10 Secret Handshakes Only People with Fibromyalgia Understand and How They Bring Us Closer
People with fibromyalgia often experience challenges that are invisible to others, including how they interact socially. One unique way this shows up is through the simple act of a handshake, which can carry unexpected meanings and difficulties for those managing chronic pain and fatigue.

This article highlights 10 ‘secret handshakes’ that only people with fibromyalgia truly understand, revealing the subtle communication and unspoken rules behind them. Understanding these can offer insight into how fibromyalgia affects everyday connections and moments many might take for granted.
1) The ‘I’ll pass’ glance to avoid a handshake

People with fibromyalgia often use a subtle look to avoid handshakes. This glance quietly signals their preference without needing an explanation. It helps them manage pain and avoid discomfort.
The glance might be paired with a small smile or a slight head tilt. It’s a nonverbal way to say, “I’ll skip this one,” without causing awkwardness.
This simple gesture is useful in social settings where handshakes are expected but not always welcome. It shows awareness and respect for personal limits while maintaining politeness.
Because fibromyalgia can make even light touch painful, many find these silent signals more effective than verbal refusals. The ‘I’ll pass’ glance is a shared understanding among those who live with the condition.
2) A subtle wrist shift to skip the painful hand squeeze
People with fibromyalgia often experience heightened sensitivity and pain in their hands. To avoid discomfort, they might use a gentle wrist movement instead of a full hand squeeze during a handshake.
This subtle wrist shift allows them to acknowledge the greeting without triggering pain. It’s a quiet signal that says, “I’m here,” but also, “Please be gentle.”
Because wrist and hand mobility can be limited, this small adjustment helps maintain social connection while protecting their hands. It’s a practical way to navigate pain without awkwardness.
The motion is often quick and smooth, avoiding strain on joints or muscles. It’s a sort of silent compromise between connection and self-care that those with fibromyalgia understand well.
3) Using a brief nod instead of a physical greeting
People with fibromyalgia often find that physical greetings can trigger pain or fatigue. A brief nod becomes a simple way to acknowledge others without any physical contact. It respects their need to avoid extra strain.
This gesture works well in both social and professional settings. It communicates friendliness without the effort or discomfort of handshakes or hugs. Those around them usually understand the nod as a polite and thoughtful form of greeting.
In group situations or when meeting multiple people, a nod keeps interactions quick but meaningful. It’s a small sign of connection that doesn’t demand energy, helping those with fibromyalgia maintain comfort throughout their day.
4) Exchanging knowing looks about ‘energy conservation’
People with fibromyalgia often develop a silent way of communicating about energy conservation. A simple glance can express understanding without the need for words. This “knowing look” signals when it’s time to slow down or avoid overexertion.
These exchanged looks create a shared bond, helping them navigate social or physical demands together. It’s a subtle way of saying, “I get it” about managing energy during flare-ups.
Because fibromyalgia involves unpredictable fatigue, this nonverbal cue becomes essential. It helps prevent misunderstandings and lets others recognize when the person needs rest.
The knowing look also serves as a reminder to pace activities carefully. It strengthens empathy and support within friendships or family, making day-to-day challenges easier to face.
5) A quick code phrase like “Early night tonight”
People with fibromyalgia often develop subtle ways to communicate how they’re feeling without needing a long explanation. A simple phrase like “Early night tonight” can signal that fatigue or pain is hitting hard, and rest is essential.
This code phrase works as an easy heads-up to friends or family. It tells them plans might change or that the person may need extra understanding and patience.
Using these quick phrases helps reduce the pressure to justify symptoms repeatedly. It’s a shared language among those who know, making daily interactions smoother and less stressful.
6) Pausing to explain ‘It’s the fibro flare today’
Sometimes, when fibromyalgia symptoms suddenly intensify, someone with the condition will need to pause and explain to others, “It’s the fibro flare today.” This brief phrase helps set expectations when they feel more pain or fatigue than usual.
It’s a way to communicate that their struggle isn’t just a bad day but a recognized increase in symptoms. This can include widespread pain, exhaustion, or difficulty concentrating, often called “fibro fog.”
Explaining this flare can also help others understand why plans might change or why they need extra rest. It’s a tool for managing social situations and reducing misunderstandings.
Patients often find that pausing to say this allows them to advocate for their needs gently. It connects their invisible struggle to something others can recognize, even if they don’t fully understand fibromyalgia.
7) Sharing a look when brain fog hits mid-conversation
People with fibromyalgia often experience brain fog, which can suddenly make it hard to find the right words or remember what was just said. In these moments, a shared glance between those who understand can say everything without needing to explain.
That look says, “I’m with you,” and “It’s okay, this happens.” It’s a quiet connection that helps ease the frustration of feeling mentally clouded.
Brain fog can make following conversations challenging. The shared look becomes a small gesture of support that keeps the conversation flowing despite the struggle.
For those without fibromyalgia, pauses or lost train of thought might seem confusing. But for people who live with this condition, that glance is like a secret handshake—a mutual nod to the reality of brain fog’s impact.
8) The silent agreement to keep plans low-key
People with fibromyalgia often share an unspoken understanding about keeping plans simple and low-key. They know that overexertion can worsen symptoms, so overly ambitious or crowded events are usually off the table.
This silent agreement helps avoid disappointment. Friends and family may not always say it out loud, but they learn to respect the need for less intense social gatherings.
It’s a quiet way of protecting energy without having to explain every detail. This understanding fosters comfort and support, making it easier to enjoy time together without added stress.
The low-key plans might mean a relaxed dinner, a short walk, or watching a movie at home. These subtle adjustments show empathy and recognition of the invisible challenges fibromyalgia brings.
