Pain relief for my fibromyalgia

Dear Ask The Doctor: When i was in 7th grade i was diagnosed with rheumetoid arthritis then after 20 yrs of knowing this my pcp ruled ra out and instead I was diagnosed with a severe case of fibromyalgia. I have been in massive pain for 26 yrs now. my doctor perscribed me with lyrica and it does not take any pain away. the pain i have is dibilitating. the only thing that works for me is xtra strength tylenol. but the problem is that i have to take around 9-12 500mg pills a day then i take tylenol pm so i can sleep..I know im killing my liver but i cant live with the pain. what else can i do?

Dear Brandy: Although there is no cure for fibromyalgia, home treatment can relieve some of the symptoms. The most important therapy for muscle pain is regular, low-impact exercise. Keeping muscles conditioned and healthy by exercising three times a week decreases the amount of discomfort. It is important to try low-stress exercises such as walking, swimming, water aerobics, and biking rather than muscle-straining exercises such as weight training. Besides helping with tenderness, regular exercises can also boost energy levels and help with sleep. No single treatment will take away all the symptoms associated with fibromyalgia. Besides “lyrica”, low doses of antidepressant medication may improve sleep and decrease pain as well as eliminate depression. Biofeedback and relaxation techniques: Besides lessening pain, these therapies also decrease the number of tender points. Acupuncture: Multiple studies have shown that acupuncture can decrease tender point pain. Tender point injections: Steroid or lidocaine injections into a painful area may provide temporary relief. Massage therapy: This can help relax and soothe painful muscles.