Physical Therapy for Fibromyalgia: Managing Pain and Improving Mobility

• Plant it forward
• 0
• on Feb 10, 2025

Fibromyalgia is a chronic condition that causes widespread pain, fatigue, and tenderness in muscles and joints. While there is no cure, physical therapy can be an effective approach to managing symptoms, improving mobility, and enhancing overall quality of life.

A physical therapist from La Clinica SC says: As a physical therapy professional, I often recommend customized treatment plans for fibromyalgia patients to help them increase flexibility, reduce pain, and regain strength in a way that is gentle and manageable.

Why Physical Therapy for Fibromyalgia?

Fibromyalgia is a neuromuscular condition, meaning it affects both the nervous system and muscles. Physical therapy focuses on reducing pain by:

• Improving range of motion in stiff muscles and joints.
• Enhancing muscle strength to provide better support for the body.
• Encouraging gentle movement to prevent deconditioning caused by inactivity.
• Teaching proper posture and movement techniques to minimize strain on sensitive areas.
• Implementing pain management techniques like heat therapy and myofascial release.

Since fibromyalgia pain can fluctuate, working with a professional ensures a personalized approach that accommodates your current pain levels and long-term goals.

Effective Physical Therapy Techniques for Fibromyalgia

1. Gentle Stretching and Range of Motion Exercises

Fibromyalgia often causes muscle stiffness, making it harder to move freely. Gentle stretching exercises help relieve tension and maintain flexibility.

Recommended Stretching Exercises:

• Neck and Shoulder Rolls – Improves flexibility in the upper body.
• Seated Hamstring Stretch – Loosens tight leg muscles.
• Chest Opener Stretch – Helps with posture and breathing.
• Lower Back Stretch – Relieves discomfort in the lumbar region.

Performing these daily in a slow, controlled manner can gradually improve mobility.

2. Low-Impact Aerobic Exercise

While high-intensity workouts may exacerbate fibromyalgia symptoms, low-impact aerobic exercises can help reduce pain and stiffness over time.

Effective Low-Impact Activities:

• Walking: Helps with endurance without overstraining muscles.
• Swimming or Water Therapy: Reduces joint impact while improving strength.
• Cycling: Strengthens muscles while keeping pressure off joints.

Aerobic activity should be introduced gradually, starting with 5-10 minutes and increasing as tolerated.

3. Strength Training for Muscle Support

Many people with fibromyalgia experience muscle weakness due to inactivity caused by pain. Strength training can help by building muscle endurance and providing better joint support.

Best Strengthening Exercises:

• Bodyweight Exercises: Such as wall sits or modified push-ups.
• Resistance Bands: Gentle resistance training without excessive strain.
• Core Strengthening: Helps with posture and reduces lower back pain.

A lightweight, high-repetition approach is often best for fibromyalgia patients, as it minimizes muscle soreness.

4. Myofascial Release and Manual Therapy

Fibromyalgia is linked to tender points and muscle tightness, making manual therapy and myofascial release essential for relief.

Techniques Used in Physical Therapy:

• Soft Tissue Mobilization: Hands-on therapy to release muscle tension.
• Trigger Point Therapy: Targets specific pain points to improve circulation.
• Gentle Massage Techniques: Helps reduce stress and muscle stiffness.

These techniques should only be performed by a trained therapist to avoid overstimulating the nervous system.

5. Postural Training and Ergonomic Adjustments

Many fibromyalgia patients develop poor posture due to chronic pain. Improving posture helps reduce unnecessary strain on muscles and joints.

Postural Techniques:

• Standing and Sitting Alignment Correction: Reduces back and neck pain.
• Proper Sleeping Positions: To avoid morning stiffness.
• Ergonomic Workstation Setup: Adjusting chairs, desks, and screens to minimize discomfort.

Learning how to move and sit properly can significantly reduce daily pain levels.

6. Relaxation and Breathing Exercises

Fibromyalgia is often linked to stress and nervous system sensitivity. Relaxation techniques help regulate pain responses and improve sleep quality.

Helpful Techniques:

• Deep Breathing Exercises: Reduce muscle tension and improve oxygen flow.
• Progressive Muscle Relaxation: A guided technique to release tension in each muscle group.
• Mindfulness and Meditation: Helps manage chronic pain by promoting relaxation.

Integrating relaxation techniques into daily routines can enhance the effectiveness of physical therapy.

When to Seek Physical Therapy for Fibromyalgia

If fibromyalgia pain is affecting your ability to perform daily tasks, work, or enjoy life, physical therapy can be a valuable tool. Working with a therapist allows you to build a customized plan that evolves with your needs.

It may be time to seek physical therapy if you:

• Experience persistent muscle pain and stiffness.
• Have trouble moving or exercising without triggering a flare-up.
• Feel fatigued due to chronic pain.
• Want to improve strength, flexibility, and posture safely.

Expert Physical Therapy for Fibromyalgia at Chicago Physical Therapy

If you’re ready to explore physical therapy for fibromyalgia, contact Chicago Physical Therapist from La Clinica SC today to schedule a consultation and start your journey toward better mobility and pain relief.