Ep 221 Why Opioids fall short for Fibromyalgia

EPISODE · Sep 24, 2025 · 21 MIN

Ep 221 Why Opioids fall short for Fibromyalgia

from Conquering Your Fibromyalgia Podcast · host Dr. Michael Lenz MD

Text Dr. Lenz any feedback or questions Checkout the video here.Opioids and Fibromyalgia: Understanding the Risks and AlternativesIn this episode of the Conquering Your Fibromyalgia podcast, the host delves into the complex and often controversial topic of using opioids for treating fibromyalgia. The discussion is anchored around a comprehensive review from the Mayo Proceedings and explores why opioids, despite being widely prescribed, are not effective for fibromyalgia patients and may even be harmful. The podcast also covers the mechanisms of fibromyalgia, how it differs from other pain disorders, and why alternative treatments such as FDA-approved medications, exercise, sleep management, and cognitive behavioral therapy are more effective. Listeners are encouraged to seek professional medical advice before making any changes to their treatment plans.00:00 Introduction to Opioids and Fibromyalgia01:23 Understanding Fibromyalgia and Opioid Use03:18 Medical Guidelines and Opioid Efficacy05:39 Neuroimaging Insights and Opioid Hyperalgesia07:28 Expert Opinions and Alternative Treatments08:28 Reasons for Continued Opioid Prescriptions09:27 Psychological and Social Factors10:26 Moving Forward: Multidisciplinary Care12:14 Guidance for Current Opioid Users16:24 Final Thoughts and EncouragementClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That’s why I created this space: to offer education, validation, and hope.  If you’ve been told fibromyalgia “isn’t real” or that it’s “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you’ll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

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Ep 221 Why Opioids fall short for Fibromyalgia

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