mPNS for Fibromyalgia

Fibromyalgia is a chronic pain syndrome marked by widespread musculoskeletal pain, fatigue, sleep disturbance, and cognitive symptoms. mPNS (magnetic peripheral nerve stimulation) is a noninvasive neuromodulation option that may help reduce pain and improve function as part of a multimodal fibromyalgia plan.

What is fibromyalgia?

Fibromyalgia is a centralized pain disorder characterized by widespread pain for 3 months or more, plus other symptoms (fatigue, unrefreshing sleep, cognitive complaints) without an alternative explanatory disorder. Pathophysiology involves central sensitization, altered pain processing, and neurochemical changes rather than only peripheral tissue damage.

Common symptoms

Widespread, persistent aching, burning, or deep musculoskeletal pain
Fatigue and low exercise tolerance
Sleep disturbance (nonrestorative sleep) and morning stiffness
Cognitive dysfunction (“fibro fog”): difficulty concentrating, memory lapses
Heightened sensitivity to touch, temperature, light, or sound; mood symptoms (anxiety, depression) often cooccur

How fibromyalgia affects daily life

Daily Function Limitations

Reduced mobility, disrupted sleep, and ongoing fatigue can make everyday tasks more difficult.

Sleep Disruption & Fatigue

Ongoing sleep loss and exhaustion that worsen pain and limit recovery

Cognitive Impairment

Difficulty with focus, memory, productivity, and driving safety

Emotional & Psychological Impact

Anxiety, depression, social withdrawal, and reduced quality of life

Common treatment options

Multimodal, individualized approach is standard. Treatment focuses on symptom improvement, function restoration, and relapse prevention rather than cure

Activity Management

Education, pacing, and graded exercise programs (aerobic + strength)

Medications for symptom control

Antidepressants (duloxetine, milnacipran),

Mind–Body Support

Cognitive behavioral therapy, pain coping strategies, and sleep hygiene

Nonpharmacologic therapies

physical therapy, aerobic conditioning, acupuncture, mindfulness, and multidisciplinary pain programs

What is mPNS

mPNS is a noninvasive therapy that delivers focused magnetic pulses over peripheral nerves to modulate abnormal pain signaling and reduce peripheral input that contributes to central sensitization.

Who may consider mPNS

Patients with fibromyalgia who have persistent pain limiting function despite standard measures, or who want to reduce medication load and add a noninvasive neuromodulation option. Clinical screening for contraindications (e.g., some implanted electronic devices) is required.

How mPNS can help Fibromyalgia

Reduces peripheral nociceptive drive and abnormal nerve excitability that can sustain central pain amplification

May lower pain intensity and improve tolerance for exercise and rehabilitation, supporting longterm symptom control

Offers a low systemic sideeffect profile compared with chronic medications and is needlefree and outpatient friendly

Best used as part of a multimodal program (exercise, sleep therapy, psychology, medication optimization)

Typical treatment course and what to expect

- Clinical evaluation to confirm fibromyalgia diagnosis and rule out other causes; mPNS is an adjunct, not a standalone cure
- Treatment commonly delivered across multiple sessions; many patients report gradual pain reduction and functional gains over days–weeks to months. Individual responses vary.
- Side effects are uncommon and typically mild (transient local tingling or soreness).

Schedule an evaluation

Schedule an evaluation with our experienced in neuromodulation and musculoskeletal care to see if mPNS is right for your chronic shoulder, neck, or back pain.