Fibromyalgia can cause widespread pain, fatigue, poor sleep, stiffness and difficulty concentrating. Symptoms may change from day to day, making it hard to judge how much activity is manageable.
There is no single exercise plan that suits everyone. Physiotherapy may help someone find a starting point that accounts for symptoms, confidence and current ability.
Finding a baseline
A baseline is an amount of activity that can be repeated without causing an unmanageable increase in symptoms. It may be shorter or gentler than expected at first. Once it feels consistent, activity can be reviewed in small steps.
What might a programme include?
- gentle mobility work
- low-impact aerobic activity such as walking or cycling
- light strengthening exercises
- relaxation and breathing practice
- pacing for household, work and leisure tasks
- a plan for difficult days and flare-ups
The NHS fibromyalgia guidance includes exercise among the main treatments and notes that the activity should suit the person’s preferences, health and ability.
Progress without rushing
Large increases can be difficult to sustain. It may be better to change one part of a programme at a time, such as duration, repetitions or frequency. Sleep, stress and other health problems can also affect symptoms.
When to speak to a doctor
New swelling, fever, unexplained weight loss, progressive weakness or a major change in symptoms should not automatically be attributed to fibromyalgia. Seek medical advice.
Ask about fibromyalgia rehabilitation
Crestwell Medical can help you plan movement around pain, fatigue and daily goals. Book an appointment to discuss fibromyalgia or chronic pain management.
This article is for general information and does not replace individual medical advice.
