Fibromyalgia and Physiotherapy: Strategies for Pain Relief
Living with fibromyalgia can be physically and emotionally exhausting. Characterised by widespread pain, fatigue, and tenderness, fibromyalgia affects millions of people, predominantly women, and often goes undiagnosed and misunderstood. While there’s no cure, physiotherapy offers highly effective, evidence-based strategies for pain relief and improved quality of life. This blog explores how physiotherapy can support those living with fibromyalgia and what you can expect from a tailored treatment plan.
Understanding Fibromyalgia
Fibromyalgia is a long-term condition that amplifies the way the brain and spinal cord process pain signals. People with fibromyalgia often experience:
- Widespread musculoskeletal pain
- Extreme fatigue
- Sleep disturbances
- Brain fog (“fibro fog”)
- Mood issues such as anxiety or depression
The pain and symptoms can vary from day to day, making it difficult to maintain daily routines or physical activity. This is where physiotherapy becomes an essential part of managing the condition.
How Physiotherapy Can Help with Fibromyalgia
Physiotherapy for fibromyalgia focuses on reducing pain, improving movement, and enhancing overall wellbeing. A physiotherapist works closely with each patient to create a personalised programme that evolves over time.
Here are some common strategies for pain relief used in physiotherapy:
1. Gentle Exercise Therapy
Low-impact activities such as stretching, walking, swimming, or Pilates can increase flexibility, reduce stiffness, and release endorphins which are your body’s natural painkillers. Your physiotherapist will guide you through safe movements that match your current energy and pain levels.
2. Pacing and Energy Conservation
Learning to pace yourself is crucial in fibromyalgia management. A physiotherapist can teach you how to balance activity and rest, helping to prevent symptom flare-ups.
3. Manual Therapy
Hands-on techniques such as soft tissue mobilisation or myofascial release can alleviate muscle tension and improve circulation, offering relief from chronic discomfort.
4. Postural Advice and Movement Education
Poor posture can exacerbate pain and fatigue. Physiotherapists provide guidance on ergonomics and proper body mechanics to support daily activities without strain.
5. Pain Management Techniques
These may include relaxation training, heat therapy, and education about how the nervous system processes pain, empowering you to better manage your symptoms.
Supporting Your Fibromyalgia Journey
We believe in a compassionate, holistic approach to fibromyalgia. Our expert physiotherapists work with you to develop sustainable strategies for pain relief, movement, and long-term wellbeing. You don’t have to face fibromyalgia alone. Support is here when you need it.

