I have severe fibro and a lot of other impairment problems.
For fibro pain, I sleep on a heated mattress pad, summer and winter. It really does make a big difference. My sewing table and cutting tables are elevated for less strain on my shoulders. I hand quilt and use a gadget I got at Tractor Supply for pulling my needle through the fabric layers. It is a pair of curved needle nose pliers with a spring action handle. I don't use a hoop, but put 5 or 6 stitches on the needle and then pull with this. It was only $6. a Godsend. I bought a Brother XR9000 sewing machine, has a push button start and stop, and a needle up/down. Now I don't have to sit in one spot, don't need my legs or knees, and that helps with strain. The machine was $200.