Ep 221 Why Opioids fall short for Fibromyalgia

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Opioids and Fibromyalgia: Understanding the Risks and Alternatives

In this episode of the Conquering Your Fibromyalgia podcast, the host delves into the complex and often controversial topic of using opioids for treating fibromyalgia. The discussion is anchored around a comprehensive review from the Mayo Proceedings and explores why opioids, despite being widely prescribed, are not effective for fibromyalgia patients and may even be harmful. The podcast also covers the mechanisms of fibromyalgia, how it differs from other pain disorders, and why alternative treatments such as FDA-approved medications, exercise, sleep management, and cognitive behavioral therapy are more effective. Listeners are encouraged to seek professional medical advice before making any changes to their treatment plans.

00:00 Introduction to Opioids and Fibromyalgia
01:23 Understanding Fibromyalgia and Opioid Use
03:18 Medical Guidelines and Opioid Efficacy
05:39 Neuroimaging Insights and Opioid Hyperalgesia
07:28 Expert Opinions and Alternative Treatments
08:28 Reasons for Continued Opioid Prescriptions
09:27 Psychological and Social Factors
10:26 Moving Forward: Multidisciplinary Care
12:14 Guidance for Current Opioid Users
16:24 Final Thoughts and Encouragement

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When I started this podcast—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That’s why I created this space: to offer education, validation, and hope. If you’ve been told fibromyalgia “isn’t real” or that it’s “all in your head,” know this—I see you. I believe you. You’re not alone. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you’ll find trusted, evidence-based insights here, drawn from my 28+ years as an MD.

Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace personal medical advice.*