Prednisone in treatment of fibromyalgia
by Nathan Wei, MD, FACP, FACR
Nathan Wei is a nationally known board-certified rheumatologist and author of the Second Opinion Arthritis Treatment Kit. It's available exclusively at this website... not available in stores.
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There is no role for the use of prednisone in treating fibromyalgia. Period.
Sometimes, steroid injections directly into a muscle spasm may sometimes be used when other treatments have failed. This is not recommended.
If a tender point must be injected, dry needlding or the use of a local anesthetic should be considered. Patients with myofascial pain may benefit from prolotherapy or Botox.
A study involving the use of systemic corticosteroids (prednisone 15mg daily) showed that there were no measurable improvements. Since side effects with such medication are usual, this approach is not desirable. If steroids were to produce an improvement, it would be sensible to question whether fibromyalgia was the correct diagnosis.
Clark S et al Double blind crossover trial of prednisone in treatment of fibrositis. J Rheumatol 1985;12 (5)pp980-983)
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