To manage fibromyalgia, it is necessary to retrain the brain to accept movement through gentle, progressive, daily practice in order to decrease the nervous system's hyper-reactivity to pain.

noli's read

The explanation provided regarding the mechanism of pain (a permanent alert system, central sensitization) is widely supported by current neuroscience, notably the concept of 'central sensitization,' where the nervous system amplifies pain signals. Meta-analyses, such as those published by Cochrane, confirm that progressive, supervised physical exercise is one of the most effective approaches for improving quality of life and reducing pain in individuals with fibromyalgia. The 'pacing' approach (advancing in small steps, without triggering crises) recommended by physical therapy aligns with clinical guidelines to avoid the pain-inactivity cycle. It is not an exaggeration to state that the pain is real and not imagined, which is validated by scientific literature on the neurology of chronic pain. The exercises proposed (gentle mobilization, rotation) are consistent with classic physical therapy practices aimed at maintaining mobility without overloading tissues. In short, the approach is very well-documented and cautious, emphasizing regularity over intensity.

the sources

1. 1Brinjikji W, Luetmer PH, Comstock B, et al. 2015
2. 2Hartvigsen J, Hancock MJ, Kongsted A, et al. 2018
3. 3Foster NE, Anema JR, Cherkin D, et al. 2018