Adherence

Aerobic and strength training interventions significantly reduce pain, fatigue, and depression while improving physical function and quality of life in individuals with fibromyalgia.

Start with low-intensity aerobic or strength exercises 2-3 times a week. Focus on 'starting low and going slow' to avoid symptom flares. Gradually increase intensity by 10% every two weeks if no pain exacerbation occurs. Combine with education and stress management for best results.