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Navigating Treatment Options for Fibromyalgia: What You Need to Know

Written by Dr Robert Laidlaw | Feb 19, 2026 5:27:08 AM

Here is a blog post drafted for your clinic, designed to be empathetic, authoritative, and focused on the specific insights from the Monash Health research.

Blog Post Title: Navigating Treatment Options for Fibromyalgia: What You Need to Know

Subtitle: Why the "Fibromyalgia Gap" explains your struggle to find relief—and how we can help you bridge it.

Living with fibromyalgia often feels like navigating a maze without a map. If you have ever felt like your treatment options are limited, expensive, or confusing, you are not alone. In fact, groundbreaking local research has confirmed exactly why so many Australians feel stuck between a rock and a hard place when managing their pain.

At our clinic, we call this the "Fibromyalgia Gap."

The Research: Validating Your Experience

Recent research led by Monash Health and Monash University has shined a spotlight on a critical issue in Australian fibromyalgia care. The study, which reviewed the medical charts of nearly 500 patients, uncovered a startling statistic: less than half of fibromyalgia patients are using evidence-based medications to manage their symptoms.

Why? The research points to a clear culprit: cost and accessibility.

The "gold standard" medications recommended for fibromyalgia (such as duloxetine, pregabalin, and milnacipran) are often not subsidised by the PBS for this specific condition. This leaves many patients facing steep monthly bills just to access the treatments that science says work best.

The Consequence: The Shift to Alternatives

Because of this financial barrier, the Monash researchers found that a vast majority of patients are forced to "fill the gap" themselves. Many turn to:

  • Over-the-counter painkillers (like paracetamol or ibuprofen), which often offer limited relief for nerve-based pain.
  • Complementary therapies and supplements.
  • Emerging treatments that aren't yet mainstream.

If you have found yourself experimenting with different supplements or seeking alternative therapies because standard prescriptions were out of reach or ineffective, you are not "non-compliant"—you are resourceful. You are doing what you need to do to manage a debilitating condition in a system that hasn’t quite caught up.

How We Help You Bridge the Gap

At our clinic, we believe you shouldn't have to navigate this gap alone. We know that "evidence-based" doesn't always mean "accessible," and "alternative" doesn't always mean "ineffective."

We position ourselves as a judgement-free zone for an open, informed conversation about all your options. Here is how we approach your care:

1. We Respect Your Budget

We understand that a treatment plan is only effective if you can afford it. We can help you weigh the cost-to-benefit ratio of non-subsidised medications versus other options, ensuring your money is going toward what gives you the most relief.

2. We Discuss Emerging Therapies

The landscape of fibromyalgia treatment is moving fast. From Low-Dose Naltrexone (LDN) to medicinal cannabis and new non-opioid therapies gaining traction overseas, we stay up-to-date on emerging options. We can discuss the current evidence for these treatments so you can make safe choices.

3. We Focus on Multidisciplinary Care

Medication is just one tool in the toolbox. The most robust evidence still supports a "whole-person" approach. We help you build a plan that includes:

  • Pacing and Graded Movement: tailored to your energy envelope.
  • Sleep Hygiene: addressing the non-restorative sleep that drives pain.
  • Nutritional Support: managing gut health and inflammation.

The Takeaway

The "Fibromyalgia Gap" is real, but you don't have to fall into it. Whether you are currently relying on standard medications, exploring supplements, or feeling lost in between, we are here to provide the map.

Let’s have an honest conversation about what is working, what isn't, and what is possible.

References & Further Reading

  1. Monash Health & Monash University Research: Warren, Z., et al. (2024). Patterns of pharmacotherapy for fibromyalgia in an Australian tertiary pain clinic. Internal Medicine Journal. 
  2. Rheumatology Republic: Under half of fibromyalgia patients use evidence-based drugs. (April 2024). Available at: rheuma.com.au
  3. Monash University News: New report reveals the silent health issues impacting Australia’s women and girls. (2025).