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Per Dr. Andrew Holman, fibromyalgia has many subgroups of patients. He states that "some fibromyalgia patients had enough cervical arthritis or bony abnormalities to in effect bruise the spinal cord in certain positions". Dr. Holman suggests that these patients should be "treated more like patients who had spinal cord injuries, using medicines that calmed overactive nerve fibers and reduced inflammation". One of the three approved medications for fibromyalgia - pregabalin (Lyrica) - does act in this fashion.