Can you feel fibromyalgia areas?

Mister B

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Ok, this may be such a dumb question that no one needs to ask it on here, but I'm going for it...head first. :oops:
Can you feel the tissue is "different" where a client is having fibromyalgia pain? I have a client that was diagnosed by her doctor recently and wanted to know if I could feel where she was hurting? The center of her back was "burning" but she wasn't sure if it was stress or the the fibromyalgia. Since some of her joints were bothering her she thought maybe it was the fibromyalgia. She's was diagnosed with a mild case and it's new to her.
I honestly, don't have any clients that have this so it's new to me. I work in a college town so my client base tends to be pretty young and healthy.
Thanks in advance.
P.S. I guess I should clarify this to say that I know they she's going to have tight muscles and tension but can you feel anything else?
 


SimplyBee,
There's no such thing as a stupid question, and I applaud your bravery in asking so that you can be the best therapist you can be. That being said, I'll be very interested to see how others with fibromyalgia experience answer this!

In general, we as therapists can only know when something "hurts" a client when they TELL us -- communication between therapist and client can't be emphasized enough. We can feel tight muscles, trigger points, fascial restrictions, etc, but when we encounter something we THINK would be painful for one person, they'll respond "no, I can feel the tightness/etc, but it doesn't hurt" and then another will feel pain with very light touch. Each client experiences massage differently. From what I've read on these boards and in MT mags, the same is true with fibromyalgia, ie, there's no 'one way' that people with fibromyalgia respond to massage.

Thanks for posting a great question. I like your logo, by the way!
 


I see a number of people diagnosed with FMS. To date, I've noticed no particular "this is FMS, this is not" indicators in their tissues. Every person is different, and may be completely different from one visit to the next.

Then again, I may be overlooking something that I don't yet have the ability to perceive.
 


Thanks, that's pretty much what I was wondering and 100% answered my question. I won't be expecting to "find" anything specific now. :D
She's a regular that has been coming in once a month and is now going to come every other week for awhile to see if it helps. It's new to both of us so we are both exploring it. I've always made it clear to every client that the session is about them so communicate and give me feedback. I always start each session with, "so, what are we doing different today"? "How did your ________ feel last time after the session"? "Do you think it was enough pressure?". That way it allows them to lead me without feeling like they are offending me. (you know how some clients won't speak up) Anyway, I tend to get more specific answers that way and the answers are waaaaay more helpful to me than, "everything was great".
Thanks for the kindness. ;)
P.S. Thanks for the logo compliment. ;)
 


Speaking for my own mildly fibromyalgic body, sometimes there is the "puffiness" of inflammation around my L scapula, other times, the extremely stiff and yet mildly puff scalenes and SCM bilateraly. Yet others, my quad. lumborum is so unbearably tender to the touch, the gal who works on me regularly swears that she can feel the energies shooting out of them like "10 thousand @#$% little sparkling firecrackers!" [her quote not mine].

A good anecdotal book on the subject is "Fibromyalgia and Chronic Myofascial Pain Disorder" by Starlanyl and Copeland. One of the authors is an MD, the other, a psychologist. It helped me figure out the foods, etc that act as triggers for me, and, too, it helped me understand I wasn't crazy [well, at least when it came to having "weird" traveling symptomology, anyway.]

Just listen to your client, and work to where she is that day in particular. For FM people, each day is a new and "exciting" adventure.

Good luck.
J
 


Ding said:
In general, we as therapists can only know when something "hurts" a client when they TELL us -- communication between therapist and client can't be emphasized enough. We can feel tight muscles, trigger points, fascial restrictions, etc, but when we encounter something we THINK would be painful for one person, they'll respond "no, I can feel the tightness/etc, but it doesn't hurt" and then another will feel pain with very light touch. Each client experiences massage differently.

Very nicely put! I was just explaining that to a friend/client the other day, and I think the closest I got was "everyone has a different 'normal'" so I go by what a person reviews as pain." Do you mind if I use some of your words at some point, like on my website? Not now, I'm too lazy, but my next website update maybe. :)
 


There is a nice article on bodywork for FMS by Leon Chaitow here:
http://www.amtamassage.org/journal/cont_edu.html

You can sign up to get 2 CECs for it too.
 
