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</header>  <div id="et-main-area"> <div id="main-content"> <article id="post-8077" class="post-8077 page type-page status-publish hentry"> <div class="entry-content"> <div class="et-l et-l--post"> <div class="et_builder_inner_content et_pb_gutters3"><div class="et_pb_section et_pb_section_0 et_section_regular" > <div class="et_pb_row et_pb_row_0"> <div class="et_pb_column et_pb_column_4_4 et_pb_column_0 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_text et_pb_text_0 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h1 style="text-align: center;"><strong>Fibromyalgia</strong></h1></div> </div> </div> </div><div class="et_pb_row et_pb_row_1"> <div class="et_pb_column et_pb_column_1_2 et_pb_column_1 et_pb_css_mix_blend_mode_passthrough"> <div class="et_pb_module et_pb_text et_pb_text_1 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><p><span style="font-weight: normal; font-family: inherit; font-size: medium;">Fibromyalgia often causes widespread pain – people describe it as ‘hurting all over’. The pain can vary from person to person, come and go, and change in intensity during the day. Other symptoms can include:</span></p> <h2><strong>Symptoms of Fibromyalgia can include: </strong></h2> <ul> <li style="list-style-type: none;"> <ul> <li><span data-preserver-spaces="true">Widespread pain without an injury </span></li> <li><span data-preserver-spaces="true">Tension headaches </span></li> <li><span data-preserver-spaces="true">Tender points on your body </span></li> <li><span data-preserver-spaces="true">Fatigue – no energy or struggle to recharge </span></li> <li><span data-preserver-spaces="true">Difficulty with getting to sleep or staying asleep </span></li> <li><span data-preserver-spaces="true">Trouble concentrating or remembering things. Often called “fibro fog.” </span></li> <li><span data-preserver-spaces="true">Depression or anxiety </span></li> <li><span data-preserver-spaces="true">Digestive problems </span></li> <li><span data-preserver-spaces="true">Irritable or overactive bladder </span></li> <li><span data-preserver-spaces="true">Pelvic pain </span></li> <li>Jaw pain</li> </ul> </li> </ul> <p><span style="font-weight: 400;">Fibromyalgia often runs in families. People with <strong><a href="https://www.arthritis.org.nz/information/forms-of-arthritis/rheumatoid-arthritis/" target="_blank" rel="noopener noreferrer">Rheumatoid Arthritis</a></strong>, <strong><a href="https://www.arthritis.org.nz/information/forms-of-arthritis/lupus/" target="_blank" rel="noopener noreferrer">Lupus,</a> <span style="color: #0000ff;"><a href="https://www.arthritis.org.nz/sjogrens-syndrome/" style="color: #0000ff;"><span style="color: #000000;">Sjögren’s Syndrome</span> </a></span></strong>or <strong><a href="https://www.arthritis.org.nz/ankylosing-spondylitis/" target="_blank" rel="noopener noreferrer">Ankylosing Spondylitis</a></strong> are also more likely to develop Fibromyalgia although it is not a disease of the joints or an inflammatory condition. Fibromyalgia does not cause permanent damage to bones, joints or muscles.</span></p> <p><span style="font-weight: 400;">For these reasons, Fibromyalgia is more often called a syndrome rather than a disease and is very difficult to diagnose because it can mimic other conditions. No one really knows what causes it although it has been linked to psychological trauma and the body’s interpretation of and response to pain signals. </span></p> <p><span style="font-weight: 400;">Around 1 in 50 people will develop Fibromyalgia at some time in their life, usually between the ages of 25 and 55. The condition mostly affects women, but men, children and teenagers can have it too.</span></p> <p><span style="font-weight: 400;">There is currently no cure for Fibromyalgia but researchers are working on understanding it better. Medication, exercise, relaxation and reducing stress all help reduce symptoms. Most people, with support from their healthcare team, eventually find a way to manage their symptoms. </span></p></div> </div><div class="et_pb_with_border et_pb_module et_pb_text et_pb_text_2 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h2><strong>How is Fibromyalgia diagnosed?