I attended a fibromyalgia pain management session at the hospital which I found depressing. A lot of the advice was common sense regarding, exercise, sleep, nutrition, pacing etc but the overall message was demoralising. It was: we believe this is a real illness but you are going to have to train your mind to overcome pain; although you experience fatigue and pain, you are going to have to work harder than anyone else to keep up an exercise regime to stay strong and healthy; there is nothing physically wrong with you it is your brain and pain receptors misreading pain so you should just ignore it; yes we know you probably have tried all these suggestions already but you are going to have to try them a bit more and a bit harder and if you still feel unwell it is because you are not putting enough effort in. Oh and remember to be kind to yourself, say no and give yourself self-care (but not too much because you have to keep working hard to be well.)
There were a number of people, including myself, who have other conditions. One poor woman has rheumatoid arthritis, ankylosis spondylitis and a couple of others as well as fibromyalgia and said all her pain medication had been taken away and she had been told to attend the course because painkillers wouldn't help fibro. She asked the physio how she was meant to distinguish the fibro pain from pain caused by the other conditions. Apparently fibro pain moves around but even so she was now expected to do without pain medication for all conditions because she had a diagnosis of fibro.
Anyway the impression I got was there is a movement within the NHS towards getting everyone off pain medication and the answer to all ailments is exercise and mind over matter. If it doesn't work for you it it because you are not trying hard enough. Am I being overly cynical?