Fibromyalgia is a complex and often overwhelming chronic pain disorder—one that affects far more than the muscles and joints. Many people live with widespread pain, persistent fatigue, and cognitive fog that make even simple tasks feel exhausting. What makes fibromyalgia especially challenging is how misunderstood it has been for decades. Patients are frequently told their symptoms are “in their head,” despite experiencing very real disruptions in their nervous system, sleep, and daily life.

At Medici Orthopaedics & Spine, we understand the frustration, the uncertainty, and the emotional toll this condition can bring. Our team is committed to compassionate, multidisciplinary care—rooted in modern, minimally invasive, and drug-conservative treatments. Our mission is simple: to help you regain comfort, mobility, and the quality of life you deserve.

Understanding Fibromyalgia

Fibromyalgia is characterized by chronic, widespread musculoskeletal pain that affects both sides of the body, often from head to toe. But the pain itself is only part of the story.

A major driver of fibromyalgia is a phenomenon known as central sensitization, where the nervous system becomes overly reactive and amplifies normal pain signals. In other words, pain pathways fire more intensely than they should—even without significant inflammation or tissue damage.

Because this heightened sensitivity affects the entire body, fibromyalgia can also interfere with:

• Sleep quality, leaving people feeling unrefreshed
• Mood regulation, contributing to anxiety or depression
• Daily function, reducing stamina and limiting movement

Common Symptoms

While fibromyalgia affects everyone differently, several symptoms are especially prevalent:

• Widespread pain and tenderness throughout muscles, joints, and soft tissues
• Chronic fatigue that does not improve with rest
• “Fibro fog,” which includes problems with memory, focus, and thinking
• Sleep disturbances, including difficulty staying asleep or waking frequently
• Heightened sensitivity to touch, sound, temperature, or even emotional stress
• Co-existing conditions, such as migraines, irritable bowel syndrome (IBS), and TMJ disorders

These symptoms often fluctuate, causing what patients describe as “flare-ups” that can make daily activities unpredictable.

Causes & Contributing Factors

Fibromyalgia does not have a single known cause, but research continues to highlight several contributing factors:

• Nervous system hypersensitivity: The brain and spinal cord amplify pain signals.
• Genetic predisposition: It tends to run in families.
• Hormonal imbalances: Disruptions in neurotransmitters like serotonin or norepinephrine may play a role.
• Stress, trauma, or prior injury: Emotional or physical trauma can trigger or worsen symptoms.
• Autoimmune relationships: While fibromyalgia is not an autoimmune disease, it often occurs alongside autoimmune disorders, suggesting shared pathways of inflammation or nerve dysregulation.

Understanding these factors helps guide a more personalized, effective approach—one that focuses on calming the nervous system, restoring mobility, and supporting long-term stability.

Core Treatment Options for Fibromyalgia at Medici

Physical Therapy & Myofascial Release

Movement is one of the most powerful tools for fibromyalgia relief, but it must be approached with care and precision. Medici’s physical therapy team specializes in restoring ease of movement while reducing pain flare-ups.

Key therapeutic goals include:

• Restoring mobility: Gentle, guided exercises help improve joint motion and reduce stiffness.
• Reducing muscle tension and trigger points: Hands-on myofascial release can soften tight tissues and calm overactive pain receptors.
• Neuromuscular re-education: Teaching the body how to move with better control and less strain supports long-term symptom relief.
• Improving posture and movement quality: Correcting mechanics reduces stress on sensitive tissues and enhances daily function.

This approach is foundational for restoring confidence in movement and reducing the unpredictable flare-ups many patients experience.

Interventional Spine & Pain Treatments

When fibromyalgia pain becomes overwhelming or highly localized, targeted interventional treatments can offer much-needed relief. These minimally invasive options are designed to regulate abnormal nerve signaling and decrease hypersensitivity without the downtime associated with surgery.

Medici offers:

• Trigger point injections: Focused relief for tight, tender muscle knots that perpetuate pain.
• Nerve blocks (as indicated): Temporarily interrupt pain pathways to calm overactive nerves.
• Other minimally invasive procedures: Designed to rebalance nerve activity and support improved mobility.

These interventions blend seamlessly with physical therapy and lifestyle adjustments, creating a stronger path toward long-term improvement.

Regenerative Medicine Approaches

For some patients, chronic inflammation or underlying joint and soft tissue dysfunction can intensify fibromyalgia symptoms. Medici’s regenerative medicine options aim to support the body’s natural healing processes when structural issues are contributing to pain.

Benefits include:

• Supporting tissue healing: Promotes recovery in strained or damaged tissues.
• Reducing chronic inflammation: Helps decrease the irritability of nerves and muscles involved in fibromyalgia pain.
• Enhancing mobility when structural issues coexist: Particularly beneficial for patients with arthritis, previous injuries, or joint instability.