</strong></h2></div> </div><div class="et_pb_module et_pb_text et_pb_text_3 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><p><span data-preserver-spaces="true">Fibromyalgia is diagnosed based on symptoms and examination. There are usually no signs of Fibromyalgia on physical examination other than muscle tenderness. Your healthcare provider will consider all the possible causes of your symptoms and decide whether you need tests to rule out other causes. </span></p> <p><span data-preserver-spaces="true">There are no X-rays, scans or blood tests that can check for Fibromyalgia. If your symptoms fit what is known about Fibromyalgia and not the symptoms of another illness, then a diagnosis can be made. You can have Fibromyalgia AND another condition with similar or crossover symptoms. </span></p> <p><span data-preserver-spaces="true">There are many different sets of diagnostic criteria. The ones healthcare providers in New Zealand use currently are the 2010 American College of Rheumatology criteria.</span></p> <p><strong><span data-preserver-spaces="true">Three main criteria need to be met for a diagnosis:</span></strong><span data-preserver-spaces="true"> </span></p> <ul> <li><span data-preserver-spaces="true">Your score on the Widespread Pain Index (</span><span data-preserver-spaces="true">WPI</span><span data-preserver-spaces="true">) is 7 or higher, and Symptom Severity Score (</span><span data-preserver-spaces="true">SSS</span><span data-preserver-spaces="true">) is 5 or higher. <em><strong>Or</strong></em> your WPI is between 3 to 6 and your </span><span data-preserver-spaces="true">SSS</span><span data-preserver-spaces="true"> is 9 or higher. The WPI and SSS are questionnaires which your healthcare provider will work through with you. They consider how many areas of the body you experience pain and how much trouble your other symptoms cause. </span></li> <li><span data-preserver-spaces="true">Symptoms have been present at a similar level for at least three months. </span></li> <li><span data-preserver-spaces="true">There is no other disorder that would otherwise explain the pain. </span></li> </ul> <p><span data-preserver-spaces="true">The International Classification of Diseases, 11th revision identifies Fibromyalgia as chronic widespread pain (</span><span data-preserver-spaces="true">CWP</span><span data-preserver-spaces="true">), which is </span><strong><span data-preserver-spaces="true">diffuse pain in at least 4 of 5 body regions</span></strong><span data-preserver-spaces="true"> and is associated with significant </span><strong><span data-preserver-spaces="true">emotional distress</span></strong><span data-preserver-spaces="true"> (anxiety, anger/frustration or depressed mood) or </span><strong><span data-preserver-spaces="true">functional disability</span></strong><span data-preserver-spaces="true"> (interference in daily life activities and reduced participation in social roles). </span></p> <p><span data-preserver-spaces="true">CWP</span><span data-preserver-spaces="true"> is multifactorial: biological, psychological and social factors contribute to the pain syndrome. The diagnosis is appropriate when the pain is not directly attributable to a nociceptive process in these regions, and there are features consistent with neoplastic pain and identified psychological and social contributors. </span></p></div> </div><div class="et_pb_module et_pb_text et_pb_text_4 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h2><strong><span data-preserver-spaces="true">Who can diagnose Fibromyalgia?</span></strong></h2></div> </div><div class="et_pb_module et_pb_text et_pb_text_5 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><p><span data-preserver-spaces="true">A GP or an experienced nurse practitioner can make a diagnosis. Sometimes, your </span><span data-preserver-spaces="true">GP</span><span data-preserver-spaces="true"> will feel uncomfortable providing more certainty and will refer you to a rheumatologist (joint specialist) or, in areas where there is no rheumatologist, to a general physician.</span></p></div> </div><div class="et_pb_with_border et_pb_module et_pb_text et_pb_text_6 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h2><strong>How can I manage my Fibromyalgia?