Sauna, Cold Plunge and Compression with Fibromyalgia

Understanding Fibromyalgia

Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain, fatigue, and cognitive disturbances, often referred to as “fibro fog.” While the exact cause remains unknown, it’s believed to involve an increased sensitivity to pain signals in the brain and spinal cord. Symptoms can vary in intensity and may be triggered by factors such as stress, physical activity, or weather changes. Managing fibromyalgia often requires a multifaceted approach, including lifestyle modifications and various therapies.

Infrared Sauna Therapy 

Evidence and benefits for fibromyalgia:

Early studies have suggested some promising benefits for fibromyalgia pain and quality of life. For example, one 12-week program combining regular sauna sessions with gentle exercise led to large drops in pain scores (31–77% reduction) and improved overall well-being. More recently, a randomized clinical trial found that a series of whole-body infrared treatments produced a significant 30% average reduction in fibromyalgia pain Patients in that study also showed improvement in mood scores, and importantly, no serious side effects were reported. Practitioners believe infrared saunas help by releasing endorphins, easing muscle stiffness, and improving sleep – all factors that can help people with fibromyalgia feel better. Many fibromyalgia patients report feeling relaxed and noticing less pain after a few sauna sessions. 

Risks and considerations: Infrared saunas are generally considered safe if used properly, but cautions apply. Because they raise body temperature, they can cause overheating or dehydration if you stay in too long. Lowering blood pressure while sweating can also make you feel lightheaded, especially if you stand up quickly. Talk to your doctor before trying heat therapy if you have heart disease, unstable blood pressure, or are pregnant. To stay safe: limit sessions (e.g. 15–20 minutes), sip water, and avoid alcohol or heavy meals beforehand. Always step out at the first sign of dizziness or excessive discomfort. For many fibromyalgia patients, moderate heat (rather than very high temperatures) is easier to tolerate – infrared saunas often operate at lower temps than steam saunas. 

Cold Plunge Therapy with a little contrast

Evidence and benefits for fibromyalgia: 

Direct research on fibromyalgia is limited, but available studies of extreme cold therapy are encouraging. One trial of whole-body exposure to cold water in fibromyalgia patients found much larger improvements in pain and function. Similarly, a study in healthy volunteers showed that contrast therapy using infrared heat and cold treatment raised pain thresholds. Many fibromyalgia patients shared personal reports that short cold plunges can relieve stiffness and make them feel more alert. Some people use contrast (hot sauna then cold plunge) to magnify these effects. Note that people with fibromyalgia often have temperature sensitivity, so responses vary. Some feel immediate relief (cold numbing the hurt), while others may find deep cold uncomfortable or even painful. 

Risks and considerations:

Cold plunges carry their own cautions. The shock of cold water can spike blood pressure and heart rate – so anyone with cardiovascular issues or high blood pressure should consult a doctor first. Enter the water slowly to avoid “cold shock” and keep plunges brief (start with 30 seconds to 2 minutes). If you have Raynaud’s, neuropathy, or a history of fainting, start very gradually or avoid deep cold. Skin can sting or burn if the water is very cold. Always have supervision if trying very cold therapy the first few times. Note that some fibromyalgia patients feel worse after ice (more tension or pain) If you try a cold plunge, follow it with gentle warming and movement; avoid ending a session shivering, as that can reinforce pain. In summary, cold therapy can anecdotally, but use it carefully and listen to your body



Compression Therapy 

Evidence and benefits for fibromyalgia:

There is very little direct research on compression for fibromyalgia. No large trials have been done. However, we do know compression improves circulation and lymphatic drainage generally. By analogy, pneumatic compression might help fibromyalgia patients feel less “heavy” or achy after standing or sitting. Some people report feeling less leg fatigue and swelling after compression. It may also indirectly help blood pressure or circulation issues that some fibromyalgia patients face. 

Risks and considerations:

Compression is generally low-risk when used properly. Don’t overdo the pressure: the cuffs should not cause pain or numbness. Stop if the skin becomes red, itchy or starts to bruise. People with blood clots (DVT), severe arterial disease, acute infections, or uncontrolled heart failure should avoid compression devices, as they can force clots to move or overload the heart. If you have neuropathy, compression garments might feel uncomfortable or may not be recommended. Always follow guidelines for how long and how tight: for example, many boots auto-set to a safe pressure. In summary, compression therapy may offer gentle relief by boosting circulation, but because evidence is limited, use it as a complement (not a cure) and discuss with your doctor or therapist. 



  • Infrared saunas
  • use light to heat the body and can produce exercise-like effects (sweating, raised heart rate) at milder heat. Recent trials show regular whole-body infrared therapy can significantly reduce fibromyalgia pain (~30% average drop) and improve mood. Risks include overheating and dehydration, so hydrate and keep sessions short.
  • Cold plunges
  • numb pain receptors and may relieve muscle soreness and inflammation in the short term. Some studies found greater pain relief with cold exposure than control treatment. However, cold can also trigger stiffness or pain in some people. Always ease into cold therapy and watch for signs of intolerance. 
  • Compression therapy 
  • boosts circulation in the limbs by “squeezing” blood back to the heart. While no large trials exist for fibromyalgia, improved blood flow and reduced fluid pooling could help ease fatigue and ache. Use moderate pressure; avoid if you have blood clots or severe vascular issues.
  • Combining therapies
  • (contrast therapy) might provide extra benefits: heat, then cold can amplify the circulatory “pump” effect. Many users report feeling more alert and less sore with contrast routines. If trying it, start slowly (short exposures) and allow time to recover between steps. Be cautious of big temperature swings, and consult professionals for personalized guidance. 
  • Listen to your body: Fibromyalgia is very individual. What works for one person may not work for another. Always start any new therapy gradually. If a therapy aggravates your pain, stop it or adjust the intensity. Seek advice from healthcare providers, especially if you have other health conditions. 

Overall, infrared sauna, cold plunge, and compression therapies each have the potential to help fibromyalgia recovery by relaxing muscles, improving circulation, and modulating pain signals. Recent research supports their use as complementary treatments. When used carefully and combined thoughtfully, these methods may enhance symptom relief and improve quality of life. Remember: stay hydrated, monitor your body’s response, and discuss any new recovery routine with your doctor or therapist to ensure it’s safe and appropriate for you.