Parting the Clouds: Dealing with Fibro Fog

Parting the Clouds: Dealing With Fibro Fog

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  • What Is Fibromyalgia?

    What Is Fibromyalgia?

    According to National Institute of Arthritis and Musculoskeletal and Skin Diseases, fibromyalgia affects an estimated 5 million Americans 18 years or older. Middle-aged women account for 90 percent of those diagnosed.

    Fibromyalgia is a rheumatic chronic disorder that causes pain and tenderness in the joints and soft tissue. In addition to pain and fatigue, a common symptom is brain fog, often referred to as 'fibro fog.'

  • Symptoms of Fibro Fog

    Symptoms of Fibro Fog

    Fibro fog is the feeling of being in a haze. This and related symptoms can vary from mild to extreme and may occur on and off. Overstimulation, stress, poor sleep, and certain medications can cause them to worsen.

    Not every fibromyalgia sufferer will experience all fibro fog symptoms, which include:

    • forgetfulness
    • memory difficulties
    • decreased alertness
    • inability to focus/stay focused
    • confusion
    • lack of concentration
  • Take It From Someone Who Knows

    Take It From Someone Who Knows

    “I am the Post-it Note Queen. It is the only way I was able to function at work, when I was able to function. It made my boss crazy. She couldn’t understand why I needed so many notes, and notes on notes, and a big one-month calendar in front of me with everything posted.

    I just become overwhelmed by so many things. I need to remember [if I] did something, or just [thought I] did it. Lots of time for me is spent daydreaming about what I have to do when the pain is not too much. It’s small spurts of energy to get things done and then downtime lost in brain fog and exhaustion.”

    —Diane P, 55 years old

  • Prescribed Medications

    Prescribed Medications

    The United States Food and Drug Administration has approved three drugs for fibromyalgia. Pregabalin (Lyrica) has been approved and is a neuromodulator that blocks nerve fiber transmission. Neurontin falls into this same class of drugs.  Duloxetine (Cymbalta) and milnacipran (Savella) have also been approved for fibromyalgia. 

    Cyclobenzaprine and Amitriptyline are also used to try to improve the quality of sleep. Sleeping medications such as zolpidem (Ambien) are generally not used. Opiates are also not generally used.


  • Mental Exercises

    Mental Exercises

    According to the Fibromyalgia and Lupus Association, brainteasers such as crossword and jigsaw puzzles can help keep the brain active and decrease the symptoms of fibro fog.

    Games that require strategic thinking like Scrabble, chess, checkers, and bridge help flex your brain and get the blood moving.

  • Physical Exercise

    Physical Exercise

    Although it may seem contradictory, physical exercise can actually reduce pain and sensitivity, according to the Journal of Physical Activity & Health.

    Exercise helps re-establish the natural neurochemical balance of the body and increase your natural ‘feel good’ endorphins. This is helpful for fibro sufferers experiencing stress, anxiety, or depression.

  • Vitamin D

    Vitamin D

    Vitamin supplementation can help replace deficiencies that may be contributing to your condition. According to a report published in Clinical Rheumatology, research indicates that there is a possible link between fibromyalgia and vitamin D deficiencies.

    The report suggests that low vitamin D levels may lead to anxiety and depression.

  • Supplements


    Many over-the-counter (OTC) supplements may help ease the symptoms of fibro fog. Note that not all patients will have the same reaction to the following supplements. However, studies suggest that they may be helpful.

  • Magnesium & Amitriptyline

    Magnesium & Amitriptyline

    A magnesium deficiency causes low levels of the energy- carrying molecule adenosine triphosphate (ATP). This results in a multitude of symptoms, including cognitive impairment.

    According to a 2012 study published in Rheumatology International, patients who were given magnesium and the anti-depressant amitriptyline showed promising results. Magnesium supplements can cause adverse side effects, so consult with your doctor before using.

  • Acupuncture


    Acupuncture is an ancient form of Chinese healing.  According to a 2006 research study conducted by the Mayo Clinic College of Medicine, acupuncture helped improve the severity of fatigue and depression—two common symptoms of fibromyalgia.

  • Yoga & Mediation

    Yoga & Mediation

    According to a 2011 Canadian study, practicing yoga can increase cortisol levels. Higher cortisol levels can reduce pain and increase ‘mindfulness’ in female sufferers.

    Participate in at least two 75-minute yoga classes per week to gain the full benefits of yoga therapy.

  • Massage Therapy

    Massage Therapy

    The American Psychological Association (APA) promotes massage therapy to reduce stress, anxiety, and depression.  According to a study conducted by Australian Association of Massage Therapy, massage therapy may alleviate the physical and psychological symptoms of fibromyalgia. However, additional research is needed to prove its effectiveness.

  • Choosing Your Best Option

    Choosing Your Best Option

    The symptoms of fibromyalgia are as diverse as those who suffer from them. Unfortunately, there’s not a one-size-fits-all treatment for fibro fog.

    Your best option is to work with your doctor or health care team to identify which therapies will help ease your symptoms and allow you to function better on a daily basis.