i approach juvenile fm differently than i do the adults. i mainly try to "let kids be kids" and try to encourage activity and guide them without being too aggressive. if there is functional impairment or school disruption then i will treat more aggressively. most of the meds available are not indicated for people under the age of 18 but there are a number of meds that can be used acceptably off-label in younger patients. there are a number of other treatments including education physical therapy supplements cognitive behavioral retraining stretches and exercises that may help a younger person with fm. . [the] doctor who treats the fm would be able to review specific treatment options.
what are some general guidelines in treating a child who has fibromyalgia?