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A barefoot middle-aged man in dark workout clothes performs dumbbell curls against a textu

Weight Training

a dumbbell

I based my approach to exercise on Fibromyalgia: Simple Relief Through Movement byStacy Bigelow. She suggests a step by step approach to exercise: First make sure you are sleeping well so your body can repair damaged muscles. Then begin with light movement. After a few weeks move on to stretching, then to light aerobic exercises. Only then should you start muscle training.

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According to Bigelow, “Muscle training is one of the best kept secrets in women’s health.” There are several reasons for this: 

  • It’s the fastest way to become fit and fit bodies have less pain 

  • Strong muscles support painful joints 

  • Strong muscles improve posture and muscle alignment

  • There is an increase in blood and oxygen flow 

  • Strong muscles don’t cramp easily.

 

Bigelow suggests muscle training no more than twice a week. This gives your body time to rest and recover. She also suggests doing more reps with lighter weights to reduce the risk of strain and injury.

The overwhelming majority of health experts strongly recommend the people with fibromyalgia don’t lift weights ever. This is because they have repeatedly observed that after lifting weights, people of fibromyalgia experience an immediate and dramatic increase in pain.

 

There are three reasons for this:

 

One. Poor sleep quality 

If you are not getting restorative sleep you should not be doing strength training. Every time you train you cause small injuries to your muscles which heal during sleep. If you are not sleeping well your muscles won’t heal after trying and you’ll experience rebound pain.

 

Two. Too much too soon

Hopefully by now you’ve worked your way up from activity, to stretching, to aerobics and are ready for resistance training. But be careful and start really slowly with light weights.

 

Three. Poor form

If you do muscle conditioning in the right way you will avoid the rebound pain.

 

The safest way to add muscle conditioning to your fibromyalgia care plan is to join a gym and then ask a personal trainer to work out a program that is right for you. 

 

If you don’t have access to a gym or don’t feel you have the extra funds for gym fees then the next best thing is doing exercises at home. 

 

I feel that the three best forms of weight training for someone with fibromyalgia are bodyweight trainingslow burn, and Isometric & Resistance Band Strengthening.

In the past I'd draw pictures for my clients of the exercises I wanted them to do, but this takes up too much of my time. Nowadays, I prefer sharing YouTube videos. They are far more engaging.

Calisthenics

 

Body weight training also called calisthenics, is a form of strength training where you use your own weight to provide resistance against gravity. Bodyweight training uses simple abilities like pushing, pulling, squatting, bending, twisting and balancing. Because you are using your own weight, there is a much lower risk of injury and burnout.  

Elderly people and people with fibromyalgia doing bodyweight exercises benefit through gains in muscle mass, in mobility, in bone density, as well as in reduced depression and improved sleep habits. It is also believed that bodyweight training may help diminish or even prevent cognitive decline as people age. Bodyweight exercises provide multi-directional movement that mimics daily activities, and as such can be preferable to using weight machines.

 

The advantage of bodyweight exercises is that most of them don’t require any equipment. 

 

To get you started, here is a great YouTube video with no ads at the start. Don't you just hate those videos that begin with two ads? It is a beginner calisthenics routine for building strength that requires no equipment whatsoever. Ryan Sadilek guided you through four exercises: Straight Bridge, Push Ups, Bodyweight Squats, and Lying Leg Raises.

 

Ryan Sadilek has over 20 years of experience as a certified personal trainer and fitness nutrition specialist. I really like his channel Minus The Gym.

Men and women train differently so if you are a lady you will probably like this Summerfunfitness

Slow Burn

 

Slow burn is a form of weight lifting that uses very slow, smooth, and controlled lifting and lowering movements rather than the typical high force, explosive lifting seen in most gyms and training studios. 

 

Think of it as the Tai Chi of the gym. There are no sudden, explosive or highly abrupt movements that can potentially cause injury. Every exercise is performed in a controlled and focused fashion. 

 

Most professionals recommend exercising three to five times a week. However, using SlowBurn all you need is one or two thirty minute workouts a week.

