Fibromyalgia: Understanding the Diagnosis and Tools for Recovery

In this episode of What’s in Your Head: Tools for Pain & Dizziness, Pete Schultz, DPT, OCS, takes a deep dive into fibromyalgia — a chronic widespread pain condition that is often misunderstood, misdiagnosed, and frustrating for patients trying to find answers. Pete discusses how fibromyalgia is considered a clinical diagnosis, what symptoms are commonly associated with it, and why modern pain science now views fibromyalgia as involving a sensitized nervous system and altered pain processing rather than simply a muscle or joint problem alone. Topics covered in this episode include: • What fibromyalgia is and how it is diagnosed  • Common symptoms including widespread pain, fatigue, sleep problems, headaches, dizziness, and “brain fog”  • Central sensitization and how the nervous system can become overly protective  • The difference between tissue damage and pain sensitivity  • Why imaging and lab tests are often normal  • The biopsychosocial model of chronic pain  • Pain neuroscience education and understanding pain as protection  • Physical therapy approaches for movement, strength, mobility, and graded exercise  • The role of sleep, stress, autonomic nervous system regulation, and pacing  • Biofeedback and self-regulation tools to calm the nervous system  • Mindfulness, somatic tracking, and Pain Reprocessing Therapy concepts  • Graded exposure and returning to feared or avoided activities safely  • Why recovery is usually multifactorial rather than one single treatment This episode emphasizes that fibromyalgia symptoms are real, that patients are not “making it up,” and that many people improve through a comprehensive approach that combines education, movement, nervous system regulation, and individualized care. Whether you are someone living with fibromyalgia, a healthcare provider, or a family member trying to better understand chronic pain, this episode provides practical tools and an evidence-informed framework for understanding and treating persistent symptoms. For physical therapy evaluations, vestibular therapy, concussion management, headache treatment, and persistent pain rehabilitation visit: www.DynamicSportsPT.com For more resources, podcast episodes, and education on pain, dizziness, headaches, concussion, and nervous system regulation visit: www.painanddizzy.com Disclaimer:  This podcast is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions.