
Exercise is a vital component of managing fibromyalgia, offering significant improvements in both physical and mental health. Optimizing exercise routines for fibromyalgia management can lead to substantial benefits, such as reducing chronic pain, increasing energy levels, and improving mental health outcomes. Below, we explore the importance of exercise for fibromyalgia and highlight the types of exercises most beneficial for individuals with this condition.

Importance of Exercise for Fibromyalgia
Improvement of Quality of Life: Regular physical activity significantly enhances the quality of life for individuals with fibromyalgia, leading to overall well-being and reduced symptoms of fatigue and stiffness.
Reduction of Pain and Fatigue: Exercise effectively reduces pain and fatigue. Studies highlight that aerobic and resistance exercises improve physical endurance and strength, which are often compromised in fibromyalgia patients.
Psychological Benefits: Regular physical activity reduces anxiety and depression, common among fibromyalgia sufferers. Enhanced mental health contributes to better self-perception of health and improved daily functioning.
Physical Function and Strengthening: Aerobic and resistance training improve muscle strength, physical function, and sensitivity to pain, promoting greater independence and mobility in everyday activities.
Social Interaction: Participating in group exercise programs fosters social connections, which further enhance mental health and provide a support network.
Health Organization Recommendations: The European Alliance of Associations for Rheumatology (EULAR) strongly recommends exercise for its safety, accessibility, and cost-effectiveness in managing fibromyalgia.
Types of Exercises for Fibromyalgia
Aerobic Exercise: Aerobic activities, such as walking, cycling, and swimming, are highly recommended. These exercises reduce pain perception, enhance mental health, and improve overall quality of life. Studies demonstrate that consistent aerobic exercise significantly alleviates pain and fatigue. For instance, Couto et al. (2022) found that aerobic activities had profound benefits in reducing pain and improving mental health-related quality of life.
Resistance Training: Resistance exercises improve muscle strength and physical function while reducing pain. Starting with low-intensity sessions and gradually increasing intensity as tolerated ensures sustainability and effectiveness (Antunes & Marques, 2022).
Stretching Exercises: Stretching routines improve flexibility and reduce muscle tension. Although evidence suggests these exercises are less effective compared to aerobic and resistance training, they still contribute positively to symptom management (Forner-Álvarez et al., 2024).
Aquatic Exercises: Exercising in water—a buoyant and warm environment—minimizes strain on joints and muscles, making it an excellent option for individuals with fibromyalgia. Aquatic exercises have been linked to improvements in physical fitness and overall wellness.
Body-Mind Exercises: Practices such as yoga and Pilates combine physical movement with breathing and mindfulness techniques. These exercises are particularly beneficial for relaxation and stress reduction, key components in managing fibromyalgia symptoms.
Overall, a combination of these exercises tailored to individual abilities and preferences is recommended for optimal management of fibromyalgia symptoms.
Recommendations for Fibromyalgia Patients
Combining aerobic, resistance, and body-mind exercises tailored to individual preferences and physical capabilities ensures the most effective symptom management. Gradual progression and consistent routines promote adherence and long-term benefits.
Citations
Couto, N., Monteiro, D., Cid, L., & Bento, T. (2022). Effect of different types of exercise in adult subjects with fibromyalgia: A systematic review and meta-analysis of randomised clinical trials. Scientific Reports, 12, 10391. https://doi.org/10.1038/s41598-022-14213-x
Antunes, M. D., & Marques, A. P. (2022). The role of physiotherapy in fibromyalgia: Current and future perspectives. Frontiers in Physiology, 13, 968292. https://doi.org/10.3389/fphys.2022.968292
Forner-Álvarez, C., Zanón-Chanzá, C., Cuenca-Martínez, F., & Sempere-Rubio, N. (2024). Therapeutic exercise in fibromyalgia syndrome: A narrative review. Explor Neuroprot Ther, 4, 1–10. https://doi.org/10.37349/ent.2024.00067
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