Fibromyalgia Physiotherapy

Comprehensive Assessment: The first step in physiotherapy for fibromyalgia is a thorough assessment by a physiotherapist. This assessment includes an evaluation of the individual’s pain levels, physical limitations, posture, muscle strength, joint flexibility, and overall physical function.

Pain Management: Pain relief is a primary focus of fibromyalgia treatment. Physiotherapists use various techniques to help manage pain, including:

• Modalities: Heat, cold, ultrasound, and electrical stimulation may be used to alleviate pain and muscle tension.
• Manual Therapy: Techniques such as myofascial release and trigger point therapy can help reduce pain and muscle stiffness.
• TENS (Transcutaneous Electrical Nerve Stimulation): TENS units deliver low-level electrical impulses to block pain signals and stimulate the release of endorphins.
• Acupuncture or Dry Needling: Some individuals find relief from pain with acupuncture or dry needling techniques.

Exercise and Stretching: A tailored exercise program is crucial for individuals with fibromyalgia. It may include:

• Aerobic Exercise: Low-impact activities like walking, swimming, or stationary cycling help improve cardiovascular fitness and reduce pain sensitivity.
• Strength Training: Light resistance exercises targeting major muscle groups can help improve overall strength and function.
• Stretching: Stretching exercises can improve flexibility, reduce muscle stiffness, and enhance range of motion.
• Pilates or Yoga: These practices can improve posture, balance, and flexibility while promoting relaxation.

Posture and Body Mechanics: Physiotherapists educate individuals with fibromyalgia about proper posture and body mechanics to reduce the risk of exacerbating pain and fatigue during daily activities.

Sleep Management: Physiotherapists may provide guidance on sleep hygiene and suggest strategies to improve sleep quality, as sleep disturbances are common in fibromyalgia.

Energy Conservation Techniques: Managing energy levels and avoiding overexertion are essential. Physiotherapists can help individuals develop strategies to conserve energy and prevent exacerbation of symptoms.

Stress Reduction: Stress can worsen fibromyalgia symptoms. Relaxation techniques, such as deep breathing exercises and mindfulness, may be incorporated into treatment to reduce stress and improve well-being.

Patient Education: Education about fibromyalgia, including symptom management strategies, is an integral part of physiotherapy. Understanding the condition and learning to self-manage symptoms is empowering.

Gradual Progression: The physiotherapy program is designed to progress gradually, taking into account the individual’s pain threshold and overall condition.

Home Exercise Program: Individuals are typically given exercises and techniques to practice at home to maintain progress between physiotherapy sessions.

Multidisciplinary Care: Physiotherapy is often part of a multidisciplinary approach to fibromyalgia management. Collaboration with other healthcare providers, such as rheumatologists, pain specialists, and psychologists, may be necessary to address all aspects of the condition.