Fibromyalgia is primarily a central nervous system that has a primary feature of central sensitization. One of the mechanisms of this is mitochondrial dysfunction, which means (at the cellular level), the body does not produce enough energy. This creates the four hallmark features of fibromyalgia- fatigue, widespread pain, difficulty sleeping, and difficulty concentrating. People suffering from fibromyalgia often have other symptoms, but these are the four hallmarks that virtually all people suffering from fibromyalgia have. While there is no known cure for fibromyalgia, physical therapists and functional pain managers can achieve great results by decreasing the pain and stiffness of those suffering from fibromyalgia. Improving sleep and grading exercise and activity are often the two essential areas that we need to make the most significant change. At Rainey Pain & Performance, we have several ways to help with this. One of them is our full-body fibromyalgia stretching and end-range strengthening program that leaves people feeling invigorated.