9) Gentle hand rubs instead of full handshakes
People with fibromyalgia often experience heightened sensitivity and pain in their hands. Because of this, a traditional handshake can sometimes be uncomfortable or even painful.
Instead, many prefer a gentle hand rub. This allows for a warm, respectful greeting without the pressure of a firm grip.
A gentle hand rub is also a mindful way to maintain connection while reducing the risk of triggering pain. It shows care and understanding without needing full hand contact.
This type of greeting aligns with the growing awareness that handshakes aren’t always the best option, especially during times of illness or physical sensitivity.
Choosing a gentle hand rub creates space for comfort and respect, which is especially important in fibromyalgia communities.
10) A discreet thumbs-up to say ‘I’m managing’
People with fibromyalgia often develop subtle ways to communicate without drawing attention. A discreet thumbs-up is one such silent signal. It quietly says, “I’m managing,” even when pain or fatigue is present.
This gesture allows them to acknowledge questions about their well-being without explaining too much. It’s a low-key way to show resilience while saving energy for more important moments.
Sometimes, a careful thumbs-up is given in social or work settings where detailed conversations aren’t possible or wanted. It helps avoid unnecessary stress and keeps communication simple.
For those with fibromyalgia, managing daily life can be draining. This small gesture is a powerful form of non-verbal support and understanding. It connects people who know the challenge without needing words.
The Unique Language of Living With Fibromyalgia
People with fibromyalgia develop a distinct way of communicating about their experience. This language helps them share what is often invisible or hard to explain. It also strengthens their sense of belonging and understanding.
Shared Expressions and Inside References
Fibromyalgia patients often use specific phrases that capture the condition’s daily challenges. Terms like “fibro fog” describe the cognitive difficulties many face, such as forgetfulness or trouble concentrating. Others might mention “flare-ups” to explain unpredictable bouts of pain and fatigue.
These expressions act as shorthand, allowing quick understanding among those who live with fibromyalgia. Inside references, like joking about being “invisible warriors”, help build a supportive community by acknowledging both the struggle and resilience involved.
Using this shared language offers comfort and connection. It signals to others that they truly get what the condition feels like, beyond what outsiders can see.
How Symptom Descriptions Bond the Community
Describing symptoms clearly and honestly is key for those with fibromyalgia. They often talk about pain in widespread areas, fatigue that feels overwhelming, and the mental cloud called “brain fog”. These vivid descriptions foster empathy and reduce isolation.
When people share how they experience things like temperature sensitivity or muscle stiffness, it creates a common ground. This understanding encourages practical advice about managing symptoms and emotional support during tough times.
Detailed symptom talk also helps in medical settings. Fibromyalgia patients who know this language can better communicate with doctors, improving diagnosis and treatment plans.
Together, these symptom descriptions act as a bridge. They connect individuals within the fibromyalgia community while helping make their invisible struggles visible to others.
Why Connection Matters in the Fibromyalgia Community
Connection offers emotional support and understanding that is often hard to find elsewhere. Sharing experiences helps reduce feelings of isolation and builds a sense of belonging among those with fibromyalgia.
The Role of Empathy in Support Networks
Empathy is the backbone of fibromyalgia support networks. People with fibromyalgia often face invisible symptoms, making it hard for others to understand their daily challenges.
In these networks, members listen without judgment and validate each other’s pain and struggles. This creates a safe space where individuals feel seen and heard.
Empathy helps in exchanging practical advice, like how to manage flare-ups or communicate needs to others. It also fosters compassion, encouraging patience when symptoms affect mood or energy levels.
Building Trust Through Common Experiences
Trust grows naturally when people share similar challenges. Common experiences with pain, fatigue, and unpredictable symptoms create a foundation for honesty and openness.
In support groups, this trust allows members to express frustrations or fears they might hide elsewhere. It strengthens bonds by showing that others truly understand what they live with every day.
Members can rely on each other for emotional support and practical tips, which builds confidence to face fibromyalgia’s uncertainties. Trust transforms a group of individuals into a dependable community.
Frequently Asked Questions
Many people with fibromyalgia share unique experiences that shape how they interact with others and manage their symptoms. Their descriptions of pain, coping strategies, and daily challenges often reflect deep understanding within the community.
What are common experiences that fibromyalgia patients share?
They often recognize subtle ways to avoid physical contact, like quick glances or wrist shifts, to protect against pain. Exchanging knowing looks or phrases about conserving energy is a shared way to communicate without explaining extensively.
How do people with fibromyalgia describe their pain to others?
Pain is frequently described as deep, persistent, and often unpredictable. Many explain it feels like a constant soreness, burning, or stabbing that can affect muscles and joints, making even simple tasks difficult.
What are some coping mechanisms for fibromyalgia flares?
Pacing activities and prioritizing rest help manage flare-ups. Using tools like compression gloves and adopting gentle movement or stretching can reduce discomfort. Emotional support and mindfulness are also common strategies.
Can you explain the ‘spoon theory’ often discussed by those with fibromyalgia?
The spoon theory uses spoons as a metaphor for limited daily energy. Each activity costs one or more spoons, and deciding how to spend them helps people manage their fatigue and symptoms wisely throughout the day.
Why do some fibromyalgia patients refer to ‘invisible symptoms’?
Many symptoms like fatigue, brain fog, and pain are not visible to others, making it hard for people outside the community to understand. This invisibility often leads to misunderstandings and a feeling of being disbelieved.
How does fibromyalgia affect daily life and relationships?
It can limit physical activity and cause social withdrawal due to unpredictable symptoms. Patients often rely on empathetic communication with loved ones to explain their needs and create supportive environments at home and work.