Fibromyalgia & Chronic Pain LIFE Winter 2014, Issue 10 | Page 17

Self-Management Tools STAGE 1: STARTING ACTIVITY (OR FLARE RECOVERY) Breath, Posture, Flexibility and Relaxation T he fascia running throughout muscles surrounding FM tender-points become tight and short with lack of movement. When muscles stay short the body eventually shifts into abnormal posture. Over time, these postures can produce pain from positional imbalances. Typical FM ‘pain’ postures include shoulders held high and rounded forward, which constricts the chest and leads to restricted breathing. Likewise, a forward sliding head posture (neck shortened and ears not centered directly over the shoulders) puts great pressure on the neck muscles and radiates down to the upper back, which can increase tenderpoint pain in that area. Other postural imbalances can cause pain in knees, hips and back. One example includes unconsciously resting on one foot and locking out the knee when standing, leading to leg and hip pain. H ow to overcome these pain postures? Research at Oregon Health & Sciences University shows that using proper breathing, posture, flexibility and relaxation has significant beneficits for people with fibromyaigla and chronic pain conditions. A. WARM UP 5+ minutes 4. Change to marching forward and backward, 4 steps up and 4 steps back FM Modifications: Room temperature should be about 70 degrees - warmer than a typical fitness studio. Avoid overhead arm work and movements that keep limbs away from the body’s centerline for extended periods. Modify the movements to accommodate areas of pain on any given day. On flare day ̰