FibromyalgiaPain, Fatigue and Function
Long‑term pain sensitivity with fatigue and sleep disruption—learn symptoms and how physiotherapy supports confidence and activity.
What is fibromyalgia and how does physiotherapy help?
Fibromyalgia is a condition of altered pain processing and sensitivity. It commonly includes widespread pain, fatigue, non‑refreshing sleep and cognitive fog. Symptoms vary and can flare with stress, sleep changes or activity spikes.
Physiotherapy focuses on education, pacing, sleep support and a gradual activity plan that restores strength, stamina and confidence. Many people improve function and quality of life with a personalised, step‑wise approach.
What are the symptoms?
Common features
- Widespread pain and tenderness
- Fatigue and non‑refreshing sleep
- Muscle stiffness, especially in the morning
- “Brain fog” or concentration difficulties
Functional limitations
- Pacing household, work and social activity
- Consistency with walks or exercise
- Confidence with busier days and travel
Related symptoms: Fatigue, Muscle stiffness, Concentration difficulties, Headaches
Understanding fibromyalgia
Common drivers and links
- Sleep quality and stress strongly influence symptoms
- Load spikes or long periods of inactivity can both flare pain
- Coexisting conditions such as headaches, IBS or mood changes are common
Imaging and tests
There is no single scan or blood test for fibromyalgia. Diagnosis is clinical. Tests may be used to rule out other causes when indicated.
Can you manage fibromyalgia at home?
Yes—start small and build consistency. Pair light movement with sleep and stress strategies, and use a flare plan.
Weekly progression example
- Week 1–2: 5–10 min walks most days + gentle mobility, aim for regular sleep/wake times
- Week 3–4: add 2x/week light strength (sit‑to‑stand, wall push‑ups, bands)
- Week 5+: gradually increase time/reps by ~10%/week if symptoms stay manageable
When should you seek help?
- Symptoms interfere with work, self‑care or sleep despite simple changes
- Significant mood changes or fear of movement limiting activity
- You want a tailored plan and support progressing safely
Accessing care in the UK
Access physiotherapy via GP referral on the NHS, or directly through private clinics (often faster access). Your GP can also support sleep, mood and medication review where appropriate.
FAQs
Should I avoid exercise?
No. Start small and build gradually. Consistency beats intensity. Your physiotherapist will tailor a tolerable plan.
Is pain damage?
Not necessarily. With fibromyalgia, sensitivity plays a big role. We guide safe progress without chasing pain.
Do I need scans?
Usually not. Scans rule out other causes when indicated, but do not diagnose fibromyalgia.
How can physiotherapy help?
Care balances pacing with gradual exposure to activity. We pair movement you enjoy with sleep strategies and flare planning to build sustainable routines.
Core components
- Education on pain, pacing and flare management
- Gentle mobility and walking plan
- Gradual strengthening (2–3×/week)
- Sleep and stress strategies
Effective treatments
Education
Pacing, sleep and flare planning.
Exercise therapy
Gentle mobility and progressive strengthening.
Manual therapy
Adjunct for comfort as indicated.
Lifestyle
Walking plan, stress and routine building.
Medical Disclaimer
This information is for educational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider for diagnosis and treatment.