The widespread pain, fatigue, and cognitive dysfunction of FM can cause significant bodily stress, so any additional stressors (like physical activity, psychological distress, sleep disturbances, poor diet, or infections) can cause a flare-up of FM symptoms. People with FM often have a decreased quality of life, which can further cause psychological distress, thereby creating a worsening cycle of symptoms. As such, finding ways to reduce stress is key to managing flare-ups.[1]
What can make fibromyalgia symptoms worse?
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•Last Updated: May 16, 2025
Fibromyalgia symptoms can worsen due to additional stressors such as physical activity, psychological distress, sleep disturbances, poor diet, or infections, leading to a cycle of increased pain, fatigue, and cognitive dysfunction. Stress management is essential for reducing flare-ups and improving quality of life for people with fibromyalgia.