There are no trials looking at the benefits of hydrotherapy for FSHD. However, hydrotherapy does assist mobility and can be an efficient means of exercising. Many physiotherapists will offer hydrotherapy sessions.
Massage may be effective for managing pain and help with stretched and strained muscles. Speak to your health professional about massage, they may be able to refer you to a good therapist in your area, or direct you to therapists who may be covered by your health insurance.
There have been a number of studies into exercise for FSHD. Unfortunately, these studies were short with a small population and it is therefore difficult to extrapolate the results to a recommendation for treatment. However, a recent review concluded that the evidence suggested exercise for FSHD is not harmful. There are more groups around the world performing studies on exercise for FSHD so hopefully in the future we will have some more concrete evidence.
Exercise does have a number of benefits so the lack of evidence should not deter you from speaking with your health professional about designing an exercise program. There are a few considerations you should take into account while planning an exercise program.
There are two types of exercise, aerobic and resistance. Aerobic exercises include activities like running, cycling and swimming. They temporarily elevate heart rate and breathing rate. Resistance exercise includes activities such as lifting weights. They build strength in the muscles.