Does Compression Help Fibromyalgia?

Fibromyalgia is a chronic condition characterized by widespread pain throughout the body, often accompanied by profound fatigue, sleep disturbances, and cognitive issues sometimes referred to as “fibro fog.” Individuals with fibromyalgia may experience heightened sensitivity to pain, and symptoms can fluctuate in intensity due to stress or physical activity. While there is no known cure, various strategies focus on managing its diverse symptoms. This article explores whether compression therapy might offer relief for those living with fibromyalgia.

Understanding Compression Therapy

Compression therapy involves applying external pressure to a body part, typically using specialized garments or devices. This technique is widely used in medicine to improve blood flow, reduce swelling, and support the circulatory system. It works by gently squeezing the affected area, helping veins return blood to the heart and preventing fluid accumulation in tissues. Compression therapy is a common approach for conditions like chronic venous insufficiency, lymphedema, and deep vein thrombosis.

Potential Mechanisms for Fibromyalgia Relief

Compression therapy may offer symptom relief through several physiological pathways. Applying external pressure enhances blood circulation and supports lymphatic drainage, which helps reduce swelling some fibromyalgia patients experience. Improved circulation can also alleviate muscle soreness and fatigue, common complaints in fibromyalgia. This improved blood flow assists in removing waste products and ensures better oxygen delivery.

Another significant mechanism involves deep pressure stimulation (DPS), often experienced through compression. DPS provides firm, gentle, and consistent pressure that can help relax the nervous system. This sensation is thought to activate the parasympathetic nervous system, shifting the body from a “fight or flight” to a “rest and digest” state. Such activation may reduce stress hormones like cortisol and increase feel-good neurotransmitters like serotonin and dopamine, potentially modulating pain perception and improving mood. The proprioceptive input, or body awareness, provided by compression can also have a calming effect on the nervous system, assisting with sensory regulation.

Types of Compression and Application

Various forms of compression products are available, each designed to apply pressure to different body areas. Compression garments include socks, sleeves for arms or legs, gloves, and full-body suits. For instance, knee-high compression socks support the ankles, feet, and lower legs, promoting peripheral circulation. Compression sleeves can reduce inflammation and swelling in the upper body.

Weighted blankets also provide a form of deep pressure stimulation, mimicking the comforting feeling of being held. These blankets typically weigh between 5 and 30 pounds. When selecting compression wear, fit is paramount; garments should be snug but never cause pain, numbness, or changes in skin color. Compression levels are rated in millimeters of mercury (mmHg), with lower levels available over-the-counter and higher levels requiring a prescription.

Current Evidence and Important Considerations

Direct research on compression therapy specifically for fibromyalgia is limited, with no large-scale trials conducted. However, anecdotal reports and smaller observations suggest potential benefits, such as reduced muscle stiffness and pain. Compression is a low-risk intervention when used appropriately, and it can help with circulation issues some fibromyalgia patients face.

Compression therapy is a complementary approach rather than a standalone cure for fibromyalgia. It may provide relief from swelling and localized pain while also offering support during physical activity. Individuals considering compression therapy should consult a healthcare professional to ensure it is safe and appropriate for their specific condition, especially if they have pre-existing conditions like blood clots, severe vascular disease, or neuropathy, as compression may be contraindicated.