Why is it hard to exercise with fibromyalgia?

Ask any physician what the best treatment is for fibromyalgia, and she will probably tell you to exercise! Although research consistently shows the benefits of aerobic exercise, most people with fibromyalgia don't exercise. Researchers from the Oregon Health & Science University recently reported that four in five people with fibromyalgia do no aerobic exercise.

An increase in soreness and fatigue was the most common reason given for not exercising. If people know that exercise is helpful for fibromyalgia but still don't do it, what's the problem? It's definitely not because they don't want to get better.

It's more likely because exercise is more difficult when you have fibromyalgia, for several reasons: During exercise, blood flow increases to muscles to bring important nutrients and remove wastes from the tissues. If wastes, such as lactic acid, build up in the muscles, anyone can develop exercise-related pain. Blood flow to the muscles during exercise is lower than normal in people with fibromyalgia, making exercise more painful.

Normally, exercise helps reduce pain by increasing pain-blocking brain chemicals, such as endorphins. However, these pain-blocking pathways are less active and less responsive in people with fibromyalgia, which is another reason why exercise may be more painful. People with fibromyalgia have reduced exercise tolerance.

They may have abnormalities in the autonomic nervous system, which controls heart rate and blood pressure, and this, in turn, increases fatigue. Hormonal factors may also play a role. For example, growth hormone helps repair the tiny muscle tears (muscle microtrauma) that occur with exercise.

The deficiencies in growth hormone associated with fibromyalgia may impair this repair mechanism.

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