#backpainblog, #fibromyalgia, #health, #hip pain, #lowbackpain, #pain


According to The Sun Newspaper, there may be a new treatment for fibromyalgia which has just been given the green light for more research. This raises hopes for millions who suffer from this condition.

Fibromyalgia, which celebs Lady Gaga and Morgan Freeman live with, is as many sufferers know is an incurable condition. Treatments are managing the condition with the help of medication and lifestyle changes.

The new treatment is based on an unconventional method of helping patients how to “accept” their pain. The programme, created by Swing Therapeutics, involves “daily doses” of therapy on someone’s mobile phone over 12 weeks. Digital therapies can help people with chronic illnesses live their best lives. They are working on their first treatment aimed at the management of fibromyalgia, with other autoimmune and chronic pain conditions to follow.

At Swing, they are building digital solutions for chronic diseases with an evidence-backed approach, starting with fibromyalgia. The team is focused on increasing access to therapies for more people through the power of software-based treatments.

  • Developing engaging behavioral therapies using sophisticated software that fits into peoples’ lives.
  • Creating solutions that respond to the unique needs of each disease.
  • Collaborating with a global panel of experts, increasing patient access to cutting-edge research.

A “daily dose” might include a prompt for a mindfulness session or a short writing prompt.  The method is called acceptance and commitment therapy (ACT), which teaches patients to accept what is outside their control while focusing on the good things in life.

ACT therapy is unique in that it can be offered as either a short-term therapy or long-term therapy, depending on what your requirements are. ACT was created in the mid-1990s by Steven C. Hayes, Kelly G. Wilson, and Kirk D. Strosahl, and is based on Relational Frame Theory (RFT). This is a theory of human language and cognition that states that the rational skills the human mind has learned to solve problems with might work for some things, but don’t necessarily work for psychological problems.

Although it doesn’t target the actual pain, people who have used ACT have reported an improvement in their quality of life. On the back of such research, the US drug regulator (FDA) has approved for a digital version of ACT to be trialled faster.

It could mean Americans are able to start using the therapy on their phones, in the comfort of their own home, as early as next year. But the some two million Brits thought to have the condition may have to wait, as there does not appear to be a trial of digital ACT in the UK.

However, ACT is already used alongside cognitive behavioural therapy (CBT) for some patients, Fibromyalgia Action UK said. Chair Des Quinn said: “There have been as with other treatments mixed results from patients but we have some very positive accounts of it helping people. “Availability around the UK for ACT and CBT varies significantly.

“Using a phone as a delivery method is a new approach and we would like to see this being validated. But this approach would help make it available to more people potentially which would be a positive step.”

Given the huge waiting lists for free NHS services like CBT, Mr Quinn added: “We need new methods of supporting patients and evolutions like this are promising for all chronic pain patients if they are proven effective. “People with fibromyalgia need additional tools in their toolkit even if they only help with some aspects of the condition.”

The programme was based on one created by the University of Manitoba, Dakota, which patients did over eight weeks on a computer. It was shown to improve depression symptoms, sleep, pain perception, fatigue and psychological distress in 67 patients in 2018. At least 25 studies have been conducted on ACT generally.

A review of them found patients’ anxiety and depression linked to the condition was alleviated significantly more than typical treatments.

“What ACT does is it tries to help people accept those symptoms and things that are uncontrollable,” Mike Rosenbluth, the founder and CEO of Swing Therapeutics, said, according to TechCrunch. “It helps people think about their values — what is really important to them. And then they try to make behaviour-based changes aligned with those values.” 

Rosenbluth said there were clinical trials of the programme in the pipeline for later this year. It already has an ongoing study of 67 people and is recruiting 150 patients for another. The last stage trials – phase three – are expected to launch at the end of 2021, which will then be given to the FDA for approval as a new treatment.

The treatment would need to be approved by the UK regulator, the MHRA, in order for Brits to receive it.

Source: The Sun Swing Therapeutics, Harley Therapy

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