Pain flare ups with fibromyalgia

I find there are a few reasons our bodies hurt, for me I’ve put them in to 3 categories:-

  • Psychological; for instance when I get stressed or I am under pressure, say from work, my brain then relays this into physical pain into my weak spots – my spine.
  • Not using pacing; doing too many activities and not resting enough, again my brain warns me by creating physical pain, mostly into my weak spots, my spine or all over aches and pains in my muscles or skin pain by touch, allodynia.
  • An injury, say from twisting my body or falling over.  I find that with fibro I hurt a lot by just simple acts I performed before I had fibro which might never have caused any lasting pain.

It’s important to understand which of these we feel during a flare up.  For example when I developed fibromyalgia and I didn’t know I had it and I was sure I had another serious problem with my back.  The pain was actually my heightened sensitivity to pain and the fact I was trying to undertake lots of activities such as before I had back surgery.  But when I learnt I had developed fibro I realised that my back did not need further investigation and that I had to learn to pace myself and I understood that my brain was increasing the pain signals through my nervous system instead of in a non fibro sufferer reducing the pain signals.  

An example would be falling and hurting your ankle with a sprain that Fibromyalgia could increase the pain and symptoms such as touch and to feel more like a break.  It took my sprained ankle 2 years to heal instead of a normal 3-9 months, even for a bad sprain!

Plus when you understand how pacing works, you can begin to understand your limits and reduce activities to a level that flare ups are rare and manageable.  Keeping logs and diaries are a great way to help you learn about your condition, body and reduce the boom or bust scenarios.  Please read here for more information. 


The above shows you how boom or bust works and learning to pace activities will help to reduce or even eliminate these.

Now I’m not an expert, I came home yesterday in tears as I pushed myself too hard this week at work.  I called my new manager and asked to come and see me this week as I needed to talk through my new role, his and my expectations and make it clear I will not risk my health for work.  He agreed and seemed generally caring, which is a start.

I have tried to deal with fibromyalgia by popping pain pills but this treatment does not work.  Eventually our brains get used to them and then you have to keep moving onto stronger medications.  I weaned off 5 tablets and now find that I deal with fibro much better by just taking them during flare ups, as they seem to actually work and the rest of the time I use a holistic approach, I’ll give you a brief run down of done of the things I use:-

  • Regular massage
  • Magnesium flakes in my bath
  • Mindfulness and meditation
  • Pacing, spreading out activities with regular rest
  • I use a hydraulic desk and spinal chair at work so I can work standing and sitting
  • Heat, I have hot water bottles everywhere
  • I take a varied amount of natural minerals and vitamins
  • I use positive affirmations all the time, by saying out loud positive things such as I love mornings, I am going to have a great day today
  • I use essential oils in a device click here

I am not sure where you are on your journey with fibromyalgia, but if you understand why you get flare ups and increased pain you can learn to reduce or remove these episodes. 

Pacing with fibromyalgia

I have kept diaries in the past to track pain which was hard to determine what caused it as I did not know I had fibromyalgia at that time.  Everything hurt like hell πŸ˜‚πŸ˜‚

I started to keep a Fibro diary about 3 months ago to see what caused pain and exhaustion to try to help me figure out what I could do and not have a Fibro attack, crash whatever you want to call it.

As part of my mindfulness course I am trying a new one which is a much better plan:-


This lists, activity, time taken, a rating for whatever you are tracking, mine is pain and exhaustion as separate ratings.  1 being minimal and 10 being extreme.  Then I log a physical tension rating and whether I perceive the activity as either an increase ‘+’ or decrease ‘-‘ or no change ‘0’.

The whole purpose of this is to try to see what activities increase pain, exhaustion and tension or whatever your scale is tracking, then to try to reduce the length of time by 20%, to try to reduce the boom, bust cycle, so the overdoing it then becoming ill, making myself incapable of activities until recovered. 
For example if sitting for 10 minutes is ok but more is painful, I just get up at 8 minutes and do something else for a period of time to reduce the chance of pain.

This is great in principle as it can help me plan my day better but presently it hurts to sit and stand at work and the more walking I do the more exhausted I get πŸ˜‚πŸ˜‚. Since adding the hot water bottle I can sit for longer.  So I have in fact found a compromise.

I am going to keep the diary for a few days until my next session to see what happens and see if I can change anything to ensure I don’t fall into the boom or bust cycle. 


There are some great tips on the 2 pictures above.  

I have even been using my mindfulness meditation at work at lunch time as I find it helps me control my exhaustion due to mental exhaustion.  I don’t even need to close my eyes anymore as I can do it staring at something with a soft focus.

The pain I have is lower back ache which has ramped up since I restarted my regular mindfulness yoga.  It’s just lactic acid building up in my body as I allowed myself to become immobile.  The more I exercise the stronger I will become and in the long term my pain will reduce.

I will never ever allow myself not to be able to exercise and I will not allow myself to get overweight as this would be irresponsible and showing contempt for my health and wellbeing.