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painmoderate evidence

Fibromyalgia Pain Management

Published: Last updated:

Source: Clinical Research

Protocol for managing fibromyalgia symptoms using a combination of targeted tender point treatment and full-body PBM. The multi-modal approach addresses both localized pain points and the systemic nature of fibromyalgia.

Protocol Parameters

ConditionFibromyalgia
Wavelengths660nm, 810nm, 830nm, 850nm
Dosage4-6 J/cm² per tender point
Irradiance30-80 mW/cm²
Duration1-2 minutes per tender point, 20 min full body
Frequency3x per week for 8+ weeks
Body Zonefull body
Evidence LevelModerate

Mechanism of Action

PBM modulates central sensitization by reducing inflammatory mediators, improving mitochondrial function in muscle and neural tissue, and decreasing oxidative stress. Full-body treatment may also improve sleep quality and reduce fatigue through systemic effects.

Key Studies

  • Gur et al. (2002) - Laser therapy in fibromyalgia
  • Armagan et al. (2006) - PBM for fibromyalgia trigger points
  • de Carvalho et al. (2012) - PBM for fibromyalgia pain and quality of life

Treatment Tips

  • *Full-body panels are ideal for fibromyalgia (treat broadly)
  • *Start with lower doses and increase gradually
  • *Track symptoms with a daily pain diary
  • *Combine with gentle exercise, sleep hygiene, and stress management

Contraindications

  • !None specific beyond general PBM contraindications
  • !Be aware of photosensitizing medications often used in fibromyalgia

Research Basis

This content is informed by 47+ published peer-reviewed studies on photobiomodulation.