For many in Singapore, understanding the nuances between Chronic Fatigue Syndrome (CFS) and Fibromyalgia can be challenging. While Fibromyalgia primarily centres on widespread muscular pain and tenderness, CFS is characterised by persistent, unexplained fatigue.


FibromyalgiaChronic Fatigue Syndrome
Chronic widespread painSevere fatigue lasting longer than six months
Tenderness in certain areas of the bodyNot necessarily linked with pain
Muscle stiffnessSleep disorders
FatigueCognitive difficulties
Cognitive difficulties (often referred to as “fibro fog”)Muscle pain
Often associated with other conditions like IBS or migrainesOften triggered by infections
Multiple triggers (both avoidable and unavoidable)Possible post-viral syndrome


Fibromyalgia is a debilitating condition that affects approximately 2% to 4% of the population in Singapore and all around the world. Common symptoms include muscle pain, fatigue, chronic insomnia, and depression.


The current protocol for diagnosing Fibromyalgia in Singapore involves a pain-based assessment system that looks for persistent pain spread throughout the body, rather than just one focal point. General fatigue lasting for over three months is also considered a key symptom. Interestingly, Chronic Fatigue Syndrome is also diagnosed in 90-100% of these cases.

The distinct symptoms of Fibromyalgia are:

  • Chronic widespread pain
  • Fatigue
  • Sleep disturbances
  • Cognitive difficulties (“fibro fog”)
  • Tenderness in certain areas of the body
  • Muscle stiffness
  • Mood swings and depression
  • Headaches or migraines
  • Irritable bowel syndrome

Medical and non-medical methods are currently used to manage Fibromyalgia. Medications include painkillers, anti-seizure medication, and antidepressants. While estimates suggest that up to 40% of Singaporeans may experience significant improvement with these medications, very few are thought to fully recover. 


Non-medical methods include occupational therapy, counselling, and exercises.


Fibromyalgia is a chronic condition that affects millions of people worldwide. Unfortunately, the exact cause of it is still unknown. However, there are various theories that suggest links between this condition and inflammation, stress, infection, physical trauma, and nervous system problems.

One of the challenges is that it is known as a ‘diagnosis of exclusion.’ This means that it can only be diagnosed after other serious conditions have been ruled out. These conditions may include arthritis, brain disease, depression, or infection. Despite the significant impact that it has on the lives of those who live with it, some medical professionals have even claimed that it does not exist because there is no satisfactory definition for the condition.

While the causes remain uncertain, there have been some common triggers that cause flare-ups for Fibromyalgia sufferers:

  • Physical and Psychological Stress
  • High stress levels can greatly impact the body, particularly for those with Fibromyalgia. Managing stress through practices like meditation, journaling, and breathing exercises can offer relief from symptoms.
  • Hormonal Imbalance
  • Dietary Choices
  • Over-exercising
  • Changes in Medication
  • Weather and Temperature Changes
  • Injuries
  • Specific Illnesses
  • Schedule Changes
What are the common causes of the fibromyalgia disease
Your lifestyle choices, pre-existing conditions and injury may be some of the causes for your chronic fatigue and fibromyalgia


Living with Fibromyalgia brings constant pain, fatigue, disrupted sleep, and debilitating symptoms. Consulting a specialist in Singapore for early diagnosis and improved management is crucial for a better quality of life.

Chiropractic care is gaining attention for addressing musculoskeletal imbalances and alleviating Fibromyalgia symptoms. Seeking expert advice early on and considering personalized care plans and holistic therapies from chiropractors in Singapore can help reclaim a life free from Fibromyalgia’s effects.


Another prevalent condition among Singaporeans is Chronic Fatigue Syndrome (CFS), marked by persistent and extreme fatigue lasting over six months, unalleviated by rest. It significantly impacts one’s life, presenting symptoms like unrefreshing sleep, concentration difficulties, memory issues, and dizziness, hindering daily tasks and activities.

The cause of CFS remains unclear, although research suggests various contributing factors. Genetic predisposition, viral infections, immune system issues, hormonal imbalances, and physical or emotional trauma are believed to trigger CFS in susceptible individuals.


Fibromyalgia is a chronic condition affecting people all across the globe. While research has traditionally focused on rheumatological and psychological factors, new hypotheses suggest that changes in muscle metabolism, including decreased blood flow, may cause overall weakness and fatigue. Other current research is exploring abnormalities in neurophysiology, which affect nerve function and regulation of neurotransmitters and hormones.

For many patients, traditional methods such as exercise, therapy, meditation, and dietary changes offer minimal improvement. However, there are alternative therapies that can provide effective relief from symptoms. Chiropractors, for example, specialise in the nerve system and help with issues related to balance to allow the body to heal without medication.


