Reformer Pilates and Fibromyalgia

Fibromyalgia and Reformer Pilates

Understanding Fibromyalgia

Fibromyalgia, also referred to as fibromyalgia syndrome (FMS), is a chronic condition that causes widespread musculoskeletal pain, along with a range of other symptoms such as fatigue, sleep disturbances, cognitive difficulties (commonly called "fibro fog"), headaches and gastrointestinal issues like irritable bowel syndrome (IBS). This complex condition affects between 1% and 8% of the global population, with women being more commonly diagnosed than men. While the exact cause remains unclear, research suggests contributing factors such as genetics, hormonal fluctuations, gut health and environmental triggers.

Fibromyalgia is often described as a "central pain disorder," meaning that the central nervous system (the brain and spinal cord) plays a major role in amplifying pain signals. The condition is associated with imbalances in neurotransmitters such as serotonin, dopamine and noradrenaline, which are crucial for regulating pain perception and mood. Additionally, there is evidence linking fibromyalgia to mitochondrial dysfunction, which impairs energy production at a cellular level, contributing to the fatigue experienced by those with the condition.

How Reformer Pilates Helps with Fibromyalgia

Reformer Pilates Marylebone is a low-impact exercise method that offers a combination of strength training, flexibility and controlled movement, all of which can benefit individuals with fibromyalgia. Unlike high-impact or strenuous workouts that may exacerbate symptoms, Pilates is gentle and can be tailored to individual needs.

1. Reduces Muscle Stiffness and Pain

People with fibromyalgia experience chronic muscle stiffness and pain due to heightened pain sensitivity. Reformer Pilates incorporates controlled, fluid movements that gently stretch and strengthen muscles without putting undue stress on the joints. The smooth gliding motions on the reformer help release muscle tension, improve blood circulation and reduce pain. Reformer Pilates for low back pain can be extremely beneficial. It can also help with other autoimmune conditions such as Pilates and Rheumatoid Arthritis or as part of a rehab Pilates London programme.

2. Enhances Flexibility and Mobility

Fibromyalgia can cause tightness and restricted movement, making daily activities difficult. The reformer’s resistance-based movements help improve flexibility by elongating muscles and increasing joint mobility. This increased range of motion can alleviate stiffness and make everyday movements easier and more comfortable. This can also work really well with Pilates for Seniors which we also offer at our clinic.

3. Supports Nervous System Regulation

The heightened pain sensitivity in fibromyalgia is linked to nervous system dysregulation. Mindful movement practices like Pilates can help shift the nervous system from a state of heightened stress (sympathetic dominance) to a more balanced state (parasympathetic activation). This shift promotes relaxation, reduces pain perception and improves overall well-being.

Fibromyalgia and Refomer Pilates

4. Improves Posture and Stability

Poor posture and dysfunctional movements can contribute to musculoskeletal pain, which is a common issue for those with fibromyalgia. Reformer Pilates focuses on full body strength and postural alignment, helping to stabilise the spine and alleviate unnecessary strain on muscles and joints.

5. Boosts Energy and Reduces Fatigue

Chronic fatigue is a major symptom. While traditional forms of exercise can leave individuals feeling drained, Reformer Pilates is designed to energise rather than exhaust. The combination of controlled movement, deep breathing and gentle resistance training supports mitochondrial function, enhances circulation and helps combat fatigue. We recommend Pilates as part of a Fibromyalgia and natural remedies integrated plan to help reduce your symptoms.

6. Enhances Mind-Body Awareness

Reformer Pilates London encourages mindfulness and deep breathing, which can help individuals develop a stronger connection between their body and mind. This awareness can lead to better pain management, reduced stress and a greater sense of control over symptoms.

Reformer Pilates for Fibromyalgia

Integrating Pilates with Osteopathy and Nutrition for Fibromyalgia Management

Given the complexity of fibromyalgia, a multidisciplinary approach often provides the best symptom management. At our clinic, we integrate Reformer Pilates with osteopathy and nutrition to create a comprehensive treatment plan:

  • Osteopathy helps relieve musculoskeletal pain, improve joint mobility and reduce muscle stiffness through hands-on techniques like soft tissue massage, joint mobilisation and cranial osteopathy.

