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.
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