What’s Missing From Your Fibromyalgia Care Plan?

If you’ve been dealing with more fibromyalgia flares recently, your care plan may need some fine-tuning. “The more people — and their clinicians — understand the source of their pain and what to do, the bigger breakthroughs we will have in their care,” says Martina Ziegenbein, MD, a rheumatologist and fibromyalgia specialist with Whole Health Rheumatology of Cape Cod in Mashpee, Massachusetts.
This assessment was crafted in partnership with Dr. Ziegenbein, who also has fibromyalgia. It can help you determine which area of care is worth focusing on next and exactly where to start. For each question, choose the answer that best aligns with your experiences.
Question 1
What’s your biggest challenge in managing fibromyalgia?
- No matter what I do, symptoms keep interfering with my daily life.
- I feel misunderstood by family, friends, and even strangers.
- I don’t know what makes the symptoms I have better or worse.
- I don’t sleep or eat very well sometimes, which makes symptoms even worse.
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- Gower C et al. Distress as a Mediator for Pain and Activities of Daily Living in Older Adults With Fibromyalgia. Frontiers in Medicine. December 13, 2022.
- Fibromyalgia. Arthritis Foundation.
- Velasco-Furlong L et al. The 4 U’s Rule of Fibromyalgia: A Proposed Model for Fatigue in a Sample of Women With Fibromyalgia: A Qualitative Study. International Journal of Environmental Research and Public Health. September 1, 2020.
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- Fibromyalgia Basics: Friendly Exercises. The American Fibromyalgia Syndrome Association, Inc.
- Eshak N et al. Obstructive Sleep Apnea in Fibromyalgia Patients: A Meta-Analysis. American College of Rheumatology. November 7, 2020.
- Noyed D. Fibromyalgia and Sleep. Sleep Foundation. July 15, 2025.
- Gomez-Arguelles JM et al. Characterizing Fibromyalgia Flares: A Prospective Observational Study. Reumatologia. August 31, 2022.
- Kim S et al. Emotional Dynamics in Fibromyalgia: Pain, Fatigue, and Stress Moderate Momentary Associations Between Positive and Negative Emotions. The Journal of Pain. September 2023.
- Siracusa R et al. Fibromyalgia: Pathogenesis, Mechanisms, Diagnosis and Treatment Options Update. International Journal of Molecular Sciences. April 9, 2021.
- Bhargava J et al. Fibromyalgia. StatPearls. January 31, 2025.
- Pathak A et al. Treatments for Enhancing Sleep Quality in Fibromyalgia: A Systematic Review and Meta-Analysis. Rheumatology. August 2025.
- Han T et al. Adherence to ACSM Exercise Guidelines and Its Influence on Fibromyalgia Treatment Outcomes: A Meta-Analysis of Randomized Controlled Trials. Frontiers in Physiology. July 19, 2024.
- Maddox EK et al. Dietary Effects on Pain Symptoms in Patients With Fibromyalgia Syndrome: Systematic Review and Future Directions. Nutrients. February 1, 2023.
- Self-Help & Coping: Selecting a Fibro Doctor. The American Fibromyalgia Syndrome Association, Inc.

Michelle Seguin, MD
Medical Reviewer
Michelle Seguin, MD, is a board-certified family medicine, lifestyle medicine, and certified functional medicine physician (IFMCP). She is a practicing physician at Root Functional Medicine, a leading telemedicine practice specializing in personalized, root-cause care.

Jessica Migala
Author
Jessica Migala is a freelance writer with over 15 years of experience, specializing in health, nutrition, fitness, and beauty. She has written extensively about vision care, diabetes, dermatology, gastrointestinal health, cardiovascular health, cancer, pregnancy, and gynecology. She was previously an assistant editor at Prevention where she wrote monthly science-based beauty news items and feature stories.
She has contributed to more than 40 print and digital publications, including Cosmopolitan, O:The Oprah Magazine, Real Simple, Woman’s Day, Women’s Health, Fitness, Family Circle, Health, Prevention, Self, VICE, and more. Migala lives in the Chicago suburbs with her husband, two young boys, rescue beagle, and 15 fish. When not reporting, she likes running, bike rides, and a glass of wine (in moderation, of course).