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Chiropractic Care and Improvements in Fibromyalgia and Pelvic Nerve PainFibromyalgia can affect much more than muscles and joints. People with the condition may experience widespread pain, extreme fatigue, poor sleep, difficulty concentrating and changes in mood. A case report published in the Asia-Pacific Chiropractic Journal on November 1, 2026, described a 32-year-old woman with fibromyalgia and pudendal neuralgia who experienced improvements in numerous areas of her health while receiving chiropractic care.
The woman had been diagnosed with fibromyalgia about 15 months earlier and had recently been diagnosed with pudendal neuralgia, a condition involving irritation of a nerve that serves the pelvic and genital region and can cause significant pelvic pain. She was experiencing widespread body pain, severe fatigue, brain fog and depression despite sleeping 10 to 12 hours each night. She also reported abdominal pain, chronic diarrhea, bladder and pelvic pain, ringing in one ear, difficulty breathing comfortably while sitting upright, neck and shoulder stiffness, low back pain and occasional numbness in her toes.
Her chiropractic examination revealed restricted and painful neck movement, postural imbalance, uneven weight distribution, balance problems and other neurological findings. The chiropractic evaluation also identified an upper cervical subluxation. She began a course of chiropractic care directed primarily toward improving upper cervical and nervous system function. The goal was not to treat fibromyalgia or pudendal neuralgia directly, but to reduce subluxation and support better overall nervous system function and quality of life.
Changes were reported within the first several weeks. By her sixth visit, pelvic pain had improved noticeably. At the 12th visit, she reported better energy, strength, mood, breathing, flexibility, exercise tolerance and mental clarity. Her fatigue had improved enough that she was able to go out more, while abdominal pain and diarrhea had disappeared at that point. Neck and shoulder discomfort, low back pain, bladder pain and inner-thigh pain had also decreased. Objective examination findings, including posture, leg balance and neck movement, improved at the same time.
By the 24th visit, her neck movement was full and pain-free, bowel function had normalized, jaw pain had resolved and she reported no longer experiencing depressive episodes. At the 36th visit, fatigue and brain fog were substantially improved, low back and jaw pain had resolved, digestive symptoms had become rare and pelvic and bladder pain were markedly reduced. A questionnaire used to measure her overall symptom and functional burden improved from 46 out of 70 at the beginning of care to 8 out of 70 at the 36th visit. She also reported improved sleep, mobility, mood and social life and had returned to activities such as Pilates and yoga.
This case involved only one person, so it does not prove that chiropractic care will produce the same results in everyone with fibromyalgia or pudendal neuralgia. Still, the widespread improvements in pain, fatigue, digestion, mood, pelvic symptoms and overall quality of life experienced by this woman are noteworthy, particularly because care was directed mainly toward the upper cervical spine rather than toward many of the areas where her symptoms were being experienced. For people living with complex, chronic health problems, this case offers hope that correcting subluxations and improving nervous system function may positively influence the way the body adapts, functions and experiences pain. |