Research shows that upper cervical Chiropractic care can help in managing and relieving symptoms of both Fibromyalgia and Chronic Fatigue Syndrome. The approach focuses on supporting proper biomechanical function at the occipital-atlantoaxial complex, also known as the upper cervical spine. By restoring balance to this area, specialists in Singapore aim to reduce interference in nerve messages from the brain and allow the body to heal naturally. An example of a comprehensive care plan includes:

  • Computed Thermography Nerve Scans: This technology offers an in-depth nerve system analysis. It’s pivotal in identifying underlying dysfunctions that may intensify symptoms.
  • Specialised Biomechanical X-rays: Recognised for its precision, this method provides an accurate assessment of spinal and musculoskeletal issues.
  • Upper Cervical Chiropractic Technique: Prioritising the cervical spine’s crucial role in spinal health, this technique utilises advanced methodologies to ensure the spinal cord’s optimal protection and function.
  • NeuroPro Functional Neurology Rehab: This innovative rehab approach complements Chiropractic care. The customised neurological exercises serve not only to help alleviate symptoms but also to strengthen the body’s resilience against recurrent issues.
doctor from our chiropractic clinic in singapore performing treatment to a woman patient

Regular follow-up appointments and ongoing care play a crucial role in effectively managing Fibromyalgia. After an initial consultation and session, a Fibromyalgia specialist will take several follow-up steps to ensure ongoing care, monitor progress and track symptom changes. Adjustments are made as needed, such as modifying Chiropractic adjustments or recommending additional therapies. As such, open communication between the patient and specialist is encouraged to address any concerns or changes in symptoms.


discovery call
Included as part of our services
(10 minutes)
  • Phone call with a Fibromyalgia specialist to examine your situation and determine if we are a good match for your needs.

$ 150
(60 minutes)
  • The fibromyalgia specialist will review your full history and conduct various assessments such as a physical examination, postural assessment, and nerve system tests.

Test Results
Included as part of our services
(45 minutes)
  • Following the consultation, the fibromyalgia specialist will discuss the findings and X-ray results with you, and subsequently develop a personalised care plan.

Single Session
$ 90-130
(30-35 minutes)
  • As necessary, nerve scans and adjustments will be carried out, accompanied by re-examinations and the implementation of rehab exercises.

We strive to empower our patients to take control of their health and well-being by addressing their unique concerns.

Read patient reviews and testimonials to see how our specialists have helped those with Fibromyalgia and Chronic Fatigue Syndrome in Singapore.

MEET OUR Singapore Fibromyalgia SPECIALISTS

Shaan is a GCC registered Chiropractor from London (UK) who graduated from the Anglo-European College of Chiropractic (UK). He has completed post-graduate studies and has been a decade of experience..

He founded Vitality Chiropractic Centres to open the first Upper Cervical clinic in Singapore.

He is the Alliance of Chiropractic (AOC) Vice President and Chairman for Outreach, organising events with People’s Association (PA) and other charities. Shaan has served thousands of patients, with experience in patients with headaches, migraines, vertigo, Meniere’s, whiplash, IBS and other chronic nervous system problems.

“You are always better off with a healthy nerve system than an unhealthy nerve system, regardless of symptoms” – Shaan

Jessey is a GCC registered Chiropractor from Kuala Lumpur (Malaysia), graduated from Anglo-European College of Chiropractic (UK). She has experience serving patients from 2 weeks old to 96 years old prior to moving to Singapore and joining Vitality Chiropractic.

She has completed post-graduate studies and is Singapore’s first female Upper Cervical Chiropractor.

Jessey is active in outreach, participating in charitable trips to Cambodia and within Singapore. Jessey has experience helping patients with headaches, migraines, vertigo, Meniere’s, slipped disc, anxiety, fibrillations, IBS and other chronic nerve system problems. She also has a special interest in children and younger patients.

“I am passionate about helping people kick-start their healing process and have a second chance at life” – Jessey



Chiropractic care for Fibromyalgia generally has a low risk of complications. However, potential risks may include temporary soreness, discomfort, or fatigue following adjustments. It is important to discuss any concerns or pre-existing conditions with your Chiropractor to ensure safe and appropriate care.

Chiropractic care can complement other medical aids and lifestyle modifications for Fibromyalgia and Chronic Fatigue Syndrome (CFS) by addressing musculoskeletal issues, spinal alignment, and nervous system function. It may be used in conjunction with medication, physical therapy, exercise, stress management techniques, and other therapies to provide a holistic approach to symptom management.

Chiropractic aims to optimise the function of the musculoskeletal system, including the spine, which plays a vital role in supporting the nervous system. By addressing spinal alignment and tension or misalignments, chiropractic adjustments can help support proper nervous system function and potentially manage symptoms associated with Fibromyalgia, including inflammation and nervous system problems.

Chiropractic may offer some level of relief for certain symptoms associated with Fibromyalgia, including muscle pain, chronic insomnia, and depression. By addressing musculoskeletal imbalances and optimising nervous system function, chiropractic adjustments may contribute to pain management, and possibly even improving sleep quality. Not just this, chiropractic care can also help manage other pains. If you are suffering from any other condition such as neck pain, or whiplash injury, you can consult our neck pain specialist and whiplash specialist in Singapore.

The time it takes to see improvements in Fibromyalgia symptoms with chiropractic care can vary depending on various factors, including the severity of the condition, individual response to Chiropractic care, and consistency of care. Some individuals may experience relief after a few sessions, while others may require ongoing sessions over a longer period to achieve their desired improvements. Your chiropractor can provide a personalised assessment and recommend a plan based on your specific needs.
Yes, exercises and physical activities may be recommended alongside chiropractic care for Fibromyalgia. Gentle stretching, low-impact aerobic exercises, and strength training can help improve flexibility, reduce muscle tension, and enhance overall physical function. Our specialist may provide specific exercises tailored to your condition and guide you on incorporating them into your care plan.


Fill in your details below or contact 8438 9550 and we will help you to schedule a complimentary, no-obligation call with one of our Chiropractors in Singapore to discuss your case.

Our Fibromyalgia specialist in Singapore can help.

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