</strong></h2></div> </div><div class="et_pb_module et_pb_text et_pb_text_7 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h2></h2> <p><span style="font-weight: 400;">Each person’s symptoms and experience of Fibromyalgia are different, so management options will vary as well and are usually a mixture of medical approaches and self-care.</span></p></div> </div><div class="et_pb_module et_pb_text et_pb_text_8 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h3><strong>Medications</strong></h3></div> </div><div class="et_pb_module et_pb_text et_pb_text_9 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h2></h2> <p><span style="font-weight: 400;">Medications alone are seldom successful in treating Fibromyalgia but they can reduce pain and improve sleep. They include:</span></p> <ul> <li style="list-style-type: none;"> <ul> <li style="font-weight: 400;"><span style="font-weight: 400;">painkillers such as paracetamol and non-steroidal anti-inflammatory drugs (NSAIDS) are usually ineffective in Fibromyalgia, although they may still be useful for relieving underlying arthritic pain.</span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">tricyclic anti-depressants such as amitriptyline and nortriptyline are used in low doses to improve sleep and boost the body’s natural mechanisms to reduce pain.</span></li> <li style="font-weight: 400;"><b><span style="font-weight: 400;">anticonvulsants such as gabapentin and pregabalin are used to treat nerve pain (neuralgia) and have been shown to help people with Fibromyalgia.</span></b></li> </ul> </li> </ul></div> </div><div class="et_pb_module et_pb_text et_pb_text_10 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h3><strong>Exercise</strong></h3></div> </div><div class="et_pb_module et_pb_text et_pb_text_11 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><p><span style="font-weight: 400;">Moving your body will help improve your mood, combat fatigue, increase muscle tone, improve blood flow, ease digestive problems and aid sleep. An exercise programme should include stretching, strengthening and aerobic exercise. The key is to start gradually, especially if you are in pain. Walking, swimming and Tai Chi are all great forms of exercise and warming up first is very important.</span> </p></div> </div><div class="et_pb_button_module_wrapper et_pb_button_0_wrapper et_pb_button_alignment_center et_pb_module "> <a class="et_pb_button et_pb_button_0 et_pb_bg_layout_light" href="https://www.arthritis.org.nz/your-arthritis/living-well/exercise-and-arthritis/">Learn more about exercise and arthritis</a> </div><div class="et_pb_module et_pb_text et_pb_text_12 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h3><strong>Relaxation</strong></h3></div> </div><div class="et_pb_module et_pb_text et_pb_text_13 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><p><span style="font-weight: 400;">It’s important to balance activity with rest and be guided by what your body needs. Try to reduce stress by planning ahead and breaking activities into small manageable tasks with regular breaks. This will help prevent overwhelming fatigue and decrease your pain. Learn some relaxation techniques to ease muscle tension and anxiety. These might include:</span></p> <ul> <li style="font-weight: 400;"><span style="font-weight: 400;">acupuncture</span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">massage</span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">hypnotherapy</span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">hot and cold packs</span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">infrared heat</span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">hydrotherapy</span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">yoga</span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">meditation.</span></li> </ul></div> </div><div class="et_pb_module et_pb_text et_pb_text_14 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h3><strong>Sleep </strong></h3></div> </div><div class="et_pb_module et_pb_text et_pb_text_15 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><p><span style="font-weight: 400;">Fatigue is a key symptom of Fibromyalgia so getting enough sleep becomes vital. It’s also important not to spend hours in bed as too much inactivity can also be harmful both physically and emotionally. Instead of long naps, try regular micro-rests of 5 to 10 minutes during the day.