 [ Symptoms ] what are some general guidelines in treating a child who has fibromyalgia [ Disease ] 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