 

The reason for this is that slow burn is a very efficient form of exercise. If the quality of an exercise program is high, one or two sessions a week is more than adequate for optimal results. Remember, exercise itself doesn't make you fit or healthy. It’s the combination of exercise and adequate rest and recovery. So not only do you not need to exercise on your days off, you shouldn't!​

Slow Burn: Strength at a Different Pace

Slow Burn is a form of strength training in which each movement is performed very slowly, smoothly and deliberately. Rather than throwing a weight upward and allowing it to fall, the aim is to remain in control through the entire lifting and lowering phase.

It has sometimes been described as the Tai Chi of the gym. The comparison is imperfect, but it captures the calm, focused quality of the movement: no jerking, bouncing or racing to finish a repetition. The muscles do the work while momentum is kept to a minimum.

There is, however, an important qualification. Slow does not necessarily mean gentle. A slow repetition can become surprisingly demanding because the muscle remains under tension for much longer. Some versions of the method are deliberately intense and continue until the person cannot complete another repetition with good form. That may suit some experienced trainees, but it is not necessary for everyone—and it may be entirely inappropriate for someone with limited energy or a condition that causes delayed symptom flares.

The most useful idea is therefore not that everybody should follow one rigid Slow Burn formula. It is that strength can be developed with patience, concentration and good control.

Slow Burn and slow resistance training

 

Slow Burn is the name of the system popularized by Fredrick Hahn, Michael Eades and Mary Dan Eades in The Slow Burn Fitness Revolution. It belongs to a larger family of methods that includes SuperSlow, Power of 10, high-intensity training and other forms of deliberately slow resistance exercise.

The details vary, but these methods commonly use:

  • a slow lifting phase and an equally controlled lowering phase;

  • smooth changes of direction, without resting or locking the joint at either end;

  • continuous muscular tension;

  • relatively few exercises and sets;

  • brief, infrequent sessions; and

  • in their strictest form, one set continued to momentary muscular failure.

A repetition might take 10, 15 or even 20 seconds. By contrast, a moderate tempo resistance approach may take three to five seconds in each direction. This distinction matters. A controlled five-second lift is slow enough to discourage momentum, but it is not the same as an ultra-slow 10-second lift performed to complete fatigue.

Where did the idea come from?

The modern history of slow strength training grew out of the high-intensity training associated with Arthur Jones and the Nautilus exercise machines. Jones argued that strength training could be brief and infrequent if the muscular effort was sufficiently demanding.

Ken Hutchins later gave the slow movement idea a more systematic form. In 1982, Ken and Brenda Hutchins supervised the exercise component of a Nautilus-sponsored osteoporosis research project at the University of Florida. The participants included older women whose movements needed to be especially controlled. Hutchins developed a slower protocol partly to reduce abrupt acceleration and make the exercises easier to supervise precisely. That project is an important part of the method’s history, although it should not be mistaken for proof that SuperSlow treats or reverses osteoporosis.

Hutchins published Super Slow: The Ultimate Exercise Protocol in 1989 and an expanded edition in 1992. It was less a casual fitness book than a technical manual for instructors. The system emphasized meticulous form, continuous tension and what Hutchins called inroad: the temporary reduction in a muscle’s ability to produce force during a demanding set.

Several more accessible systems followed:

  • Fredrick Hahn’s The Slow Burn Fitness Revolution presented a short, practical slow-motion program for the general reader.

  • Adam Zickerman’s Power of 10 used approximately ten seconds to lift and ten seconds to lower, while placing the workout within a wider philosophy of nutrition and recovery.

  • Doug McGuff and John Little’s Body by Science developed the high-intensity, evidence-oriented case for short resistance workouts.

  • Philip Shepherd and Andrei Yakovenko’s Deep Fitness combined slow strength training with mindfulness and embodiment.

These books share a family resemblance, but they are not identical. Nor should their promotional claims be treated as settled science. Their enduring contribution is the idea that the quality of muscular effort can matter more than the theatrical appearance or duration of a workout.

What changes when a repetition slows down?

Less momentum

A weight that is swung or bounced can continue moving partly because of momentum. Slowing the repetition makes it harder to hide weak points in the movement and encourages the muscles to remain responsible for the load.

