Health Bulletin 1: Fibromyalgia

Health Bulletin 1: Fibromyalgia

Vitamin C and Muscle Pain

Patients diagnosed with fibromyalgia use many different complementary and alternative treatments. Since medications and surgery are rarely indicated, the use of safer (less toxic) alternatives has become widespread. Many patients will report trying different treatments, such as exercise programs, prayer, chiropractic and vitamin supplements.

Vitamins may offer an integral link to muscle pain and fibromyalgia symptoms in some patients. Long used by athletes to speed wound healing and recovery from work-outs, vitamin C has now caught the attention of researchers, who are trying to see how this vitamin works, and whether it is effective as a supplement for individuals with fibromyalgia.


Many times patients will take individual nutrients for particular symptoms, or because that was what was recommended by a doctor. Other times the nutrient is part of a larger regimen, including food and weight loss advice, other vitamins, minerals and herbs. Most patients take a variety of supplements.

One study of twelve fibromyalgia patients showed supplementing with vitamin C (500 mg daily) showed a 17-20% decrease in symptoms. Because Vitamin C, in particular, has little known toxic effects at high doses, a few to several grams can be recommended daily. The vitamin should be buffered to minimize stomach irritation. Bowel tolerance (loose stools) occurs when the body is saturated with the vitamin. One way to ingest buffered vitamin C, is to take one gram each hour until your tolerance is reached. That amount would then be the maximum dose for the patient. The dose should then be spread throughout the day. Taking vitamins with foods may also aid in their absorption.

Ask your health care provider about the different supplements you may be taking and your general diet. Getting your nutrition from whole foods is the best source for vitamins and minerals. Supplements should really be used to supplement a diet naturally rich in antioxidants, such as one with many daily servings of vegetables and fruits.

Sources: Mayo Clin Proc2005, 80(1) 55; Altern Med Rev. 2002, 7 (5) 389; Neurosurgery 1984; 14(2): 142; Altern Med Rev 2000, 5 (5): 455; Altern Med Rev 2001, 6(1):46