  • Nutrition plays a crucial role in reducing inflammation, improving gut health and balancing neurotransmitters that affect pain perception. Anti-inflammatory diets, probiotics and key nutrients can significantly improve symptoms. Additionally, mitochondrial support strategies, can enhance energy levels.

  • Reformer Pilates complements these treatments by improving mobility, reducing stiffness and promoting nervous system balance.

Getting Started with Reformer Pilates for Fibromyalgia

If you’re new to Reformer Pilates and living with fibromyalgia, it’s essential to start slowly and work with an experienced instructor who understands chronic pain conditions. Sessions should be personalised to your needs, focusing on gentle, supportive movements rather than high-intensity exercises.

At our clinic, we offer one-on-one Reformer Pilates sessions tailored specifically for those with fibromyalgia. Our integrated approach ensures that each session is safe, effective and aligned with your overall health goals.

Conclusion

Fibromyalgia is a complex condition that affects multiple systems in the body, making it crucial to adopt a holistic management strategy. Reformer Pilates provides a gentle yet effective way to alleviate pain, enhance mobility and improve quality of life. When combined with osteopathy and nutrition, it becomes a powerful tool for managing fibromyalgia symptoms naturally.

If you’re struggling with fibromyalgia and looking for a supportive, personalised approach to treatment, we’re here to help. Contact us today to learn more about our integrated approach and how Reformer Pilates can be a key part of your healing journey.

Frequently Asked Questions

Is Reformer Pilates Good for Fibromyalgia? Yes, it helps improve flexibility, strength and promotes circulation while reducing stiffness. Movements should be gentle and tailored to avoid overexertion.

Which is Better for Fibromyalgia, Yoga or Pilates? Both can be beneficial, but for us reformer Pilates provides more functional, controlled and supportive movements which may be easier on joints and muscles. The choice depends on individual tolerance and symptoms.

Why Do My Joints Hurt So Much with Fibromyalgia? It causes increased pain sensitivity due to nervous system dysfunction. Inflammation, muscle stiffness, and poor sleep can also contribute to joint pain.

Is Pilates Anti-Inflammatory? While not directly anti-inflammatory, Pilates promotes circulation and mobility, reduces stress which can help reduce inflammation over time. Regular movement can also ease muscle stiffness.

Can You Build Muscle with Reformer Pilates? Yes, but muscle gains will be more focused on endurance and tone rather than bulk. Resistance from the springs helps strengthen muscles without excessive strain.

Does Reformer Pilates Help with Back Pain? Yes, it strengthens core muscles, improves posture and increases spinal mobility which can help alleviate back pain. It also promotes gentle movement which reduces stiffness.

What Exercises Should Be Avoided with Fibromyalgia? Avoid high-impact activities like running, heavy weightlifting, fast and repetitive movements. Overstretching hypermobile joints and exercises can trigger post-exertional malaise should also be minimised.

Is It Okay to Do Reformer Pilates Every Day? It depends on individual recovery, but most people with fibromyalgia benefit from doing it 2–4 times per week. Daily sessions should be gentle and adapted to avoid flare-ups.

Does Inactivity Make Fibromyalgia Worse? Yes, lack of movement can lead to muscle stiffness, increased pain sensitivity and fatigue. Gentle, consistent exercise helps maintain mobility and reduce symptoms.

What Is the Best Exercise Program for Fibromyalgia Patients? A combination of low-impact strength training, gentle aerobics (e.g., walking, swimming) and flexibility exercises like reformer Pilates works best. Progress should be slow to avoid overexertion.

Is Reformer Pilates Good for Chronic Pain? Yes, it helps improve muscle balance, posture and joint stability while reducing stiffness. It also promotes relaxation which can aid in pain management.

Eleonora Sansoni

I’m passionate about helping people with fibromyalgia find new ways to reduce their pain and improve their quality of life. It’s complex but I believe in an integrated approach can make the difference to gain great results. I’m a nutritional therapist, osteopath and Pilates instructor who specialises in autoimmunity.

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