Fibromyalgia

Predominant in young and middle-aged women, Fibromyalgia syndrome (FMS) is a musculoskeletal system disorder characterized by chronic pain and tender points. Tender points are specific places on the neck, shoulders, back, hips, arms, and legs. These points hurt when pressure is put on them.

Other symptoms may include:

• Stiffness
• Fatigue
• Sleep Disturbance
• Headache
• Depression
• Impaired Muscular Performance
• Difficulty with Concentration and Memory (called Fibro Fog).

Due to the lack of understanding of its cause and how the disease effects the body (the pathophysiology), several treatment modalities such as antidepressant therapy, biofeedback, aquatic and land exercise have been suggested. Several studies have reported that exercise programs are helpful with the recovery of function and a decrease in pain.

Physical therapists can be a valuable resource and many have extensive knowledge regarding rehabilitation of patients with Fibromyalgia.

Possible Treatments

• Aerobic/Endurance Exercise 
• Core Strengthening 
• Cryotherapy or Cold Therapy 
• Electrotherapeutic Modalities
• Heat Pack 
• Posture Training 
• Physical Agents
• Soft Tissue Mobilization 
• Stretching/Flexibility Exercise 

Possible Treatment Goals

• Improve Fitness
• Improve Function
• Improve Muscle Strength and Power
• Increase Oxygen to Tissues
• Improve Proprioception
• Improve Range of Motion
• Improve Relaxation
• Self-care of Symptoms
• Improve Safety
• Improve Tolerance for Prolonged Activities

Additional Resources

• Fibromyalgia from Medline Plus
• Fibromyalgia Network
• National Fibromyalgia Association