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Chronic Pain

Fibromyalgia and Widespread Pain Treatment in Bakersfield

Pain in many places, fatigue, poor sleep, and good days and bad days. Exercise that starts gently and builds at your pace is one of the most recommended treatments for fibromyalgia.

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Yes, physical therapy can help fibromyalgia. International guidelines recommend exercise as a first treatment for fibromyalgia, and understanding how pain works can make it less frightening and easier to manage. The key is starting at a level your body can handle and building slowly. At ARI Physical Therapy in Bakersfield, every visit is one-on-one with a licensed physical therapist, working alongside your doctor.

Does this sound like you?

✓Aching or pain in many areas of your body for months
✓Fatigue, and sleep that doesn't feel refreshing
✓Flares after doing too much, then long recovery
✓Stiffness, especially in the morning
✓You've been told to exercise but it always seems to make things worse
✓Trouble concentrating, sometimes called "fibro fog"

Understanding fibromyalgia

Fibromyalgia is a long-term condition in which the nervous system becomes more sensitive to pain, so normal signals can feel painful. It isn't caused by damage to your joints or muscles, and the pain is real. It often comes with fatigue, sleep problems and changes in concentration.

Why gentle, graded exercise helps

Exercise can seem impossible when everything hurts, and doing too much at once often causes a flare. The approach that works is starting small and building gradually, with walking, gentle strengthening, stretching or water-based exercise. Over time this can reduce pain and fatigue and improve sleep and function. Learning how pain works, pacing your activity and planning for flares are just as important.

What treatment at ARI looks like

1
A one-on-one evaluation

Your first visit takes about 45 to 60 minutes. We listen to your story, how pain affects your days and sleep, and what you want to be able to do again.

2
Gentle, graded exercise

A program that starts where you are, not where you "should" be, and builds slowly, with hands-on care where it helps.

3
Tools for everyday life

Pacing, flare plans, sleep and movement habits, and a home program you can keep up for the long term.

No referral needed to start. In California, you can see a physical therapist directly for up to 12 visits or 45 days, whichever comes first. Some insurance plans still require a referral for coverage; call us at (661) 282-8584 and we'll help you check.

When to see a doctor first

See a doctor promptly if you have:

  • New joint swelling, redness or warmth
  • Fever, unexplained weight loss, or night sweats
  • New weakness, numbness, or trouble walking
  • Pain that is suddenly much worse or different from your usual pattern

Why patients choose ARI

Care at ARI is always one-on-one and in person with a licensed physical therapist at our Bakersfield clinic: 8200 Stockdale Hwy, Suite B2, in the Town & Country Village center next to Trader Joe's. Our clinic director, Deepa Konnur, PT, MPT, OCS, is a board-certified Orthopedic Certified Specialist. We accept most private insurance plans and Medicare, and we have staff who speak Spanish and Hindi.

Fibromyalgia FAQs

Doing too much too fast can cause a flare, but a gentle, gradually increasing program is one of the most recommended treatments for fibromyalgia. Your therapist starts at a level you can manage and adjusts as you go.
Walking, gentle strengthening, stretching and water-based exercise are all helpful. The best exercise is one you can do regularly without major flares.
No. Physical therapy works alongside your doctor's care, including any medications or other treatments they recommend.
It varies. Many people notice small improvements in energy, sleep or function over several weeks of regular exercise, with bigger changes over a few months.
No. In California you can see a physical therapist directly for up to 12 visits or 45 days, whichever comes first. Some insurance plans still require a referral for coverage, so call us at (661) 282-8584 and we'll help you check.

Ready to feel better?

Talk to a licensed physical therapist at ARI, one-on-one. Request an evaluation and we'll get back to you, usually within one business day.

Sources

  1. EULAR revised recommendations for the management of fibromyalgia. Annals of the Rheumatic Diseases (EULAR recommendations), via PubMed, 2017.
  2. Fibromyalgia. National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS).
  3. Fibromyalgia. MedlinePlus, National Library of Medicine.

This page is general information, not a diagnosis. If you have symptoms, a licensed clinician should evaluate you.

Clinically reviewed by Deepa Konnur, PT, MPT, OCS, board-certified Orthopedic Certified Specialist · Reviewed September 2026