| The most effective treatment for fibromyalgia is | | | | Some activities are especially good for |
| exercise. Which seems totally weird, because | | | | fibromyalgia. Water aerobics and swimming are |
| most people with fibromyalgia hurt worse and are | | | | wonderful. The buoyancy of the water supports |
| more fatigued after exercise, and they may feel | | | | your sore muscles and allows you to exercise |
| that way for days. The key is the right amount | | | | with less pain. Swimming has a double benefit of |
| of the right kinds of exercise. | | | | gentle stretching along with aerobic exercise. |
| If you are new to exercising within the | | | | Tai Chi and Qi Gong and Yoga emphasize slow, |
| constraints of fibromyalgia, it may be helpful to | | | | gentle movements that are ideal for people with |
| enlist the help of a trainer, physical therapist or | | | | fibromyalgia. All three exercises include breathing |
| exercise physiologist to design a program | | | | and focusing, which decrease stress. You also |
| specifically for you. Every person with fibromyalgia | | | | learn to be aware of your body and learn to |
| has a different exercise capacity, so you need an | | | | recognize signs of stress. |
| individualized program. | | | | Pilates is another exercise system where you |
| Another important concept related to exercise is | | | | work with your body, stretching and toning it. |
| your “baseline.” Each person has a | | | | Pilates is a non-weight bearing exercise, like chair |
| different baseline. It is the level of exercise that | | | | aerobics. It is a gentle way to tone your body, |
| you can maintain over time. It does not mean | | | | and gentle is the word for exercising with |
| that you are pain-free, but that the pain | | | | fibromyalgia. |
| doesn’t interfere with your lifestyle. You also | | | | People with fibromyalgia can add some strength |
| need to remember that you’ll always have | | | | training slowly as they build up exercise tolerance. |
| good days and bad days. You don’t stop or | | | | Resistance bands provide plenty of strength |
| reduce your exercise because of a bad day. | | | | training for a while. Strength training must be |
| (Although you may reduce it for a while if you | | | | undertaken carefully and gently, and it might be |
| have a bad flare-up that lasts days or weeks.) | | | | wise to get help from an exercise professional |
| Exercise training for someone with fibromyalgia | | | | before adding it. There are many benefits to |
| begins with stretching. Stretching reduces the | | | | strength training, and it could be a very beneficial |
| stiffness and keeps ligaments and tendons from | | | | addition to your exercise, especially when you are |
| shortening over time. Stretching should be gentle | | | | feeling well. |
| and it should feel good. It is usually a good idea to | | | | Whether we are talking about exercise or sleep, |
| warm your muscles with mild aerobic activity, | | | | pacing and routine are important if you have |
| such as walking, for a few minutes before | | | | fibromyalgia. Going to bed and getting up at the |
| stretching. | | | | same time every day helps with sleep. Exercising |
| Daily low-impact, gentle aerobic exercise is the | | | | at the same time every day helps with exercise. |
| next step. Aerobic exercise has tons of health | | | | Your body begins to respond to routine. |
| benefits. It specifically helps reduce fibromyalgia | | | | Exercise must be paced, too. That means starting |
| symptoms because it improves flexibility, causes | | | | at a low level, increasing gradually, and |
| your body to release endorphins and other happy | | | | incorporating rest into your routine. You exercise, |
| chemicals and reduces stress. Walking and | | | | then rest, then exercise some more. Over time, |
| bicycling are excellent low-impact exercises. It is | | | | you can shorten the rest periods and/or lengthen |
| important to start at a level suitable to where | | | | the exercise periods. Rhythm and pacing make a |
| you are and increase your level of exercise | | | | big difference in how much exercise you can |
| slowly. If you get fatigued after five minutes of | | | | tolerate. |
| walking, start there and increase your time by a | | | | It is recommended that you consult your doctor |
| minute or two every week or two. | | | | before starting any new exercise regime. |