This study shows that fibromyalgia involves altered brain connectivity between self-awareness and pain-processing regions. Increased internal focus and reduced pain regulation may help explain persistent symptoms. The findings support using therapies like mindfulness, movement, and ACT to target both pain modulation and the way the brain constructs bodily experience.

Physiotherapy is not a treatment but a clinical profession — and chronic illness requires a very different approach than short-term symptom relief. This post explores why manual therapy often falls short, and why movement, when used intentionally, becomes one of the most powerful tools for long-term change.

Healing isn’t passive — it’s something we engage in with intention and care. In Recovery, Gavin Francis reminds us that convalescence is an active process, not a waiting room. True recovery involves movement, reflection, and creating the right conditions for the body and mind to restore themselves over time.

Fascia is a living tissue that adapts to how we move. Its structure and function are essential for coordination, force transmission, and sensory awareness. Regular, well-rounded exercise supports its ability to glide, hydrate, and remodel — making movement smoother, more efficient, and less likely to contribute to chronic pain.

Chronic pain is often linked to a nervous system that has become overly sensitive. Understanding how pain works, and gradually increasing physical activity, can help reduce symptoms. Movement, done safely and consistently, plays a central role in restoring confidence, function, and long-term resilience — even when pain has been present for years.

Not all rest is sleep — and if you live with chronic illness or fatigue, you’ve probably felt that truth in your bones. In this journal entry we go through seven distinct types of rest we need to truly restore ourselves. This framework helped me rethink how I approach fatigue, both personally and professionally.