</span></p></div> </div><div class="et_pb_module et_pb_text et_pb_text_16 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h4><strong>Tips for a good night’s rest</strong></h4> <ul> <li><span>Avoid caffeine in the evening (including soft drinks, alcohol, coffee and tea)</span></li> <li><span>Avoid smoking</span></li> <li><span>Turn off screens (TV, mobile devices, laptops) at least half an hour before bedtime</span></li> <li><span>Develop a regular routine to help you wind down before bedtime</span></li> <li><span>Go to bed and wake up at the same time each day</span></li> <li><span>Make sure your bedroom is dark, quiet and a comfortable temperature</span></li> <li><span>Try a warm bath before bedtime to ease pain and stiffness.</span></li> </ul></div> </div><div class="et_pb_module et_pb_text et_pb_text_17 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h3><strong>Psychological approaches </strong></h3></div> </div><div class="et_pb_module et_pb_text et_pb_text_18 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><p><span style="font-weight: 400;">Pain can affect your mood, making you feel sad, anxious, fearful, frustrated or angry. Psychological approaches address the emotional aspects of pain and can help prevent it from becoming overwhelming. Cognitive behavioural therapy (CBT) is one approach that has been shown to help control anxiety for people with fibromyalgia. This should be undertaken with a trained therapist or clinical psychologist. Counselling or psychotherapy may also be helpful.</span></p> <p><span style="font-weight: 400;"></span></p> <p><span style="font-weight: 400;"></span></p></div> </div><div class="et_pb_button_module_wrapper et_pb_button_1_wrapper et_pb_button_alignment_center et_pb_module "> <a class="et_pb_button et_pb_button_1 et_pb_bg_layout_light" href="https://www.facebook.com/groups/fibrosupportnz" target="_blank">Join the Fibromyalgia Online Support Group on Facebook</a> </div><div class="et_pb_module et_pb_cta_0 et_clickable et_pb_promo et_pb_text_align_center et_pb_bg_layout_dark"> <div class="et_pb_promo_description et_multi_view_hidden"></div> <div class="et_pb_button_wrapper"><a class="et_pb_button et_pb_promo_button" href="https://www.arthritis.org.nz/forms-of-arthritis/">Back to Forms of arthritis</a></div> </div> </div><div class="et_pb_column et_pb_column_1_2 et_pb_column_2 et_pb_css_mix_blend_mode_passthrough et-last-child"> <div class="et_pb_module et_pb_image et_pb_image_0"> <a href="https://www.arthritis.org.nz/wp-content/uploads/2022/09/Final-What-is-Fibromyalgia-fact-sheet.pdf" target="_blank"><span class="et_pb_image_wrap has-box-shadow-overlay"><div class="box-shadow-overlay"></div><img fetchpriority="high" decoding="async" width="1414" height="2000" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201414%202000'%3E%3C/svg%3E" data-src="https://www.arthritis.org.nz/wp-content/uploads/2022/09/Fibro.gif" alt="" title="Fibro" class="wp-image-56699 lazy" /></span></a> </div><div class="et_pb_button_module_wrapper et_pb_button_2_wrapper et_pb_module "> <a class="et_pb_button et_pb_button_2 et_pb_bg_layout_light" href="https://www.arthritis.org.nz/nociplastic-pain-webinar/" target="_blank">Watch the latest webinar on Fibromyalgia: What is nociplastic pain?</a> </div><div class="et_pb_module et_pb_text et_pb_text_19 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><h3><strong>Videos to watch:</strong></h3></div> </div><div class="et_pb_module et_pb_text et_pb_text_20 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><p><span><div class="epyt-gallery" data-currpage="1" id="epyt_gallery_21255"><iframe loading="lazy" style="display: block; margin: 0px auto;" id="_ytid_23089" width="1080" height="608" data-origwidth="1080" data-origheight="608" src="https://www.youtube.com/embed/29HJWf1jaJ8?enablejsapi=1&autoplay=0&cc_load_policy=0&cc_lang_pref=&iv_load_policy=1&loop=0&modestbranding=0&rel=0&fs=1&playsinline=0&autohide=2&theme=dark&color=red&controls=1&" class="__youtube_prefs__ no-lazyload" title="Fibromyalgia" data-epytgalleryid="epyt_gallery_21255" allow="fullscreen; accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen data-no-lazy="1" data-skipgform_ajax_framebjll=""></iframe><div