Discover how acupuncture and Tuina medical massage can work together to relieve fibromyalgia pain, fatigue, and stiffness. Learn the science, benefits, and what to expect from these natural treatments.

Fibromyalgia is a complex condition causing widespread pain, fatigue, and sleep disturbances. While medications help some patients, many seek natural, drug-free therapies like acupuncture and Tuina massage for long-term relief.
But how do these treatments work? Can they be combined for better results? And which one is right for you?
In this comprehensive guide, we’ll cover:
✔ How acupuncture helps fibromyalgia (pain modulation, nerve regulation)
✔ The benefits of Tuina medical massage (muscle relaxation, circulation & more..)
✔ Scientific evidence supporting both therapies
✔ How combining them can enhance results
✔ What to expect in sessions
Understanding Fibromyalgia: Why Traditional Treatments Fall Short
Fibromyalgia symptoms include:
- Chronic muscle pain & tender points
- Fatigue & unrefreshing sleep
- "Fibro fog" (memory and concentration issues)
- Stiffness & headaches
Standard treatments (painkillers, antidepressants, physical therapy) may not work for everyone. Some pain killers and anti-depressants may cause side effects. That’s why acupuncture and Tuina massage are gaining popularity as holistic, evidence-based alternatives.
Acupuncture for Fibromyalgia: How It Works
Acupuncture involves inserting ultra-thin needles into specific meridian points to rebalance energy (Qi) and stimulate healing.
Science-Backed Benefits
- Reduces Pain Sensitivity – Stimulates endorphins and serotonin (natural painkillers).
- Calms the Nervous System – Helps reset central sensitization, a key factor in fibromyalgia pain.
- Improves Sleep & Fatigue – Regulates cortisol and melatonin levels.
- Decreases Inflammation – By lowering inflammatory markers linked to chronic pain.
Research:
- A 2020 BMJ Open study found acupuncture significantly reduced fibromyalgia pain.
- The Mayo Clinic recognizes acupuncture as a complementary fibromyalgia treatment.
What to Expect in a Session
- Evaluation (History & symptom assessment to locate the root cause of the condition.)
- Needle insertion (minimal discomfort)
- Relaxation in the treatment process as the energy is being stimulated.
- Recommended: 6 -14 sessions for optimal results and depending on chronicity.
Tuina Massage for Fibromyalgia: Deep Relief for Muscles & Joints
Tuina (pronounced twee-nah) is a Chinese medical massage that combines:
- Soft tissue manipulation ( to release muscle tension)
- Acupressure (stimulating acupuncture points by applying pressure)
- Stretching & joint mobilization of major joints.
How Tuina Helps Fibromyalgia
- Relieves Muscle Stiffness – Targets tight muscles all over the body.
- Improves Circulation – Flushes out toxins and reduces inflammation.
- Reduces Stress & Anxiety – Lowers cortisol, promoting relaxation and so much more..
- Enhances Mobility – Helps with the symptoms of fibromyalgia-related joint stiffness.
Research:
- A 2021 study in Pain Research and Management found Tuina reduces inflammatory markers.
- Evidence-Based Complementary Medicine (2019) reported improved sleep in chronic pain patients.
What to Expect in a Session
- Assessment of pain points & movement
- Hands-on techniques (kneading, rolling, acupressure, stretches)
- Post-session advice (stretches, lifestyle tips)
- Recommended: Weekly sessions for 4-6 weeks
Acupuncture vs. Tuina: Which Is Better?
Therapy
Acupuncture
Best For
Nerve pain, fatigue, sleep issues
How It Works
Needles stimulate meridians & nerves
Therapy
Tuina Massage
Best For
Muscle stiffness, circulation, stress
How It Works
Hands-on pressure & manipulation
Why Combine Both?
- Acupuncture targets deep nerve pain and systemic balance.
- Tuina relieves muscular tension and improves mobility.
- Together, they provide full-body pain relief with no drug side effects.
What Science Says About Combining Acupuncture & Tuina
- A 2017 study found that acupuncture + Tuina improved fibromyalgia symptoms better than either therapy alone.
- Patients reported less pain, better sleep, and reduced fatigue after combined treatment.
Ideal Treatment Plan
- Start with acupuncture (1-2x weekly as recommended) to regulate pain signals.
- Add Tuina massage (1x weekly) to release muscle tension.
- Maintenance phase (1-2/ month sessions) for long-term relief.
Potential Side Effects & Safety
Both therapies are low-risk when done by licensed practitioners.
Acupuncture:
✔ Mild bruising or dizziness (rare)
❌ Avoid if you have a bleeding disorder
Tuina Massage:
✔ Temporary soreness (like after a deep-tissue massage)
❌ Not recommended for severe osteoporosis or fractures
FAQs About Acupuncture & Tuina for Fibromyalgia
1. How soon will I feel the results?
- Some patients feel relief immediately after or within 1-2 sessions, but chronic cases may need 4-6 weeks.
2. Can I do both treatments on the same day?
- Yes! Many clinics offer combo sessions for enhanced effects.
3. Are these therapies covered by insurance?
- Some plans cover acupuncture (check your provider). Tuina is often out-of-pocket.
4. How long do results last?
- Pain relief can last weeks to months, with maintenance sessions recommended as well as lifestyle modification as recommended by the Practitioner.
Final Thoughts: A Natural Path to Fibromyalgia Relief
If you’re tired of relying on medications with side effects, acupuncture and Tuina massage offer a safe, holistic approach to managing fibromyalgia.
Next Steps:
- Find a licensed acupuncturist or Tuina therapist (look for fibromyalgia experience).
- Try a combination approach for best results.
- Support treatment with gentle exercise (yoga, swimming) and anti-inflammatory foods.
By integrating both acupuncture and Tuina, you can target fibromyalgia from multiple angles—reducing pain, improving sleep, and restoring mobility naturally.
Ready to get started? Book a consultation with a licensed practitioner today!
Sincerely, Yours in health!
Dr. Rosemarie 🙂