Keeping my carbs at 20-25, and cutting out all sugar, most dairy, all bread/potatoes/rice etc....has taken me from 4 flare ups a week....to 1 flare up every 2-3 weeks. I dont even know how to feel anymore. My migraines have diminshed some, but not hugely. I still have 'phases' where I have those. To be honest....I think sugar might be the culprit.......or it could be gluten, but whatever I've eliminated that works, I'm so thankful for it. It's good enough motivation to stay low carb forever. I'll also add that now, what was a nearly constant pain I worked though daily.......is harder now....cause I've kind of gotten used to not having it 24/7. Eh...

One problem with trying to help with fibro is that any given treatment Only helps 60%-70% of the afflicted population. (That's according to my fibro doctor, may his retirement give him the peace I haven't found while looking for another fibro doc. :-) :-\ ) This generally implies that the presented symptoms, while observably the same, most likely have different causes in different people - thus the frustration.

That said, I was put on the guaifenesin program by my doc. I can't tell if it helps the pain, but it does seem to help the muscle fatigue. (The muscles/joints don't hurt, per se, but movement feels like you're dragging yourself through quicksand...) There's some dispute about how it works, never mind if, and some of the aspects of it - the hyperness about salicylic acid, for one - seem a little over the top. Still, if it's helping me it might help others.

For pain management, I really haven't found much better than what I went on the first day it hit - tramadol, brand name ultram. I take ... I can't remember the pill dosage, but what works for me is taking it all the time - as in, a pill every 8 hours. I believe this to give me the most medicine level in my body, most consistently, with the least actual chemical and the least ebb and flow of pain. I learned the lesson about not taking it the night I went out to a friend's and didn't have my backup med bottle. :-( There are days when I don't feel it, and will forget a dose... but if I forget two in a row it's very sad. My husband can usually tell by my mannerisms if I've forgotten a dose even before I realize I'm starting to hurt again. :-)

I also have percocet for the really bad days, and trans dermal patches of pain reliever and anti-inflammatory, for when I can localize it enough to boost extra help that way. I wish there was transdermal muscle relaxant, as one of my primary problems and pain sources are chronically spasmed muscles.

OK I'll stop about myself. tl;dr : finding a lower dose of pain med AND remembering to take it round the clock to keep it maintained might help ease flares. Guaifenesin might help. Being able to target specific pains with other therapy (patches) can help. And having a large metaphorical stick for when nothing else works....

Keeping my carbs at 20-25, and cutting out all sugar, most dairy, all bread/potatoes/rice etc....has taken me from 4 flare ups a week....to 1 flare up every 2-3 weeks. I dont even know how to feel anymore. My migraines have diminshed some, but not hugely. I still have 'phases' where I have those. To be honest....I think sugar might be the culprit.......or it could be gluten, but whatever I've eliminated that works, I'm so thankful for it. It's good enough motivation to stay low carb forever. I'll also add that now, what was a nearly constant pain I worked though daily.......is harder now....cause I've kind of gotten used to not having it 24/7. Eh...

This ^^^^^
I also have Fibro and was diagnosed with it about 15 yrs ago or more, I lost track of the years. I can never understand when people speak of flare ups because my flare ups of pain never cease, depending what I am doing it is more severe. My poor puppy will be walking on the bed just a tiny maltese pup and touch my upper arm and the pain makes me yell aloud. The migraines,knots in the neck muscle are starting again along with severe insomnia and yet I still do low carb since March so nothing has changed, and I am glutton free,sugar free eat dairy mainly in my cheese,or Greek Yogurt. I do have occasionally a slice of weight watchers brown bread but never no more than 2 slices and never rice and seldom white potatoes. I am so sorry your suffering in pain people do not know how blessed they are who do not have this health issue. I do not know whether to call it a disease just like with RA I have severe spine pain. In my personal opinion hypothyroidism lead the way with Fibro and than Chronic Fatigue, no known cure for either but some people can manage their symptoms.