class="epyt-gallery-list"><div class="epyt-pagination "><div tabindex="0" role="button" class="epyt-pagebutton epyt-prev hide " data-playlistid="PLR0yEdIFdDkeKZ_s5pIv4hC0Y-nxILHRE" data-pagesize="9" data-pagetoken="" data-epcolumns="3" data-showtitle="1" data-showpaging="1" data-autonext="0" data-thumbplay="1"><div class="epyt-arrow">«</div> <div>Prev</div></div><div class="epyt-pagenumbers hide"><div class="epyt-current">1</div><div class="epyt-pageseparator"> / </div><div class="epyt-totalpages">1</div></div><div tabindex="0" role="button" class="epyt-pagebutton epyt-next hide " data-playlistid="PLR0yEdIFdDkeKZ_s5pIv4hC0Y-nxILHRE" data-pagesize="9" data-pagetoken="" data-epcolumns="3" data-showtitle="1" data-showpaging="1" data-autonext="0" data-thumbplay="1"><div>Next</div> <div class="epyt-arrow">»</div></div><div class="epyt-loader"><img class="lazy" decoding="async" alt="loading" width="16" height="11" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%2016%2011'%3E%3C/svg%3E" data-src="https://www.arthritis.org.nz/wp-content/plugins/youtube-embed-plus/images/gallery-page-loader.gif"></div></div><div class="epyt-gallery-allthumbs epyt-cols-3 "><div tabindex="0" role="button" data-videoid="29HJWf1jaJ8" class="epyt-gallery-thumb"><div class="epyt-gallery-img-box"><div class="epyt-gallery-img lazy" style="" data-bg="url(https://i.ytimg.com/vi/29HJWf1jaJ8/hqdefault.jpg)"><div class="epyt-gallery-playhover"><img loading="lazy" decoding="async" alt="play" class="epyt-play-img" width="30" height="23" src="https://www.arthritis.org.nz/wp-content/plugins/youtube-embed-plus/images/playhover.png" data-no-lazy="1" data-skipgform_ajax_framebjll="" /><div class="epyt-gallery-playcrutch"></div></div></div></div><div class="epyt-gallery-title">Fibromyalgia. Hard to manage?</div></div><div tabindex="0" role="button" data-videoid="uUPpGxHVos0" class="epyt-gallery-thumb"><div class="epyt-gallery-img-box"><div class="epyt-gallery-img lazy" style="" data-bg="url(https://i.ytimg.com/vi/uUPpGxHVos0/hqdefault.jpg)"><div class="epyt-gallery-playhover"><img loading="lazy" decoding="async" alt="play" class="epyt-play-img" width="30" height="23" src="https://www.arthritis.org.nz/wp-content/plugins/youtube-embed-plus/images/playhover.png" data-no-lazy="1" data-skipgform_ajax_framebjll="" /><div class="epyt-gallery-playcrutch"></div></div></div></div><div class="epyt-gallery-title">What Is Nociplastic Pain?</div></div><div tabindex="0" role="button" data-videoid="GHSMKvK49Lc" class="epyt-gallery-thumb"><div class="epyt-gallery-img-box"><div class="epyt-gallery-img lazy" style="" data-bg="url(https://i.ytimg.com/vi/GHSMKvK49Lc/hqdefault.jpg)"><div class="epyt-gallery-playhover"><img loading="lazy" decoding="async" alt="play" class="epyt-play-img" width="30" height="23" src="https://www.arthritis.org.nz/wp-content/plugins/youtube-embed-plus/images/playhover.png" data-no-lazy="1" data-skipgform_ajax_framebjll="" /><div class="epyt-gallery-playcrutch"></div></div></div></div><div class="epyt-gallery-title">Ways to Treat Fibromyalgia</div></div><div class="epyt-gallery-rowbreak"></div><div tabindex="0" role="button" data-videoid="IzxAdmzGyW0" class="epyt-gallery-thumb"><div class="epyt-gallery-img-box"><div class="epyt-gallery-img lazy" style="" data-bg="url(https://i.ytimg.com/vi/IzxAdmzGyW0/hqdefault.jpg)"><div class="epyt-gallery-playhover"><img loading="lazy" decoding="async" alt="play" class="epyt-play-img" width="30" height="23" src="https://www.arthritis.org.nz/wp-content/plugins/youtube-embed-plus/images/playhover.png" data-no-lazy="1" data-skipgform_ajax_framebjll="" /><div class="epyt-gallery-playcrutch"></div></div></div></div><div class="epyt-gallery-title">How Does Michelle Manage Her Fibromyalgia?