Lighter resistance can feel demanding

Very slow movement usually requires less weight. That can make an exercise appear easier, but the longer time under tension may make the set feel intense. The familiar burning sensation is not evidence that fat is “burning”; it is simply one possible sensation of sustained muscular work.

Form becomes easier to observe

Slow movement gives both the trainee and the instructor time to notice alignment, joint position, breathing and unnecessary tension. It may be particularly helpful while learning a movement or rebuilding confidence after a period of inactivity.

Attention becomes part of the exercise

In Deep Fitness, Philip Shepherd and Andrei Yakovenko call their approach Mindful Strength Training to Failure. Yakovenko brings the slow, high-intensity strength tradition, while Shepherd contributes the language of embodiment: noticing the body from within rather than treating it as a machine to be commanded from outside.

In practical terms, that means noticing the working muscles, the urge to rush, the tendency to hold the breath and the way tension spreads into the jaw, neck or hands. This mindful aspect is valuable even if one does not accept every claim made for the branded method. A slow set can become a short exercise in concentration as well as strength.

Slow is not the same as safe—or easy

Slow training is sometimes advertised as though it eliminates the possibility of injury. That goes too far. Moving without jerking may reduce abrupt forces, and lighter loads can be useful, but safety still depends on appropriate resistance, sound technique, joint health, equipment, supervision and the person’s medical condition.

The other source of confusion is muscular failure. Traditional SuperSlow, Slow Burn, Power of 10 and Deep Fitness commonly take a set to the point at which another good repetition cannot be completed. This produces a large training stimulus in little time, but it also produces considerable fatigue.

Training to failure is a technique, not a requirement. A systematic review and meta-analysis found that failure was not consistently necessary for improvements in strength or muscle size. Many people can make progress while finishing a set with two, three or even four good repetitions still available. This is often described as leaving repetitions in reserve.

For people with chronic pain, poor recovery, autonomic symptoms or post-exertional malaise, that distinction is crucial. A controlled repetition may be appropriate while an all-out set is not.

What does the research say about tempo?

Slow resistance training can improve strength and muscle, but the evidence does not show that one very slow cadence is universally best. A 2021 review of movement tempo concluded that the research was too mixed to identify a single superior tempo for strength or hypertrophy.

systematic review and meta-analysis of repetition duration found broadly similar muscle growth when repetitions lasted from about half a second to eight seconds. Repetitions lasting longer than ten seconds may be less effective for maximizing muscle growth, although the authors emphasized that evidence on extreme tempos was limited. Importantly, the studies involved people without chronic disease and generally required training to failure, so the findings cannot simply be transferred to every patient group.

The practical conclusion is refreshingly moderate: control matters, but there is no magic number of seconds. Very slow training is one useful option, not the only intelligent way to lift.

Slowness also has trade-offs. It is excellent for reducing momentum and increasing awareness, but it does little to train speed or power—the ability to produce force quickly. Power is relevant to climbing stairs, regaining balance and preventing a stumble from becoming a fall. A complete program may therefore use slow strength work as a foundation while adding safe, appropriately supervised balance and faster functional movements when the person is ready.

My interest in slow training and fibromyalgia

My interest in this subject began when a large part of my practice involved people with fibromyalgia. Many wanted to become stronger, yet conventional gym programs often asked them to do too much, too soon. A workout could feel manageable at the time and still be followed by increased pain, exhaustion or several days of reduced function.

That experience made the appeal of slow training easy to understand. It removes competition and urgency. It allows light resistance to be used purposefully. It asks the person to pay attention rather than push blindly through the movement. Strengthening exercise is supported within the management of fibromyalgia, including in EULAR’s patient guidance, but the starting level and rate of progression still need to match the individual.

My work has since broadened beyond fibromyalgia to chronic illness more generally. The same principle remains useful: the exercise should fit the person, rather than forcing the person to fit a prefabricated exercise program.

This becomes especially important when post-exertional malaise is present, as it may be in ME/CFS and some cases of Long COVID. Post-exertional malaise is a delayed worsening of symptoms that can occur 12 to 48 hours after even modest exertion and may last for days or longer. The CDC recommends pacing and staying within the individual energy envelope, rather than following a fixed progression that repeatedly provokes a crash. In this situation, an intense Slow Burn session taken to failure may be the opposite of what is needed.

