IV Lidocaine Infusion
A specialist infusion delivered in a monitored setting that aims to calm nerve sensitivity and reduce pain amplification in selected patients with wide spread or neuropathic pain.
Ketamine Infusion
A consultant supervised infusion that targets pain processing pathways and may help selected patients with persistent neuropathic pain central sensitisation or difficult to treat wide spread pain.
Trigger Point Injection
A targeted injection into painful muscle knots that may help reduce local muscle driven pain improve movement and reduce flare up triggers in selected patients.
Overview
Fibromyalgia treatment aims to address the complex pattern of wide spread pain, fatigue, poor sleep, and increased sensitivity that can affect daily life. In fibromyalgia and other sensitisation based pain patterns, the nervous system may become over responsive, which means pain signals are amplified and normal sensations can feel uncomfortable or distressing.
This can lead to a cycle of poor sleep, reduced activity, flare ups, and increasing sensitivity over time. A specialist approach to fibromyalgia treatment helps identify whether symptoms fit a fibromyalgia pattern, a neuropathic pain pattern, or a mixed picture where muscles, joints, and nerve sensitivity are all contributing.
Who this treatment helps
Fibromyalgia treatment may help people with:
- Wide spread body pain affecting daily life
- Poor sleep and persistent fatigue
- Flare ups triggered by activity, stress, or poor rest
- Muscle tension and tender areas
- Symptoms of pain amplification or nerve sensitivity
- Limited benefit from previous medication or supportive care
A consultant assessment helps clarify the pattern of symptoms and identify which treatment options are most appropriate.
Fibromyalgia treatment assessment
Your care begins with a detailed consultation that focuses on both symptoms and function. The aim is to understand how pain, sleep, activity tolerance, and daily routine are interacting.
- Review of symptom history, onset, triggers, and flare up pattern
- Discussion of sleep, fatigue, concentration, and daily activity tolerance
- Review of current medications and previous treatments
- Examination of tender areas, muscle tension, and movement patterns
- Review of relevant tests or imaging already completed
- Consideration of other conditions that may mimic wide spread pain
If needed, your consultant may recommend further investigations or liaise with other specialists to build a clear understanding of your overall health picture before recommending treatment.
What treatment may involve
Fibromyalgia treatment often works best as a combined approach. Depending on your symptom pattern, your consultant may recommend:
- IV lidocaine infusion when nerve sensitivity and pain amplification are prominent
- ketamine infusion in selected cases where central sensitisation or neuropathic pain features are significant
- trigger point injection when muscle knots and myofascial pain are contributing
- Medication review and optimisation where appropriate
- Pacing strategies and sleep support
- Referral to physiotherapy or multidisciplinary support when needed
The aim is to use the least invasive options that may provide meaningful benefit while supporting longer term progress.
What to expect during the procedure
If an infusion or injection based treatment is recommended, your consultant will explain the process in detail. In general, treatment may involve:
- Consultant review and confirmation of the treatment plan
- Preparation and baseline checks before treatment
- Careful delivery of infusion or targeted injection treatment
- Monitoring during and after the procedure where needed
- Discharge planning with follow up advice
The exact steps depend on the treatment selected and your overall health needs.
After the procedure
Recovery varies depending on the treatment used and your pattern of symptoms. Some people notice early change, while others improve more gradually over time.
- A short period of rest may be advised after treatment
- Gradual return to activity is usually recommended
- Pacing strategies can help reduce flare ups
- Sleep support and follow up review may be important parts of recovery
Your consultant may adjust the plan over time based on your response and goals.
Benefits
- More accurate understanding of the pain pattern
- Targeted treatment matched to symptom drivers
- Potential improvement in pain, sleep, and activity tolerance
- Support for pacing, recovery, and daily stability
- Personalised care focused on long term function
Possible risks and side effects
Any infusion or injection based treatment carries some risk, although serious complications are uncommon when care is provided by experienced clinicians.
- Temporary soreness or discomfort after treatment
- Temporary increase in symptoms during recovery
- Medication related side effects depending on the treatment used
- Bruising, bleeding, or infection, which are uncommon
- No meaningful improvement in some cases
Your consultant will explain the expected benefits, possible risks, and likely alternatives before treatment is carried out.
When to consider other options
If symptoms do not improve or if another condition is suspected, further assessment may be needed. In some cases, rehabilitation, medication adjustment, sleep focused support, or wider multidisciplinary care may be more helpful than procedure based treatment alone.
Safety note
Please inform your consultant if you take regular medication, have allergies, diabetes, bleeding disorders, active infection, are pregnant, or have other significant medical conditions. This helps ensure fibromyalgia treatment is planned safely and appropriately.
Book a consultation to discuss personalised fibromyalgia treatment options and whether IV lidocaine, ketamine infusion, or trigger point injections may be suitable for you.
You can also explore our pain treatments, learn more about related care within our specialist services, or view supportive options for chronic depression treatment.