</div></div><div tabindex="0" role="button" data-videoid="9UWgc8H2NVY" class="epyt-gallery-thumb"><div class="epyt-gallery-img-box"><div class="epyt-gallery-img lazy" style="" data-bg="url(https://i.ytimg.com/vi/9UWgc8H2NVY/hqdefault.jpg)"><div class="epyt-gallery-playhover"><img loading="lazy" decoding="async" alt="play" class="epyt-play-img" width="30" height="23" src="https://www.arthritis.org.nz/wp-content/plugins/youtube-embed-plus/images/playhover.png" data-no-lazy="1" data-skipgform_ajax_framebjll="" /><div class="epyt-gallery-playcrutch"></div></div></div></div><div class="epyt-gallery-title">An experience from the pain clinic - Michelle (Fibromyalgia)</div></div><div tabindex="0" role="button" data-videoid="aMU03aqFU90" class="epyt-gallery-thumb"><div class="epyt-gallery-img-box"><div class="epyt-gallery-img lazy" style="" data-bg="url(https://i.ytimg.com/vi/aMU03aqFU90/hqdefault.jpg)"><div class="epyt-gallery-playhover"><img loading="lazy" decoding="async" alt="play" class="epyt-play-img" width="30" height="23" src="https://www.arthritis.org.nz/wp-content/plugins/youtube-embed-plus/images/playhover.png" data-no-lazy="1" data-skipgform_ajax_framebjll="" /><div class="epyt-gallery-playcrutch"></div></div></div></div><div class="epyt-gallery-title">Living with Fibromyalgia</div></div><div class="epyt-gallery-rowbreak"></div><div class="epyt-gallery-clear"></div></div><div class="epyt-pagination "><div tabindex="0" role="button" class="epyt-pagebutton epyt-prev hide " data-playlistid="PLR0yEdIFdDkeKZ_s5pIv4hC0Y-nxILHRE" data-pagesize="9" data-pagetoken="" data-epcolumns="3" data-showtitle="1" data-showpaging="1" data-autonext="0" data-thumbplay="1"><div class="epyt-arrow">«</div> <div>Prev</div></div><div class="epyt-pagenumbers hide"><div class="epyt-current">1</div><div class="epyt-pageseparator"> / </div><div class="epyt-totalpages">1</div></div><div tabindex="0" role="button" class="epyt-pagebutton epyt-next hide " data-playlistid="PLR0yEdIFdDkeKZ_s5pIv4hC0Y-nxILHRE" data-pagesize="9" data-pagetoken="" data-epcolumns="3" data-showtitle="1" data-showpaging="1" data-autonext="0" data-thumbplay="1"><div>Next</div> <div class="epyt-arrow">»</div></div><div class="epyt-loader"><img class="lazy" decoding="async" alt="loading" width="16" height="11" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%2016%2011'%3E%3C/svg%3E" data-src="https://www.arthritis.org.nz/wp-content/plugins/youtube-embed-plus/images/gallery-page-loader.gif"></div></div></div></div></span></p></div> </div><div class="et_pb_module et_pb_text et_pb_text_21 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"><p><span><div class="epyt-gallery" data-currpage="1" id="epyt_gallery_59691"><iframe loading="lazy" style="display: block; margin: 0px auto;" id="_ytid_55708" width="1080" height="608" data-origwidth="1080" data-origheight="608" 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class="epyt-gallery-thumb"><div class="epyt-gallery-img-box"><div class="epyt-gallery-img lazy" style="" data-bg="url(https://i.ytimg.com/vi/azmmBskLXKo/hqdefault.jpg)"><div class="epyt-gallery-playhover"><img loading="lazy" decoding="async" alt="play" class="epyt-play-img" width="30" height="23" src="https://www.arthritis.org.nz/wp-content/plugins/youtube-embed-plus/images/playhover.png" data-no-lazy="1" data-skipgform_ajax_framebjll="" /><div class="epyt-gallery-playcrutch"></div></div></div></div><div class="epyt-gallery-title">Introduction To Chair Yoga For Arthritis With Dr Nikki</div></div><div tabindex="0" role="button" data-videoid="5Akj1yudJ3Q" class="epyt-gallery-thumb"><div class="epyt-gallery-img-box"><div class="epyt-gallery-img lazy" style="" data-bg="url(https://i.ytimg.com/vi/5Akj1yudJ3Q/hqdefault.jpg)"><div class="epyt-gallery-playhover"><img loading="lazy" decoding="async" alt="play" class="epyt-play-img" width="30" height="23" 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data-skipgform_ajax_framebjll="" /><div class="epyt-gallery-playcrutch"></div></div></div></div><div class="epyt-gallery-title">Exercise For People With Arthritis</div></div><div class="epyt-gallery-rowbreak"></div><div class="epyt-gallery-clear"></div></div><div class="epyt-pagination "><div tabindex="0" role="button" class="epyt-pagebutton epyt-prev hide " data-playlistid="PLR0yEdIFdDkfCuJ63XvvGRfQTgcYmXB8R" data-pagesize="9" data-pagetoken="" data-epcolumns="3" data-showtitle="1" data-showpaging="1" data-autonext="0" data-thumbplay="1"><div class="epyt-arrow">«</div> <div>Prev</div></div><div class="epyt-pagenumbers "><div class="epyt-current">1</div><div class="epyt-pageseparator"> / </div><div class="epyt-totalpages">3</div></div><div tabindex="0" role="button" class="epyt-pagebutton epyt-next" data-playlistid="PLR0yEdIFdDkfCuJ63XvvGRfQTgcYmXB8R" data-pagesize="9" 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