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Pain and Spine Medicine

Session: Use of Complementary Health Approaches in a Representative Sample of U.S. Adults with Fibromyalgia

Use of Complementary Health Approaches in a Representative Sample of U.S. Adults with Fibromyalgia

Thursday, October 23, 2025

5:00 PM - 6:30 PM MT

Location: Open Kiosks

Primary Author(s)

Kyle Agostini, Other

OMS-III
Campbell University School of Osteopathic Medicine
Holly Springs, North Carolina

Poster Presenter(s)

Abigaile Manzaro, Other

OMS-III
Campbell University Jerry M Wallace School of Osteopathic Medicine
Hickory, North Carolina

Co-Author(s)

MW

Mariah Walker, Other

OMS-II
Campbell University Jerry M Wallace School of Osteopathic Medicine
angier, North Carolina
Thomas M. Motyka, DO, MHPE, MSc, FACP (he/him/his)

Assoicate Professor and Chair of Osteopathic Manipulative Medicine
Campbell University
Buies Creek, North Carolina
Robert N. Agnello, DO

Assistant Professor of Family Medicine
Campbell University Jerry M Wallace School of Osteopathic Medicine
Spring Lake, North Carolina

Disclosure(s):

Kyle Agostini, Other: No financial relationships to disclose

Abigaile Manzaro, Other: No financial relationships to disclose

Thomas M. Motyka, DO, MHPE, MSc, FACP: No financial relationships to disclose

Robert N. Agnello, DO: No financial relationships to disclose

Background and/or Objectives: To determine the frequency of complementary health approach (CHA) use among U.S. adults with fibromyalgia syndrome (FMS).

Design: A cross-sectional online survey assessed demographic characteristics, health history, and CHA usage among 3,022 U.S. adults. Chi-square tests evaluated bivariate associations between FMS and CHA use. Logistic regression analyses (unadjusted and adjusted for demographics) measured the significance and magnitude of associations.

Setting : Participants voluntarily completed an online survey.

Participants : A quota-controlled, demographically representative sample of U.S. adults was recruited through Qualtrics, Inc.

Interventions: The presence or absence of FMS served as the primary independent variable or comparator for analyzing this cross-sectional data.

Main Outcome Measures: The use of thirty CHAs categorized into physical, psychological, combined physical/psychological, nutritional, and system-based groups was evaluated.

Results: Participants with FMS showed significantly higher odds of using nutritional (OR = 1.952, 1.077-3.536) and physical approaches (OR = 2.166, 1.506-3.113). Psychological (OR = 1.459, 0.935-2.278), combined (OR = 1.139, 0.762-1.701), and system-based (OR = 1.487, 0.891-2.479) approaches demonstrated higher but non-significant odds. Several individual CHAs within these non-significant categories did achieve significance, including guided hypnosis (psychological; OR = 3.466, 1.729-6.952), progressive relaxation (combined; OR = 1.656, 1.129-2.431), biofeedback (combined; OR = 2.090, 1.009-4.328), and naturopathy (system-based; OR = 2.769, 1.475-5.200).

Conclusions: Identifying the most frequently utilized CHAs among individuals with fibromyalgia can guide clinicians in symptom management, aligning with current therapeutic goals. Future research will include using a longitudinal design to infer causal relationships.