There are various medical / conventional and naturopathic treatments available for both chronic fatigue and Fibromyalgia and however before treating either, it is very important to get to the root cause of these symptoms. Issues such as underactive thyroid, candidiasis and anemias should be ruled out and treated if they are part of the problem.

1. Conventional therapies
2. Naturopathic approach to fibromyalgia and chronic fatigue


Traditional treatments are geared toward improving the quality of sleep and reducing pain. Sleep disorders that frequently occur in FMS patients are treated first because they may be a strong contributing factor to the symptoms of this condition. Medications that boost your body's level of serotonin and norepinephrine (neurotransmitters that modulate sleep, pain, and immune system function) are commonly prescribed in low doses, such as amitriptyline, cyclobenzaprine and Cymbalta.

Ambien, Lunesta, clonazepam, and trazodone are just a few of the medications that may be used to aid sleep. Ultram may help with the pain, although stronger opioids may be needed for treating moderate to severe pain. Muscle relaxants, anti–epileptics (such as Neurontin and Lyrica) and other drug categories may be prescribed as well.

Professional Counseling

Consulting a trained professional will help most patients build effective coping skills. A supportive counselor can help you cope with the prospects of long–term illness, as well as the anxiety, depression, grief, anger and guilt that often accompany chronic illness. A competent therapist, using problem-solving techniques and standard psychotherapy and counseling methods, can help you work through these issues. In some cases, a therapist may recommend a combination of medication and psychotherapy.

Because chronic illnesses like Cronic Fatigue Syndrome (CFS) impact the entire family, not just the patient, you may want to consider family education and counseling. Consulting a behavioral health professional may be helpful to address changes in family dynamics related to living with CFS.

Cognitive Behavioral Therapy (CBT)

Cognitive behavioral therapy, or CBT, is often prescribed to help chronically ill patients cope with illness and develop behaviors and strategies that help alleviate symptoms. It has been successful in helping patients with cardiovascular disease, diabetes and cancer, and recent studies indicate that CBT can be useful in treating some CFS patients. CBT is frequently prescribed as part of therapeutic process; it helps patients learn to manage activity levels, stress and symptoms. Optimally, CBT can help you better adapt to the impact of CFS and improve your level of function and quality of life.

In addition to medications, most patients will need to use other treatment methods as well, such as trigger point injections with lidocaine, and other more natural therapies such as physical therapy, occupational therapy, acupuncture, acupressure, relaxation / biofeedback techniques, osteopathic manipulation, chiropractic care, therapeutic massage, or a gentle exercise program.


The Naturopathic approach to fibromyalgia and chronic fatigue at our clinic is based on first identifying the root / underlying cause that is causing these syndromes. The therapeutic interventions mentioned below are some of standard natural treatment options * that may be used if indicated with your health issues.

For a proper assessment and treatment, and to get a proper diagnosis of the underlying factors and related to your specific health concern, please call us at 416 913 4325 to schedule an initial naturopathic appointment. Alternatively, you can email us at to schedule a visit as well.

Here are simple natural health tips that may be helpful for Fibromyalgia and Chronic Fatigue Syndrome:


Increase your intake of water to at least 1.5 to 2 liters a day in order to improve elimination of toxins from the body as well hydrate the body.

Eliminate all food allergens from the diet. These can be identified by a simple blood allergy test provided at our clinic. The most common allergenic foods are dairy, soy, citrus, peanuts, wheat, fish, eggs, corn, and tomatoes. Try an elimination diet by removing the suspected allergens from the diet for two weeks. Reintroduce one food every three days. Watch for reactions such as gastrointestinal upset, mood changes, flushing, fatigue, and worsening of symptoms. A rotation diet, in which the same food is not eaten more than once every four days, may reduce sensitivities.

Decrease your carbohydrate intake, increase your intake of good quality protein and good essential fats in moderation. Yeast overgrowth in the body is quite often the cuplrit with Chronic fatigue syndrome, and a diet high in sugar and refined foods will worsen the symptoms.

Eliminate inflammatory foods such as refined foods, sugar, saturated fats (meat and dairy products), alcohol, and caffeine.

Eat whole foods such as vegetables, whole grains, fruits, protein, and essential fatty acids (cold-water fish, nuts, and seeds).

Physical therapy

Physical therapy such as massage threrapy and acupuncture treatments may be advised and beneficial for short term relief. A warm bath with epsom salts may also be beneficial to soothe and relax sore and aching muscles.

* DISCLAIMER: The information on this article is the property of Dr. Sushma Shah, Naturopathic Doctor, and is not intended to treat, diagnose or cure any diseases or promote any services or products mentioned on the website.

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