses a conundrum for medical and physiotherapy clinicians, characterised by debilitating pain and myriad symptoms that occur in the absence of observable pathology on scans. Traditional assessments often fail to capture the essence of FM, with patients appearing well despite their profound internal suffering. However, emerging research suggests that FM may represent a disorder of pain regulation, implicating central sensitisation of the nervous system as well as immune dysfunction, which are key players in its pathophysiology.

Acupuncture: A Beacon of Hope: Amidst the uncertainty surrounding FM, acupuncture stands out as a beacon of hope for patients seeking relief from their symptoms. A plethora of studies have underscored the efficacy of acupuncture in FM management, offering real benefits where conventional treatments like drug therapies often fail. From individualised acupuncture protocols to electroacupuncture, the scientific evidence speaks volumes about its effectiveness in alleviating pain, improving sleep, and enhancing overall well-being. The problem is that very few in the medical profession know about this research. 

Unveiling the Evidence: A significant amount of research supports the use of acupuncture in FM, with numerous randomized controlled trials (RCTs) and systematic reviews highlighting its efficacy. 1-6 The studies paint a compelling picture of acupuncture's ability to alleviate pain, fatigue, cognitive disturbances like brain fog and poor concentration, and other symptoms associated with FM. These findings, rooted in rigorous scientific inquiry, underscore acupuncture's status as a frontline therapy in FM management.

The Promise of Acupuncture: As we navigate the complexities of FM, acupuncture offers a ray of hope for patients grappling with this debilitating condition. Its non-invasive nature, coupled with its profound therapeutic effects, makes it a cornerstone of integrative care for FM. Beyond mere symptom relief, acupuncture empowers patients to reclaim their lives, fostering improved well-being, functionality, and resilience in the face of chronic pain. Acupuncture has been the cornerstone of my physiotherapy treatment approach for FM for over 20 years, and I have achieved amazing results. 

In the realm of FM management, acupuncture, aka medical acupuncture (including gentle dry needling), emerges as a beacon of hope, which may offer great relief where conventional treatments fall short.

Backed by a robust body of evidence, acupuncture transcends traditional boundaries, providing a holistic approach to FM care that addresses the multifaceted nature of this enigmatic condition. As we navigate the complexities of FM,  here at the clinic we embrace acupuncture as a potent tool in our therapeutic arsenal, empowering patients to embark on a journey towards healing, resilience, and renewed vitality.

By Simon


  1. Casanueva B, Rivas P, Rodero B, et al. Short-term improvement following dry needle stimulation of tender points in fibromyalgia. Rheumatol Int. 2020;34:861–6.
  2. Vas J, Santos-Rey K, Navarro-Pablo R, et al. Acupuncture for fibromyalgia in primary care: a randomised controlled trial. Acupunct Med. 2016;34:257–66.
  3. Uğurlu FG, Sezer N, Aktekin L, et al. The effects of acupuncture versus sham acupuncture in the treatment of fibromyalgia: a randomized controlled clinical trial. Acta Reumatol Port. 2020;42:32–7.
  4. Karatay S, Okur SC, Uzkeser H, et al. Effects of Acupuncture Treatment on Fibromyalgia Symptoms, Serotonin, and Substance P Levels: A Randomized Sham and Placebo-Controlled Clinical Trial. Pain Med. 2020;19:615–28.
  5. Mist SD, Jones KD. Randomized Controlled Trial of Acupuncture for Women with Fibromyalgia: Group Acupuncture with Traditional Chinese Medicine Diagnosis-Based Point Selection. Pain Med. 2018;19:1862–71.
  6. Salazar AP de S, Stein C, Marchese RR, et al. Electric Stimulation for Pain Relief in Patients with Fibromyalgia: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Pain Physician. 2017;20:15–25.
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