Exercise, nourishment and recovery

One of the better ideas in Adam Zickerman’s Power of 10 is that the workout is only one part of the process. His three pillars are exercise, nutrition, and rest and recovery.

The details of his diet advice reflect the period in which the book was written, but the broader principle remains sound: the body needs enough nourishment—particularly adequate protein and an overall balanced diet—to adapt to strength training. Recovery also depends on sleep, hydration, stress, medications, illness activity and the demands of ordinary life.

Zickerman proposed an “Hour of Power”: a protected period for restorative activity rather than more training. It might include a nap, quiet reading, meditation, relaxed breathing, gentle mobility, an easy walk or simply sitting without demands. There is nothing physiologically magical about exactly 60 minutes, but the idea of scheduling recovery before exhaustion forces it upon us is valuable.

Rest days do not necessarily require complete inactivity. Gentle walking, mobility work, ordinary daily activity and suitable aerobic exercise may all have a place. Resistance training provides important cardiovascular benefits, but it should not automatically be presented as a replacement for aerobic movement. The American Heart Association notes that resistance and aerobic training can offer complementary benefits.

A gentler way to experiment with slow strength

The classic books often prescribe a brief full-body session taken to failure once or twice a week. For someone who is healthy, experienced and well supervised, that may be a reasonable method to explore. For a person living with chronic illness, I prefer to begin with the principles of slow training rather than its most demanding rules.

A conservative starting framework might look like this:

  1. Begin with one to three familiar movements. A sit-to-stand, wall push, supported row with a resistance band or a simple machine exercise may be enough for an initial session.

  2. Use a light, manageable resistance. The aim is to learn control, not prove strength.

  3. Move for roughly three to five seconds in each direction. Turn around smoothly and avoid bouncing or locking the joint.

  4. Keep breathing. Exhale gently through the difficult part and avoid bracing so hard that the breath is held.

  5. Stop well before failure. Finish when the movement slows involuntarily, form changes or symptoms begin to increase. Leaving several repetitions in reserve is sensible at first.

  6. Rest generously. There is no prize for moving quickly from one exercise to the next.

  7. Observe the following 24 to 48 hours. Soreness, sleep, pain, fatigue, dizziness and daily function are as important as the way the session felt at the time.

  8. Change only one variable at a time. Add a repetition, a little resistance, another exercise or a second weekly session—but not all four together.

The correct starting dose may look almost comically small. That is not failure. In chronic illness, finding a dose that can be repeated without a setback is often the beginning of genuine progress.

Anyone with unstable cardiovascular disease, uncontrolled blood pressure, unexplained dizziness or fainting, a recent operation, significant joint instability or a substantial change in symptoms should seek appropriate clinical guidance before beginning. Chest pain, faintness, unusual breathlessness or a sudden neurological symptom is a reason to stop and obtain medical advice.

Books that approach the subject from different angles

Ken Hutchins, Super Slow: The Ultimate Exercise Protocol
The historical and technical foundation of the modern SuperSlow system. It is detailed, uncompromising and now difficult to find. Hutchins’s later The Renaissance of Exercise develops many of the same ideas.

Fredrick Hahn, Michael Eades and Mary Dan Eades, The Slow Burn Fitness Revolution
The most accessible introduction to the branded Slow Burn method. It makes a strong case for short, infrequent workouts, although some of its claims should be read as advocacy rather than final scientific conclusions.

Adam Zickerman and Bill Schley, Power of 10
Another approachable slow-motion program, distinguished by its attention to nutrition and recovery as well as the workout itself.

Doug McGuff and John Little, Body by Science
A more technical argument for brief, high-intensity resistance training. Useful for understanding the physiology claimed by this school of training, but still best read alongside broader exercise research.

Philip Shepherd and Andrei Yakovenko, Deep Fitness
The most contemplative of the group. It combines slow strength training with mindful attention, breath and embodiment. Its distinctive contribution is the quality of attention it brings to the exercise; the branded method itself has not been established as superior in clinical trials.

