Fibromyalgia Management at Active Health Clinic

Understanding Fibromyalgia

Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. Researchers believe that fibromyalgia amplifies painful sensations by affecting the way your brain processes pain signals.

Symptoms sometimes begin after a physical trauma, surgery, infection or significant psychological stress. In other cases, symptoms gradually accumulate over time with no single triggering event.

Women are more likely to develop fibromyalgia than are men. Many people who have fibromyalgia also have tension headaches, temporomandibular joint (TMJ) disorders, irritable bowel syndrome, anxiety and depression.

Symptoms

Widespread pain. The pain associated with fibromyalgia often is described as a constant dull ache that has lasted for at least three months. To be considered widespread, the pain must occur on both sides of your body and above and below your waist.
Fatigue. People with fibromyalgia often awaken tired, even though they report sleeping for long periods of time. Sleep is often disrupted by pain, and many patients with fibromyalgia have other sleep disorders, such as restless legs syndrome and sleep apnea.
Cognitive difficulties. A symptom commonly referred to as "fibro fog" impairs the ability to focus, pay attention and concentrate on mental tasks.

fibromyalgia management program at Active Health Clinic

Treatment modalities in fibromyalgia

Recommandations of the European League Against Rheumatism (EULAR)

Education & Self-Management: Patients should be informed about fibromyalgia, its symptoms, coping strategies, and available treatments to better manage their condition.
Multidisciplinary Care: Management should involve a team approach — rheumatologists, physiotherapists, psychologists, and other specialists working together.
Medications: Consider pharmacological options depending on symptoms:
Analgesics for pain relief
Antidepressants (duloxetine, milnacipran)
Anticonvulsants (pregabalin)
Physical Activity: Regular, tailored exercise programs are strongly recommended to improve function and reduce pain.
Psychological Therapy: Cognitive Behavioral Therapy (CBT) can help reduce stress, anxiety, and depression linked to fibromyalgia.
Sleep Management: Address sleep problems with hygiene strategies and, if needed, medication.
Complementary Therapies: Practices like acupuncture, yoga, mindfulness, and massage may help as adjuncts.
Regular Follow-Up: Continuous monitoring ensures treatment remains effective and adaptable.
Avoid Ineffective Treatments: Invasive or unproven therapies should be avoided.

Fibromyalgia Program at Active Health Clinic

At Active Health Clinic, we provide a comprehensive, multidisciplinary program for fibromyalgia, tailored to the complex needs of patients living with chronic widespread pain, fatigue, and functional limitations. Our approach integrates the latest scientific knowledge in pain neuroscience, rehabilitation, and lifestyle medicine to improve quality of life and long-term outcomes.

Our program combines:

Neuroscience-based patient education – helping patients understand pain mechanisms and how the nervous system processes chronic pain, fostering better self-management strategies.
Psychotherapy & Psychiatry – addressing the emotional and psychological dimensions of fibromyalgia, including stress, anxiety, and sleep disturbances, through cognitive-behavioral therapy (CBT) and when needed, medical support.
Physiotherapy & Physical Activity – gentle, graded exercise therapy, stretching, and mobility programs to improve endurance, muscle strength, and reduce symptom flare-ups.
Osteopathy & Manual Therapy – evidence-based techniques to relieve musculoskeletal tension, improve mobility, and support functional recovery.
Nutrition & Lifestyle Counseling – personalized dietary guidance, including anti-inflammatory nutritional strategies, weight management, and correction of deficiencies that may influence fatigue and pain perception.
Patient Support & Self-Management Tools – strategies to build resilience, optimize daily activity, and maintain long-term adherence to treatment.

Our goal is to provide a personalized, science-driven pathway that addresses fibromyalgia from every angle — physical, psychological, and lifestyle — so patients can reduce pain, regain mobility, and improve daily function.