I don't have Fibro, but I do have lots of arthritis & carpal tunnel. I find it much easier to be seated higher, so that my elbows are even with the top of my table. (My sewing machine is set down into a table). The other thing to remember is that the part of the quilt you aren't working on needs to be supported with perhaps another table to make an L shape unit. Lessen the tension on your presser foot and have fun! It is really liberating!! :-)