6 Tips to Ease the Impact of Fibromyalgia Fatigue and Feel More Energized

It’s important for fibromyalgia fatigue to be acknowledged for what it is: a very real and disruptive symptom that can be difficult to pinpoint and treat. “Even after having a good night’s sleep, you wake up feeling unrefreshed,” says Gerard Limerick, MD, PhD, an assistant professor of physical medicine and rehabilitation at Johns Hopkins Medicine in Baltimore. This contributes to a fatigue-pain cycle that’s common in fibromyalgia. “If you’re having trouble getting good rest, it worsens the experience of pain,” he says. “And if your pain isn’t managed well, it can be hard to fall and stay asleep.”
Though it may not be possible to completely resolve fibromyalgia fatigue, you can tweak your daily habits — and adopt some new ones — to ease exhaustion and conserve energy.
3 Strategies to Manage Fibromyalgia Fatigue
Fibromyalgia fatigue can feel overwhelming, turning simple daily responsibilities into draining, time-intensive tasks. Finding ways to ease the emotional toll of fatigue and support your well-being can help. Here are three tips to try:
1. Prioritize Your Mental Health
If you’ve noticed depression symptoms, such as continued feelings of hopelessness, a loss of interest in things you usually enjoy, or persistent low mood, it can help to connect with a therapist or psychiatrist to talk about what you’re going through, says Limerick.
2. Lean on Your Loved Ones
Chances are, your friends and family want to help you but don’t know how. “Having that support network is a huge part of helping you manage fibromyalgia fatigue,” says Limerick. So don’t be afraid to ask for help — or even just a friendly ear — when you need it.
3. Connect With Others Who ‘Get It’
“Ask your doctor if there are local support groups, and take advantage of those,” says Limerick. You can also join online forums, such as Mayo Clinic Connect’s fibromyalgia support group, MyFibroTeam, or Inspire’s fibromyalgia community.
3 Ways to Feel More Energized With Fibromyalgia
Making small, intentional changes to your daily habits can help you rebuild stamina and feel more refreshed. These three strategies are a great place to start:
1. Practice Proper Sleep Hygiene
- Going to bed and waking up at the same times each day to support your body’s circadian rhythm (your “internal clock” that regulates the sleep-wake cycle)
- Avoiding alcohol, caffeine, and heavy meals for at least three hours before bedtime
- Creating a wind-down routine that involves relaxing activities, such as journaling, reading, or taking a warm bath
- Finding ways to calm a racing mind, such as breathing exercises, meditation, or yoga
- Making your room a sleep sanctuary by dimming the lights, keeping the temperature cool, and removing electronics
“Use a sleep mask, if you need it, or white noise — whatever it takes to facilitate good rest,” says Limerick.
2. Stay Active
While it may sound counterintuitive, exerting yourself can actually help you feel less tired. Physical activity gets your blood pumping and endorphins flowing, which can help you feel more energized.
Not sure where to start? Consider walking, jogging, or biking. Any aerobic activity helps with fibromyalgia fatigue, says Limerick. “Oftentimes, people who have fibromyalgia benefit from doing exercise in the pool, as the water helps support body weight to help with pain while still burning some calories.”
3. Schedule Your Days Strategically
“If you find that you have certain peaks of energy in the day, try to take advantage of those by scheduling activity,” says Limerick. “That way you’re not working against yourself as much.” For example, let’s say you’re a morning person. You might want to schedule tasks that require a lot of focus in the first part of the day and reserve the afternoon and evening for less intense activities and rest.
Take Back Your Energy With Fibromyalgia
The Takeaway
- Fibromyalgia fatigue is more than just feeling tired. It involves persistent low energy, despite rest, that can make it hard to keep up with daily activities.
- Prioritizing mental health, leaning on loved ones, and engaging with fibromyalgia support networks can reduce the impact of fatigue and support your well-being.
- Practical strategies such as having good sleep hygiene, staying active, and pacing your energy throughout the day can help ease fatigue and improve your quality of life.
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Beth Biggee, MD
Medical Reviewer
Beth Biggee, MD, is owner and practitioner of Lifestyle and Integrative Rheumatology, a holistic direct specialty care practice in North Andover, Massachusetts. She offers whole-person autoimmune care, lifestyle medicine, and holistic integrative consults.
She has over 20 years of experience in rheumatology and holds board certifications in rheumatology and integrative and lifestyle medicine. Dr. Biggee brings a human-centered approach to wellness rather than focusing solely on diseases.
Biggee graduated cum laude with a bachelor's degree from Canisius College, and graduated magna cum laude and as valedictorian from SUNY Health Science Center at Syracuse Medical School. She completed her internship and residency in internal medicine at Yale New Haven Hospital, her fellowship in rheumatology at Tufts–New England Medical Center, and her training in integrative rheumatology at the University of Arizona Andrew Weil Center for Integrative Medicine.
Following her training, she attained board certification in rheumatology and internal medicine through the American Board of Internal Medicine, board certification in integrative medicine through the American Board of Physician Specialties, and accreditation as a certified lifestyle medicine physician through the American College of Lifestyle Medicine. She is certified in Helms auricular acupuncture and is currently completing coursework in the Aloha Ayurveda integrative medicine course for physicians.
In prior roles, Biggee was medical director and integrative rheumatologist at Rheumission, a virtual integrative rheumatology practice, and she also provided healthcare wellness consulting for Synergy Wellness Center in Hudson, Massachusetts. Biggee taught as an assistant clinical professor of medicine at Mary Imogene Bassett Hospital (an affiliate of Columbia University). She was also clinical associate of medicine at Tufts University School of Medicine and taught Introduction to Clinical Medicine for medical students at Tufts. She was preceptor for the Lawrence General Hospital Family Medicine Residency.
Biggee has published work in the Annals of the Rheumatic Diseases, Arthritis & Rheumatology, Current Opinion in Rheumatology, Medicine and Health Rhode Island, and the Field Guide to Internal Medicine.
