Tricyclic antidepressants such as amitriptyline are useful in chronic tension-type headache, ﬁbromyalgia and muscle spasm associated pain. SSRIs improve pain, sleep, and sense of well-being.
Exercise is one of the most important aspects of the treatment of fibromyalgia. Exercises increase flexibility, improve function and also help in improvement of mood, self reliance and reduction of pain.
This focuses on stress reduction and other behavioral approaches to ease the pain and improve other symptoms. Stress reduction techniques, including cognitive-behavioral programs, meditation, progressive relaxation training, and biofeedback.
Other therapies include acupuncture that may relieve pain in both myofascial pain and fibromyalgia. Others include massage, transcutaneous electrical nerve stimulation, and ultrasound therapy.