The principle is more useful than the dogma

Slow training offers an appealing alternative to the noisy, hurried culture of the gym. It reminds us that a movement does not need to be explosive to be meaningful, that light resistance can be challenging, and that concentration and recovery belong within a fitness program.

Its advocates sometimes go too far. Ultra-slow repetitions are not uniquely effective, muscular failure is not obligatory, and a brief strength session does not make all other forms of movement unnecessary. Slow Burn is best understood as a tool rather than a complete doctrine.

For people living with chronic illness, the most valuable version may be gentler than the one described in the original books: smooth repetitions, modest resistance, unhurried breathing, a clear margin before failure and enough recovery to return willingly next time. The goal is not to create the hardest possible 30 minutes. It is to create a form of strength training that the body can absorb, recover from and gradually build upon.

Deep Fitness book cover

Deep Fitness
A science-oriented introduction to slow strength training, with particular attention to recovery and long-term health.

The SLOWBURN fitness revolution book cover

The Slow Burn Fitness Revolution
Fred Hahn’s practical guide to the Slow Burn method, explaining a range of exercises.

Power of 10 book cover

Power of 10
Adam Zickerman’s accessible once-a-week system, built around three pillars: slow exercise, nutrition, and rest and recovery.

Isometric & Resistance Band Strengthening for Fibromyalgia

 

Living with fibromyalgia often means walking a fine line between activity and rest. Too much exertion can trigger pain and fatigue, yet avoiding movement altogether weakens muscles and stiffens joints. Strength training, when done gently and mindfully, is one of the most effective ways to break this cycle. Among the safest and most adaptable methods are isometric exercises and resistance band strengthening.

What Is Isometric Exercise?

Isometric exercise is a form of strength training where the muscle contracts without moving the joint. Imagine pressing your palms together in front of your chest, or pushing gently against a wall. Your muscles engage, but your body stays still. This makes isometrics especially valuable for people with fibromyalgia, because the absence of repetitive motion reduces the risk of joint strain or flare-ups.

Even simple holds—like squeezing your thigh muscles while seated, or tightening your abdominal muscles for a slow count of five—can increase strength and improve stability. Over time, isometrics help maintain muscle tone, enhance circulation, and support posture, all without overwhelming fatigued muscles.

Why Resistance Bands Work So Well

Resistance bands are lightweight, stretchy bands that provide gentle resistance as you pull or push against them. Unlike free weights, bands allow for smooth, controlled movements that reduce the risk of sudden jolts. They also adapt easily to your current strength level: the farther you stretch the band, the more resistance you create.

This flexibility makes them ideal for fibromyalgia, where energy and pain levels can fluctuate daily. On days when you feel stronger, you can extend the band further for more challenge. On low-energy days, a smaller stretch provides just enough activity to keep your muscles engaged.

Benefits for Fibromyalgia

  1. Joint-Friendly: Both isometrics and bands protect sensitive joints by avoiding heavy loads and high impact.

  2. Customizable Intensity: You are always in control—holding an isometric contraction longer or stretching a band further adds intensity without forcing it.

  3. Portable and Accessible: Resistance bands are inexpensive and can be used at home, at work, or even while traveling. Isometrics require no equipment at all.

  4. Supports Daily Living: Building gentle strength improves balance, makes everyday tasks easier, and reduces the feeling of “muscle weakness” common in fibromyalgia.

Sample Gentle Exercises

  • Isometric Palm Press: Press your palms together at chest height and hold for 5–10 seconds. Relax and repeat.

  • Seated Quad Squeeze: While sitting, tighten your thigh muscles as if you’re straightening your knees. Hold, then release.

  • Resistance Band Row: Loop a band around a doorknob, hold both ends, and gently pull back as if rowing. This strengthens the upper back and improves posture.

  • Band Side Steps: Place a band around your thighs and step slowly side to side. This works the hips and helps stabilize the pelvis.

A Mindful Approach

For those living with fibromyalgia, the secret to successful exercise is not intensity but consistency and gentleness. Begin with just a few minutes, listen to your body, and allow recovery time. Over weeks and months, these small efforts add up to meaningful improvements in strength, mobility, and confidence.

Isometric and resistance band training offer a safe, adaptable path toward building resilience—one careful step at a time.

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