Fibromyalgia

Exercise acts in fibromyalgia through various mechanisms, including promoting endogenous opioid secretion, alleviating central sensitization, improving sleep quality, and reducing depression and anxiety. The exercises with the highest level of evidence are aquatic aerobic exercise (heated pools) and walking. Resistance training (strength training) is also effective in reducing pain, but lifting heavy weights from the start can worsen symptoms. Studies also suggest that Tai Chi and yoga are beneficial for improving flexibility and reducing stress. The key principle is to maintain an intensity where pain does not worsen after one day compared to before starting. In Korean traditional medicine, appropriate exercise is recommended based on the principle that "movement facilitates the circulation of Qi and blood." However, since overwork depletes the body's fundamental energy, gentle movements that gradually circulate Qi and blood are more suitable than vigorous exercise for those who lack internal fluids and tire easily. At Dongjedang, we advise combining light stretching and breathing exercises after myofascial tension has been released following acupuncture or moxibustion treatment. We also teach circulation stimulation techniques that can be done at home, such as acupressure to strengthen the energy of the soles of the feet, abdominal breathing, and arm swinging, to help carry the therapeutic effects into daily life.