Fibromyalgia Self-Care Strategies That Help Me Manage Pain

Living with fibromyalgia has taught me to listen to my body in ways I never expected. Pain isn’t just physical — it’s emotional, relational, and deeply personal. Over time, I’ve gathered a toolkit of self-care strategies that help me feel more grounded, less overwhelmed, and more in control of my day. These aren’t cures, and they don’t erase the hard days, but they help me move through them with a little more grace.

If you’re navigating fibromyalgia too, I hope something here resonates with you.

1. Pacing Over Pushing

I used to push myself through pain, thinking I had to keep up or prove something. Now I pace. I break tasks into smaller steps, rest before I crash, and let go of guilt when I need to pause. 

TIP: use timers and visual checklists to stay on track without burning out. It’s not laziness — it’s wisdom.

2. Gentle Movement That Feels Safe

Some days, even stretching feels impossible. But when I can, gentle movement helps loosen the stiffness and calm my nervous system. I’ve found comfort in slow walks, restorative yoga, and even just swaying to music in my kitchen. I keep a “flare day movement menu” — short, low-impact options that feel doable when everything hurts. 

TIP: start stretching each morning while lying in bed. The mattress and pillow supports you and you can do slow and small movements like turning your head from side to side to reduce neck pain etc.

3. Protecting My Sleep

Sleep is sacred, and fibromyalgia makes it elusive. I’ve created a bedtime routine that helps: no screens after 9pm, herbal tea, magnesium, and painkillers if needed. It’s not perfect, but it’s progress.

TIP: The temperature of your room really matters. Work out what is right for you in each season. 

4. Calming My Nervous System

Mind-body practices have been a lifeline. I use guided meditations (especially ones made for chronic pain), breathwork, and journaling to help me process the emotional weight of living with fibromyalgia. Even two minutes of deep breathing can shift my pain response. I remind myself: my body is not the enemy — it’s asking for care.

TIP: Find an app or a Youtube video you like and listen to it for guided meditations or breathwork. 

5. Nourishing Myself Without Pressure

Food can be complicated, especially when energy is low and sensitivities are high. I aim for anti-inflammatory meals when I can — leafy greens, berries, omega-3s — but I also give myself grace. Hydration helps, and I keep easy snacks nearby for days when cooking feels impossible.

TIP: Greek yoghurt, nuts and fruit is a great easy go to on high pain days. 

6. Tracking What Hurts (and What Helps)

I keep a simple pain journal to notice patterns. Weather changes, stress, certain foods — they all play a role. Tracking helps me feel less confused and more empowered. It also gives me language to advocate for myself with doctors and loved ones.

TIP: Do this in your calendar so you know where it is. 

7. Finding My People

Fibromyalgia can feel isolating, but connection is medicine. I’ve found comfort in online communities, support groups, and honest conversations with people who get it. Sharing my story — and hearing others — reminds me I’m not alone. We’re all figuring this out together.

8. Setting Boundaries That Protect Me

This one’s been hard, but life-changing. I’ve learned to say no without apology, to ask for accommodations, and to protect my energy like it’s sacred. Scripts help. My favorite: “I’d love to, but I need to rest today.” Boundaries aren’t walls — they’re bridges to safer, more honest relationships.

TIP: Don't say yes to every request, say "I'll check my diary and get back to you".

Final Thoughts

Fibromyalgia asks us to live gently, intentionally, and with deep self-compassion. These strategies help me feel more like myself — even on the hard days. If you’re reading this, I hope you know: your pain is real, your needs are valid, and you deserve care that honors your whole self.

If you’ve found a self-care practice that helps, I’d love to hear about it. Let’s keep building a toolkit.