Fibromyalgia
Fibromyalgia is a long-term condition causing widespread pain, fatigue, and sleep problems. Guidelines highlight exercise and non-drug approaches, including warm-water therapy, as central to managing symptoms.

What is fibromyalgia?
Fibromyalgia is a long-term condition characterised by widespread musculoskeletal pain, often described as a constant dull ache affecting many areas of the body. It is thought to involve changes in how the nervous system processes pain signals, amplifying sensations.
Unlike arthritis, fibromyalgia does not damage joints or muscles, but it can significantly affect daily life through fatigue, poor sleep, and difficulty concentrating. With the right management, many people learn to reduce the impact of symptoms and stay active.
EULAR recommends individualised, graded exercise as the foundation of fibromyalgia management.
Signs and symptoms
Fibromyalgia affects people differently, and symptoms can fluctuate from day to day.
- Widespread pain across the body lasting several months
- Persistent fatigue and low energy
- Unrefreshing or disturbed sleep
- Difficulty concentrating, sometimes called 'fibro fog'
- Increased sensitivity to pain, touch, or temperature
- Stiffness, headaches, and low mood or anxiety
How physiotherapy helps
Exercise is the most strongly recommended treatment for fibromyalgia. EULAR (the European Alliance of Associations for Rheumatology) and World Physiotherapy support graded aerobic and strengthening exercise tailored to the individual, started gently and built up slowly to avoid flare-ups.
A physiotherapist also offers pacing strategies, relaxation techniques, and education to help you manage energy and pain. The aim is to improve fitness, sleep, and confidence in movement, which together can reduce the overall burden of symptoms.
The IMT thermal approach
Fibromyalgia is one of the conditions where thermal therapy has the strongest support. Balneotherapy and warm-water exercise in mineral pools have evidence for reducing pain and improving quality of life, with the warmth helping to relax muscles and make movement more tolerable.
At IMT, our multidisciplinary team combines sessions in the natural thermal waters with gentle, progressive exercise, relaxation, and education. The calm on-site setting and supervised drinking cure support better sleep and recovery, key goals in fibromyalgia care.
Comfort to move
The soothing warmth of the thermal pools can lower pain sensitivity, making it easier to begin and sustain the exercise that helps most.
What to expect
Your stay begins with a careful assessment of your symptoms, sleep, and activity levels. From there, our team designs an individualised plan that introduces gentle thermal and land-based exercise at a pace that suits you, all within a restful on-site thermal stay.
- Comprehensive assessment of pain, fatigue, and function
- Warm thermal-water sessions to ease pain and stiffness
- Gentle, gradually progressed exercise and pacing guidance
- Relaxation, sleep, and stress-management support
- A personalised plan to continue at home
When to seek care
If you have widespread pain, persistent fatigue, and disturbed sleep lasting several months, see a healthcare professional for assessment, as other conditions can cause similar symptoms. Seek prompt advice if symptoms change suddenly, become severe, or are accompanied by new swelling, weight loss, or significant low mood, so the right support can be arranged.
Sources
- EULAR recommendations for the management of fibromyalgia
- World Physiotherapy
- Mayo Clinic
- Cochrane Reviews on exercise and balneotherapy for fibromyalgia
This information is educational and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider about your individual condition.


