Chiropractic Benefits for Fibromyalgia

Fibromyalgia Syndrome (FMS) is a chronic condition characterized by widespread muscular pain and tenderness, along with a host of other disruptive symptoms. While the exact cause remains elusive, growing evidence points toward a complex interaction of neurological, musculoskeletal, and postural factors. This blog explores FMS from both a medical science perspective and the role spinal health may play in its development.

What Is Fibromyalgia Syndrome?

FMS is a long-standing condition that affects millions worldwide. According to the American College of Rheumatology, diagnosis generally requires tenderness in at least 11 of 18 specific points on the body in combination with widespread pain lasting three months or longer [1]. While fibromyalgia can sometimes be over-diagnosed, this tender point model remains a clinical reference.

Possible Causes of Fibromyalgia

The medical community has proposed several possible contributors to FMS, such as neurotransmitter imbalances, sleep disturbances, chronic stress, nutritional deficiencies, and postural dysfunction. A recurring theme in research, however, is the connection between posture, spinal health, and fibromyalgia symptoms.

The Role of Posture and the Cervical Spine

Several studies suggest that poor posture and cervical spine dysfunction may contribute significantly to the development and severity of FMS. Hiemeyer et al. observed that correcting posture led to a disappearance of tenderness at certain points [3]. Muller et al. found clinical and radiological disturbances of spinal posture in fibromyalgia patients, similar to those with chronic low back pain [4]. Buskila et al. reported that fibromyalgia was 13 times more frequent following neck injuries compared to leg injuries, highlighting a strong cervical connection [5].

These findings suggest that the neck and upper spine may play a pivotal role in triggering or exacerbating fibromyalgia symptoms.

Cervical Spine Dysfunction and Muscle Blood Flow

Another critical factor may be reduced blood flow in cervical and shoulder muscles. Larsson et al. proposed that chronic neck pain increases neuropeptide activity in the cervical medulla, impairing blood circulation and leading to painful muscle dysfunction [6]. Reduced microcirculation can trigger persistent spasms, worsening fatigue and pain.

This creates a cycle: poor posture → cervical dysfunction → reduced blood flow → increased pain → worsening posture.

Chiropractic Approaches to Fibromyalgia

While conventional treatments—such as medications, physical therapy, and exercise—provide mixed results, research suggests chiropractic care may benefit some patients. Blunt, Rajwani & Guerriero found chiropractic manipulation and stretching improved range of motion and reduced pain [7]. Hains & Hains reported significant improvements in pain intensity, sleep quality, and fatigue levels following chiropractic treatment [8]. Amalu documented up to 92–100% improvement in fibromyalgia and chronic fatigue syndrome patients after targeted upper cervical chiropractic care [9].

These studies highlight the potential value of addressing spinal alignment—particularly the upper cervical spine (C0-C1-C2 complex)—in managing fibromyalgia symptoms.

A Holistic View of FMS Management

Fibromyalgia is a multifactorial condition. Effective management may include a combination of:

• Gentle, low-impact exercise (yoga, swimming, walking)
• Sleep hygiene strategies
• Stress management and counseling
• Nutritional support
• Chiropractic or physiotherapy for spinal health
• Medication, as recommended by a physician

Since no single therapy works for everyone, many patients find relief through a personalized, multi-modal approach. 

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Find Relief With Elevate Chiropractic 

While fibromyalgia remains a challenging condition, research increasingly points toward a connection between cervical spine health, posture, and chronic pain syndromes. Addressing spinal dysfunction—particularly in the upper cervical region—may offer new hope for those struggling with FMS.

If you or a loved one is living with fibromyalgia and haven’t found relief through conventional approaches, it may be time to explore the role your posture and spinal health could be playing in your symptoms.

Take the first step toward a personalized plan and schedule a consultation today.

References

[1] Wolfe F, et al. "The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia." Arthritis & Rheumatism. 1990.
[2] Clauw DJ. "Fibromyalgia: A Clinical Review." JAMA. 2014.
[3] Hiemeyer L, et al. "Posture and Tender Points in FMS." Journal of Musculoskeletal Pain.
[4] Muller W, et al. "Postural Disturbances in Fibromyalgia and Low Back Pain." Scandinavian Journal of Rheumatology.
[5] Buskila D, et al. "Increased Rates of Fibromyalgia Following Neck Injury." Arthritis & Rheumatism. 1997.
[6] Larsson SE, et al. "Chronic Neck Pain and Muscle Blood Flow." Pain.
[7] Blunt KL, Rajwani MH, Guerriero RC. "Chiropractic Management of Fibromyalgia." Journal of Manipulative and Physiological Therapeutics.
[8] Hains G, Hains F. "Chiropractic Care in the Management of Fibromyalgia." Journal of Manipulative and Physiological Therapeutics.
[9] Amalu W. "Upper Cervical Chiropractic Care and FMS/CFS." Journal of Vertebral Subluxation Research.

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