Fitness Articles

Exercising with Fibromyalgia

The Best Exercises for People with Chronic Pain

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Fibromyalgia is a mysterious condition, characterized by long-term pain throughout the body. In many cases, it is accompanied by tenderness and swelling in the joints, muscles or other soft tissues (known as "tender points"). Fibromyalgia appears to affect the way the brain processes pain signals, lowering the threshold for pain and increasing sensitivity in people with the condition. While the exact cause of fibromyalgia is unknown, there are specific factors thought to trigger it. In some cases, symptoms begin after a physical or emotional trauma, infection or surgery. In other cases, symptoms build over time with no known cause. Fibromyalgia is most common in women between the ages of 20 and 50. In fact, 80% of people diagnosed with fibromyalgia are women.
 
Fibromyalgia Symptoms
Fibromyalgia is a syndrome—not a disease. A syndrome is defined as a group of signs and symptoms that together are indicative of a specific disease or disorder, but have no identifiable cause. Although the cause of the syndrome is unclear, the day-to-day effects for someone living with fibromyalgia can follow a very clear pattern. Flare-ups of symptoms come and go, more frequently for some people than others, and when they do, patients tend to wake up feeling stiff and sore. Some say the pain gets better as the day goes on but worsens at night. Others have pain throughout the entire day. Fibromyalgia pain can worsen with physical activity, changes in weather (cold and damp conditions are usually the worst) and stress.
 
A 2007 survey published in the journal BMC Musculoskeletal Disorders asked more than 2,500 participants who had fibromyalgia about their ability to perform daily activities. According to the survey:
  • 35% had difficulty completing normal activities of daily living
  • 55% reported having trouble walking two blocks
  • 62% found it difficult to climb stairs, and
  • 68% had trouble with light household duties.
Living with fibromyalgia is a real challenge. Because of the severity of symptoms, people with fibromyalgia tend to be less physically active than healthy people of the same age. But that doesn't mean that exercise is out of the question. Here's what you need to know about how exercise affects fibromyalgia symptoms—plus tips to maintain a consistent routine.
 
Exercise Can Be an Effective Treatment for Fibromyalgia
Although strenuous physical activity can worsen fibromyalgia symptoms during flare-ups, exercise is often the first line of treatment to help reduce the frequency of flare-ups. However, sticking to a consistent exercise routine can be difficult because of fibromyalgia symptoms. Before starting any exercise program, it’s important to get clearance from your doctor and ask for their recommendations about what exercise is safe and what you should avoid.   
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About The Author

Jen Mueller Jen Mueller
Jen received her master's degree in health promotion and education from the University of Cincinnati. A mom and avid marathon runner, she is an ACE-certified personal trainer, health coach, medical exercise specialist and behavior change specialist. See all of Jen's articles.

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