Inclusion Criteria:

A patient suffering from fibromyalgia or chronic fatigue symptom.

Week 1-2:

Patient should report no headache, no shoulder pain.

Week 3-4:

Back\ lower body symptoms reduce by 50 percent marked reduction of pain.

Week 4-5:

Patient able to tolerate strengthening programs without the exacerbation of symptoms.

Week 6-8:

Patient is free from any pain or tenderness except for certain activities.

Week 8+:

Performing independent with home exercise program without exacerbation of symptoms. Muscle strength is within normal limits with no symptoms and discharged from physical therapy.