“Successful Management of Fibromyalgia Through Ayurveda - A Case Report”

Abstract

Background: Fibromyalgia (FM) is a chronic condition characterized by widespread musculoskeletal pain, fatigue, cognitive disturbances, and various somatic and psychiatric symptoms. The pathophysiology of FM remains unclear, and it is considered idiopathic. Despite the presence of soft tissue pain, there is no evidence of tissue inflammation. In India, the prevalence of FM is estimated to be around 2% in the general population. Ayurvedically, it is correlated with Kaphavruta Vata, presenting with symptoms such as sandhi Ruja (joint pain), gati Sanga (impaired gait), and body stiffness.

Objective: To evaluate the efficacy of Ayurvedic treatment in a chronic case of fibromyalgia using the Revised Fibromyalgia Impact Questionnaire (FIQR) as an outcome measure.

Clinical Findings: A 76-year-old male patient with a 6-year history of fibromyalgia presented with generalized joint pain, body stiffness, and gait disturbance. Based on Ayurvedic diagnosis, the condition was identified as Kaphavruta Vata. Treatment was initiated with procedures aimed at removing Avarana (obstruction), followed by Vatahara Chikitsa.

Outcome: The patient underwent Ayurvedic therapies targeting both Avarana and Vata. Significant improvement in clinical symptoms was observed, with marked relief in pain, stiffness, and gait. Post-treatment assessment using the FIQR demonstrated a considerable reduction in the impact score, indicating clinical efficacy.

Conclusion: This case report highlights the potential of Ayurvedic management, particularly Avarana Removal followed by Vatahara Chikitsa, in providing symptomatic relief in fibromyalgia. The improvement in FIQR scores post-treatment underscores the effectiveness of a classical Ayurvedic approach in managing this chronic condition.