Symptoms of Fibromyalgia Improve with Tai Chi Mind Body Exercises

Symptoms of Fibromyalgia Improve with Tai Chi Mind Body Exercises

A recent study suggests that practicing Tai Ji Quan (TJQ), a Chinese mind-body therapy (MBT) exercise, also called Tai Chi, supports the technique as positive strategy to reduce fibromyalgia symptoms.

The study,”Efficacy of Rehabilitation with Tai Ji Quan in an Italian Cohort of Patients with Fibromyalgia Syndrome,” published in Complementary Therapies in Clinical Practice, regards the exercise as a “multicomponent intervention, integrating physical, psychosocial, emotional, spiritual, and behavioral elements and promoting the mind-body interaction”.

Drug therapies for fibromyalgia are often ineffective and may cause abuse and dependence. But lately, adapted physical activity and relaxation techniques, in combination with cognitive behavioral therapies and MBTs, are increasingly considered as positive options for non-pharmacological interventions that lessen the impact of chronic pain diseases.

Previous research showed that practicing Tai Ji Quan benefits fibromyalgia patients by improving measurable effects of chronic pain disease such as level of disability, quality of life, sleep, pain levels, psychological distress, and functional mobility and capacity.

“[TJQ] combines meditation with many fundamental postures flowing imperceptibly and smoothly from one to the other through slow, gentle, graceful movements as well as deep diaphragmatic breathing and relaxation, with the aim to move “qi” (vital energy) throughout the body,” the authors wrote in the study.

During the 16-week study, 44 fibromyalgia patients from Italy were randomly divided into two groups; the experimental group (22 patients), who practiced Tai Chi twice a week, and the control group (22 patients) who were treated with an educational program about fibromyalgia twice a week.

In the experimental group, each lesson lasted one hour and was divided into three stages. Stage 1 (15 minutes) was dedicated to the combination of postural and breathing exercises to increase muscle relaxation; stage 2 (15 minutes) included exercises to improve greater control of posture, breathing and concentration with movements of very low impact; and stage 3 (30 minutes) included the practice of a form of TJQ that allowed the patient to move in precise coordinated movements. The exercises were adapted to each patient’s needs and ability. Patients were also given a DVD with 15-minute exercise instructions to perform at home twice per day.

The control group participated in educational sessions about FMS, symptom management, and coping with the disease.

According to the study, patients after Tai Chi treatment showed significant improvements in quality of life, fatigue and disability, pain and tenderness. Sleep quality and anxiety were also improved.

Another important result: fibromyalgia patients who typically dislike rehabilitative programs due to chronic pain, experienced a high tolerability to the physical movement. The authors attributed the success of the program to the postures and low impact movements of Tai Chi, and to the “controlled breathing and movements leading to restful state and mental tranquility.” Pain thresholds were likely raised in the process, which helped break the cycle of movement pain.  

Future studies are now expected to confirm the findings in larger groups of FMS patients. The authors recommend that future studies include standardized exercise protocols with adequate follow-up periods, and that the training be guided by an expert physiotherapist.


  1. Bonnie Nordby says:

    Qigong the forebearer of Tai Chi is most effective. Since qigong utilizes more unilateral movements and simpler repetitive sequences it is easier to learn. This induces a parasympathetic trance much more quickly than many longer complex tai chi sets that activate thinking and self judgement. Once you learn qigong it is easy to graduate to tai chi. A program called Tai Chi Easy was developed to start people with qigong and slowly introduce them to tai chi. Also self accupressure and massage is helpful practices you will learn. Dr. Roger Jahnke and the IIQTC developed Tai Chi Easy.

    • David says:

      First, there are so much that are called Qigong and terribly many different teachers teaching very different things. For qigong, you would want to search for a certified medical doctor in traditional Chinese medicine. Second, Tai Chi has something that very little qigong offer. Tai Chi will “heat up” your body better and teach your body a certain calmness. No qigong set will teach you to move slowly and focused for such a long time as Tai Chi. I believe it’s right here the benefits lies. Not in what makes Tai Chi qigong, but what makes Tai Chi – Tai Chi. 😉

  2. SUZANNE YOUNG says:

    Oh these terrible misleading headlines and soundbites. Am livid 22 people as opposed to millions world wide over 3 months is ridiculous…. Also those who are well enough to go to an exercise class are a minority… Many thousands are in bed or home and unable to work or walk. These studies disappoint me. Every single Fibromyalgia sufferer is different with different levels and capability of movement and quality of life.
    Tai Chi is a lovely form of exercise for some but would be painful and impossible for many more Fibromyalgia sufferers with prominent chronic fatigue, irritable bowl, vertigo, memory loss, painful limbs and light heat and noise sensitivity. Completely worthless study in my opinion. 16 year Fibromyalgia sufferer (who has tried every physical and medical option) who was a fitness instructor and dance teacher for 20 years

    • Kate Kuhn says:

      Fitness and dance don’t do it. You have to focus on the fascia. Massage doesn’t do it either, FYI. Gentle movement that integrates muscles, body, mind, fascia, internal organs, bones, ets.

  3. Andrea Frankel says:

    This is great, but not for those of us with both ME/CFS and Fibromyalgia. Does anyone know of a seated version of Tai Chi?

    • David says:

      You can learn everything seated if you want. Any good Tai Chi teacher would know how to teach. If you want to search for a good teacher, the forum “” or a facebook group as “The Kwoon” are good places to start looking.

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