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Orthogate
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Toronto, AL M5N 2M7
Ph: 416-483-2654
Fax: 416-483-2654
christian@orthogate.com






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I've been told I have fibromyalgia and that I need to exercise every day. But whenever I try to do anything, it just flares up my pain and other symptoms. I feel like I'm caught in a catch-22. How do other people with this problem manage?

If you've recently been diagnosed with fibromyalgia, it may be necessary to get control of your symptoms through medications and other forms of treatment before launching into an exercise program. Exercise is extremely important and a key feature in the successful treatment of fibromyalgia. But you may have to ease into it gradually. Many patients seek the help of a physical therapist who understands the nature of fibromyalgia and how to deal with it. Pool therapy may be a good place to start. The warmth of the water combined with the buoyancy helps reduce muscle tension, tenderness, and pain. In time, a dry land component can be added to include aerobics, endurance training, and flexibility. Pain can flare up in fibromyalgia patients with any amount of physical exertion. That's why it's important for your physician and physical therapist (as well as any other team members) to work together with you to find the best combination of treatments that will ease your symptoms and improve your function. When flare-ups occur (whatever the reason), exercise can be modified but shouldn't be stopped. Your therapist will help you figure out how to do this. The therapist may add other modalities to your program such as biofeedback and relaxation training, ultrasound, or electrical stimulation. At the same time, complementary care such as massage therapy, acupuncture, hynotherapy, and balneotherapy (bathing) can help reduce pain, improve function, and restore a sense of well-being. Don't give up when things don't seem to be improving. It takes time to find the right program of therapies that work with each patient. And even then, the physical, emotional, and psychologic needs of individuals change over time. This may mean your treatment program for fibromyalgia may have to change too. Don't let this push your panic button. Ride each new situation out like a wave. Symptoms will ebb and flow over time. Find what works for you, stick with it, and be prepared to modify or tweak your program as needed.

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