While regenerative medicine is not a cure for fibromyalgia itself, it can be an extremely helpful component when musculoskeletal issues are part of the pain picture.

Medication Management 

Medici prioritizes the least drug-dependent approach possible, recognizing that long-term success for fibromyalgia rarely comes from medication alone. When medications are used, they are carefully selected and closely monitored to ensure they support—not overshadow—functional recovery.

Our philosophy includes:

• Non-opioid strategies: Safer options that reduce the risk of dependency.
• Balancing symptom relief with long-term wellness: Each prescription is chosen with the goal of improving quality of life without sacrificing health or mobility.

Medications are treated as a supportive tool—not the foundation of care—empowering patients to gain lasting improvement through a more holistic and personalized plan.

Spinal Cord Stimulation 

For patients struggling with severe, persistent pain that has not responded to more conservative treatments, Spinal Cord Stimulation (SCS) may offer meaningful relief. This minimally invasive therapy uses a small device to gently modulate nerve activity in the spine, helping the nervous system interpret pain signals differently.

Key benefits include:

• Reducing widespread pain: The device alters pain signaling pathways, often leading to significant reductions in overall discomfort.
• Support for treatment-resistant cases: Ideal for patients whose symptoms remain intense despite medication, therapy, and injections.

SCS is not needed for every fibromyalgia patient, but for the right individual, it can be life-changing—restoring energy, mobility, and daily function.

Hyperbaric Oxygen Therapy (HBOT)

Fibromyalgia often involves decreased oxygenation in tissues and chronic inflammation. Hyperbaric Oxygen Therapy (HBOT) addresses this by increasing the amount of oxygen delivered to the body under controlled pressure.

Potential advantages include:

• Increasing oxygen delivery for tissue repair: Enhanced oxygen levels support healing and improve cellular function.
• Benefits for fatigue and brain fog: Many patients report improved clarity, focus, and energy levels.
• Reducing inflammation: Oxygen-rich environments can help calm irritated nerves and tissues associated with fibromyalgia flare-ups.

HBOT is a gentle, non-invasive way to support the body’s recovery at a foundational level.

Massage Therapy & Sports Massage

Massage therapy is more than relaxation—it’s a strategic component of fibromyalgia care when performed by therapists trained in pain-sensitive conditions.

Benefits include:

• Improving circulation: Better blood flow supports tissue healing and decreases muscle tension.
• Reducing pain and stiffness: Gentle, targeted techniques help soften painful areas without triggering flare-ups.
• Supporting stress management: Massage promotes deep nervous system relaxation, which is essential for individuals with heightened pain sensitivity.

This therapy works best alongside physical therapy and other interventions, creating a balanced approach to muscular and nervous system relief.

Prolotherapy & Other Injection-Based Therapies

While fibromyalgia itself is a neurological condition, many patients also experience joint instability or connective tissue weaknesses that worsen pain. Prolotherapy and related injection therapies can help strengthen these structures.

Key therapeutic goals include:

• Strengthening ligamentous structures: Injections encourage natural tissue repair in weakened areas.
• Reducing pain associated with instability: When joints are supported more effectively, surrounding muscles and nerves experience less strain.

For patients with coexisting structural issues, prolotherapy can significantly complement other components of their fibromyalgia treatment plan.

Take the First Step Toward Real Fibromyalgia Relief

Living with fibromyalgia can feel isolating—especially when your symptoms are misunderstood, minimized, or dismissed. If you’ve spent years searching for answers or trying treatments that never seemed to make a real difference, please know this: your pain is real, your experience is valid, and you deserve a team that truly listens.

At Medici Orthopaedics & Spine, we believe that relief is possible with the right approach. Our minimally invasive, multidisciplinary model is designed to support your whole health—nervous system, muscles, sleep, stress response, and daily function. Every patient receives a personalized plan tailored to their unique needs, goals, and lifestyle.

We invite you to schedule a consultation and take the first step toward reclaiming your quality of life. Let our team help you find clarity, relief, and the support you’ve been searching for.

Medici Orthopaedics & Spine

📞 Main Contact: +1-844-328-4624
🌐 Website: https://www.mediciortho.com/

Ambulatory Surgery Centers:
• Marietta – 792 Church Street, Unit 101, Marietta, GA 30060 — (470) 795-8398
• Snellville – 2220 Wisteria Dr, Unit 100, Snellville, GA 30078 — (470) 795-8398

Clinics:
• Kennesaw – 2911 George Busbee Parkway, Suite 50, Kennesaw, GA 30144 — (770) 545-6404
• Snellville – 2220 Wisteria Drive, Unit 101, Snellville, GA 30078 — (470) 645-9297
• Buckhead PM&R – 3200 Downwood Circle, NW, Suite 520, Atlanta, GA 30327 — (770) 872-7549