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Chronic pain

Fibromyalgia physiotherapy

Fibromyalgia is a real condition of widespread pain, tiredness and poor sleep. Gentle, graded exercise guided by a physio is the first-line treatment, and you set the pace.

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Understanding the condition

Fibromyalgia is a long-term condition that causes widespread pain, deep tiredness, unrefreshing sleep and trouble concentrating, often called fibro fog.1 It is a real illness, not something people imagine or cause themselves, and it affects about 2 in every 100 people, most often women aged 20 to 60.1 Researchers think the nervous system becomes more sensitive to pain signals (central sensitisation). Symptoms often rise and fall, with good days and flare-ups.

Physiotherapy centres on exercise. A European guideline gave exercise its only strong recommendation among therapies, citing its effect on pain, function and well-being, low cost and safety.2 Australian guidance says to start gently, build slowly and treat extra or unusual pain lasting over two hours after exercise as a sign to ease back.3 The same European guideline recommends against strong opioids, and notes most treatments have modest effects.2 Australia's national pain plan backs self-management within a whole-of-care approach.4

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Fibromyalgia physiotherapy

What to look out for, and how we help

Symptoms are a guide, not a diagnosis. Your GP confirms the diagnosis; our team helps you manage it day to day.

What you might notice

  • Widespread aching, burning or tender pain on both sides of the body that lasts for months
  • Deep tiredness that rest does not fix, and sleep that leaves you unrefreshed
  • Trouble concentrating or remembering things (fibro fog)
  • Stiff, sore muscles and joints, sometimes with tingling or numbness
  • Heightened sensitivity to touch, noise, light or temperature, and frequent headaches
  • Seek urgent medical review for new or unusual symptoms such as sudden severe pain, new weakness, fever, unexplained weight loss or chest pain (call 000 for chest pain), or if low mood or hopelessness feels overwhelming, and call 000 if you or someone you know is having suicidal thoughts and is in immediate danger

How our team helps

  • Assessment: a review of your pain, strength, fitness, sleep and daily demands, with clear communication to your GP, who confirms the diagnosis
  • Individual exercise programs: graded walking, low-impact aerobic work and strength training that start well below your limit and build slowly
  • Hydrotherapy: warm, supported water-based exercise when land-based movement feels too sore
  • Group classes: supervised group exercise for confidence, routine and company
  • Hands-on therapy: gentle techniques to ease muscle tension, used as an extra alongside exercise, not instead of it
  • Team coordination and reports: liaison with your GP, exercise physiologist, dietitian and pharmacist, plus reports for GPs, insurers and NDIS where needed

Your PDC care team

The teams and services that most often support people with this condition. They work from one shared plan, and one GP referral reaches all of them.

Allied health teams

Physiotherapy
Physiotherapy
Allied health team
Physiotherapy
Musculoskeletal treatment and rehabilitation to help you move better and manage pain.
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Exercise Physiology
Exercise Physiology
Allied health team
Exercise Physiology
Safe, effective exercise programs designed by Accredited Exercise Physiologists for chronic condition management.
Read more

Related services

Related conditions

Terms explained

Plain English explanations for this condition are being added.
See all conditions

Sources and clinical review

Our care follows the EULAR revised recommendations for fibromyalgia (2017) and Arthritis Australia exercise guidance (2024), within the National Strategic Action Plan for Pain Management.

  1. Healthdirect Australia. Fibromyalgia [Internet]. Healthdirect Australia; 2024 Aug [cited 2026 Oct 4].
  2. Macfarlane GJ, Kronisch C, Dean LE, Atzeni F, Häuser W, Fluß E, et al. EULAR revised recommendations for the management of fibromyalgia. Ann Rheum Dis. 2017;76(2):318-28.
  3. Arthritis Australia. Exercise and fibromyalgia [information sheet]. Arthritis Australia; 2024 May.
  4. Australian Government Department of Health. The National Strategic Action Plan for Pain Management. Canberra: Department of Health; 2021.
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Common questions

Is fibromyalgia real?
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Yes. Fibromyalgia is a real, recognised illness, and treatments are available. The pain, tiredness and poor sleep are genuine, not something you are imagining. Physiotherapy helps you build a plan you can manage on both good days and flare-up days.

What is the best exercise for fibromyalgia?
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There is no single best exercise. Walking, water-based exercise, tai chi, yoga and gentle strength work are commonly used. Start with much less than you think you can manage and build slowly. Your physio tailors the plan and helps you pace.

Do I need opioid medicines for fibromyalgia pain?
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European guidelines recommend against strong opioids for fibromyalgia because evidence of benefit is lacking and the risk of side effects and dependence is high. Talk with your GP or pharmacist before changing any medicine. Exercise is the first-line approach.

Can fibromyalgia be cured?
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Fibromyalgia is long term, so the aim is less pain, better sleep and more of the activity you value, rather than a cure. Gains are usually gradual and flare-ups can still happen. We plan how to pace through them and keep you moving.

Do I need a referral for fibromyalgia physio in Perth?
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No referral is needed for private appointments. With a GP Chronic Condition Management Plan, Medicare rebates apply to up to five eligible allied health services a calendar year. Private health extras may also contribute, and NDIS participants can use funding where physiotherapy is part of their plan.

Not sure where to start?

Tell us what is going on and we will point you to the right discipline, or to more than one. Most people start with a single appointment and leave with a plan the rest of the team can see.

Or go straight to a service

Phone (08) 6110 0570 · Medicare, NDIS, DVA and private options across our services

For GPs and health professionals

Referring a patient with this condition?

Send an online referral in under two minutes. One referral reaches every discipline at PDC Health Hub.