Fibromyalgia is a rheumatologic condition that results in chronic musculoskeletal pain which can present many challenges for its sufferers and therapists. Exercise prescription is imperative in the treatment of this condition. Often a combination of aquatic and land based exercise is used to control pain and maintain your function. Manual techniques such as massage can be helpful in controlling pain and allowing you to better tolerate your individualized exercise plan. Patient/Therapist relationship is very important in the treatment of this condition, the therapist you evaluate with will stay with you through your treatments in order to better modify your treatment sessions when needed.