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Fibromyalgia

Fibromyalgia is a long-term condition that causes widespread musculoskeletal pain, fatigue, and increased sensitivity to pressure in different parts of the body. Although the condition does not cause permanent tissue damage, it can significantly affect daily activities, sleep quality, and mental wellbeing. Physiotherapy plays an important role in managing fibromyalgia by reducing pain, improving mobility, and helping patients regain energy and function.

Vineet Bansal
Medically Reviewed By
Vineet BansalCLINICAL DIRECTOR / PRINCIPAL MUSCULOSKETAL & SPORTS PHYSIOTHERAPIST
Fibromyalgia

What is Fibromyalgia?

Fibromyalgia is a chronic condition characterised by widespread pain in muscles, tendons, and ligaments throughout the body.

The name fibromyalgia comes from three words:

  • Fibro – referring to fibrous tissues such as tendons and ligaments
  • My – meaning muscles
  • Algia – meaning pain

People with fibromyalgia often experience persistent pain and tenderness in multiple areas of the body, particularly around the:

  • Neck
  • Shoulders
  • Back
  • Hips

Unlike many other musculoskeletal conditions, fibromyalgia does not cause permanent damage to joints or tissues, but it can significantly affect quality of life due to chronic pain and fatigue.

Many individuals with fibromyalgia also experience sleep disturbances, cognitive difficulties, and sensitivity to pressure.

How Does Fibromyalgia Happen?

The exact cause of fibromyalgia is not fully understood. However, research suggests that the condition may be related to changes in how the brain and nervous system process pain signals.

Several factors may contribute to the development of fibromyalgia.

Nervous System Changes

People with fibromyalgia may have increased levels of certain chemicals in the brain, such as substance P, which amplifies pain signals.

At the same time, lower levels of serotonin, a chemical involved in mood and pain regulation, may reduce the body's ability to control pain.

Sleep Disturbances

Poor sleep quality can increase pain sensitivity and contribute to fatigue and muscle pain.

Stress and Trauma

Physical or emotional stress, trauma, or injury may trigger the onset of fibromyalgia symptoms.

Infection or Illness

Certain infections or illnesses may also contribute to the development of fibromyalgia in some individuals.

Heightened Sensitivity

People with fibromyalgia often experience increased sensitivity to pain, pressure, light, and noise, which can worsen symptoms.

What Are the Symptoms of Fibromyalgia?

Fibromyalgia can cause a wide range of symptoms that vary in severity from person to person.

Widespread Pain

Persistent aching, burning, or tenderness in muscles, tendons, and joints.

Commonly affected areas include:

  • Neck
  • Shoulders
  • Back
  • Hips

Fatigue

Many individuals experience extreme tiredness even after adequate rest.

Cognitive Difficulties

Often referred to as “fibro fog”, this may include:

  • Difficulty concentrating
  • Memory problems
  • Reduced mental clarity

Additional Symptoms

Other symptoms may include:

  • Headaches
  • Pins and needles
  • Dizziness
  • Irritable bowel syndrome (IBS)
  • Sensitivity to light or noise
  • Mood changes such as anxiety or depression
  • Sleep disturbances

Symptoms may fluctuate, with some periods being more severe than others.

What Should I Do If I Have Fibromyalgia?

If you experience persistent widespread pain, fatigue, or other symptoms of fibromyalgia, it is important to seek professional medical advice.

A healthcare professional may perform:

  • Medical history evaluation
  • Physical examination
  • Tests to rule out other conditions

Although fibromyalgia cannot currently be cured, effective management strategies can significantly improve quality of life.

Physiotherapy is commonly recommended to help improve mobility, reduce pain, and increase physical endurance.

At ACE Physio Sports – Singapore, physiotherapists provide personalised rehabilitation programmes tailored to each patient’s needs.

Physiotherapy Treatment for Fibromyalgia

Physiotherapy is an evidence-based approach for managing fibromyalgia symptoms.

Following a comprehensive assessment, physiotherapists at ACE Physio Sports – Singapore develop an individualised treatment plan to support recovery and improve daily functioning.

Treatment may include:

Gentle Exercise Therapy

Low-impact exercise helps improve muscle strength, flexibility, and endurance.

Examples include:

  • Walking
  • Gentle strengthening exercises
  • Light cardiovascular training

Exercise programmes are gradually progressed to avoid symptom flare-ups.

Stretching Exercises

Stretching improves muscle flexibility and reduces tension in painful areas.

Soft Tissue Therapy

Massage and manual therapy techniques help relieve muscle tightness and improve circulation.

Hydrotherapy

Water-based exercises can reduce pressure on joints and allow comfortable movement.

Pain Relief Modalities

Physiotherapists may use modalities such as:

  • Heat therapy
  • Cryotherapy
  • Electrical stimulation

These treatments help reduce pain and muscle tension.

Relaxation and Stress Management

Relaxation techniques help reduce stress levels, which can worsen fibromyalgia symptoms.

Postural Education

Improving posture can reduce strain on muscles and joints.

Lifestyle and Activity Advice

Physiotherapists provide guidance on:

  • Sleep habits
  • Activity pacing
  • Diet and lifestyle management

These strategies help manage symptoms and improve energy levels.

What Should I Avoid With Fibromyalgia?

Certain habits may worsen symptoms or trigger flare-ups.

Avoid:

  • Overexertion during exercise
  • Sudden increases in physical activity
  • Poor sleep habits
  • High levels of stress
  • Ignoring symptoms for prolonged periods

Balancing activity with adequate rest is important for managing fibromyalgia effectively.

Can There Be Long-Term Effects?

Fibromyalgia is a chronic condition, meaning symptoms may persist over time.

However, many individuals can significantly improve their quality of life through appropriate treatment and lifestyle management.

Without proper management, fibromyalgia may lead to:

  • Reduced physical activity
  • Chronic pain
  • Emotional stress
  • Reduced work capacity

Physiotherapy can help patients manage symptoms, improve physical fitness, and maintain independence.

Why Choose ACE Physio Sports

ACE Physio Sports – Singapore provides specialised physiotherapy treatment for chronic pain conditions, musculoskeletal injuries, and rehabilitation.

Our experienced physiotherapists design personalised rehabilitation programmes to help patients manage fibromyalgia symptoms and improve daily functioning.

Patients benefit from:

  • Experienced physiotherapists
  • Personalised treatment plans
  • Evidence-based rehabilitation techniques
  • Sports and musculoskeletal specialists
  • Modern physiotherapy facilities

Our East Coast Road clinic serves patients from nearby areas including:

  • Marine Parade
  • Katong
  • Joo Chiat
  • Siglap
  • Bedok
  • Telok Kurau

We help patients improve mobility, reduce pain, and regain confidence in daily activities.

Book an Appointment

To arrange an appointment, please call +65 81535374 or visit acephysiosport.com.

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