Advances in research within the last 10 to 12 years have provided information about the specific ways fibromyalgia patients need to move and exercise to minimize loss of function and enhance quality of life. ​ Typical fitness workouts that provide only a small amount of post-exercise soreness in healthy beginners can in fact produce delayed onset of muscle soreness in fibromyalgia patients that is so severe and leads to an ongoing cycle of exertion, flare, recovery, exertion