Feel and treatment

Thank you for the link Jason. I will address the original question and apply a point from the article.
What you feel will be the same as what you can feel with any client. The client on the other side perceive more pain when in a flare of FM; that is what makes it FMS. If you normally feel trigger points in your clients, you will feel them in FM client but you may not be able to treat them even with the MET demonstrated in the article because the pain will not be tolerable or the after affects the next few days will be intolerable.
The quote:
The removal or deactivation of myofascial
trigger points and other local dysfunction
by minimally invasive methods,
combined with homeostatic enhancing
approaches (nutrition, relaxation methods,
hydrotherapy, etc.) would be additionally
useful alongside massage therapy.
When massage and movement therapy
were compared with relaxation
and movement for working with FMS
clients, there were far more benefits in
the group receiving both massage and
movement therapy. The greatest benefits
were noted in areas of mood and
depression, as well as in reduced pain
levels.
My application:
I use Strain-Counterstrain by Lawrence H Jones, DO or the more current version Structural Relief Therapy. This is basically finding the position of the joints involved where the pain is minimal [usually a shortened position of a muscle but with multiple muscles involved it can be anywhere along the spectrum] then holding that position for 1 1/2 too 2 minutes.
I originally learned this because a client came to me with Jones' book because her DO was not willing to spend an hour each time holding all these positions that she needed. I is not cost effective for Dr. or patient but it is for our client practitioner relationship.
When do such a session with a client in flare, they become extremely sleepy yet they can get op off the table and move freely. Both things necessary according to the article to restore the growth hormone that repairs the micro-tears and puts the FM into remission.
Then during periods of remission you can do deeper tissue work as necessary. That is my story.
 


Hans,

I agree - my clients with fibro are very upfront at the beginning of each session in explaining what is happening with them. Some days they can handle a more stimulating, deep tissue or circulatory massage. Other days there are areas where the lightest pressure is too much. I find using essential oils that help with muscle tension and inflammation also help relieve flare ups non-invasively and within their tolerance levels.

Angela
 


AnastasiaB said:
Speaking for my own mildly fibromyalgic body, sometimes there is the "puffiness" of inflammation around my L scapula, other times, the extremely stiff and yet mildly puff scalenes and SCM bilateraly. Yet others, my quad. lumborum is so unbearably tender to the touch, the gal who works on me regularly swears that she can feel the energies shooting out of them like "10 thousand @#$% little sparkling firecrackers!" [her quote not mine].

I agree wholeheartedly with the posts that each client is individual in their manifestation of fibromyalgia but Anastasia, I swear what your therapist feels with you is the perfect way to explain what I feel with one of my FMS clients! Her hot spot is along her IC and hip flexors. Sometimes I cannot bear to keep my hand there. I always marvel at how intense the pain must be for her if it feels like that to me.
 


Seebs - Thanks for the kudos, and please feel free to use any/all of what I said there. :D
 
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    ๐Ÿ’†โ€โ™€๐Ÿ’–Tuesday ๐Ÿ’œ Ultimate destination for Asian massages๐ŸŽ‰ Two fab spots: SL Richmond Hill & SL West Oakvilleโœจ Your passport to paradise with 10 enchanting girls fr China, HK, Japan & Korea โ€” ๐Ÿ†• Aliyah, Lucy, Cindy, Yui, new Jojo, Coco, Cici, busty Amber, Kelly & Jasmine โ€” ready to pamper you๐ŸŽ๐Ÿ Ring us ๐Ÿ“ž647-695-6354 or text us ๐Ÿ“ฑ647-578-8169โœจ 160 East Beaver Cr., Unit 12, RichmondHill ๐Ÿ’ฐWhere Eastern charm meets Western comfort - your bliss awai
  40. SpringGreen.:
    Apple off your weeked with a bang๏ผ Judy is at spring green in downtown toronto Tuesday from 9am-9pm with apple and coco. apple is a very beautiful andcaring young lady๏ผkitty is super hot.๐Ÿ’‹๐Ÿ’‹647-891-0699 ask and text questions thanks๐Ÿ’‹๐Ÿ’‹
  41. wilson holistic centre:
    new girl works at ๐Ÿ’‹535 Evans Ave today ๐Ÿ’•๐Ÿ’•๐Ÿ’•โ˜Ž๏ธโ˜Ž๏ธ416-531-6969โ˜Ž๏ธโ˜Ž๏ธ
  42. Spa in Markham:
    GOLDEN FS โ€“ 8380 Kennedy Rd ๐Ÿ“ž 905-258-0777 / 416-688-6886 ๐Ÿ‡ธ๐Ÿ‡ฌ CANDY, ๐Ÿ‡ญ๐Ÿ‡บ VANESSA, ๐Ÿ‡จ๐Ÿ‡ด MEGAN (2AM), ๐Ÿ‡ป๐Ÿ‡ณ JULIE (8PM) ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookinggoldenlove
  43. FLOWER Spa - BLUEXADO | Thornhill | VAUGHAN:
    BLUEXADO FS โ€“ #06-1102 Centre St ๐Ÿ“ž 416-357-9797 / 416-678-8668 ๐Ÿ‡ป๐Ÿ‡ณ CICI, ๐Ÿ‡ป๐Ÿ‡ณ MY LINH, ๐Ÿ‡ป๐Ÿ‡ณ AMY, ๐Ÿ‡ป๐Ÿ‡ณ SHERRY ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingbluexadolove
  44. Red Rose Spa:
    ๐ŸŒธ We have 13 hot brown girls today ๐ŸŒธ MONICA, ASHA, MALIYA, MONIKA, ANGEL, MIMI, PREETI, ANGELINA, DIYA, PAYAL PEARL, KIRAN ๐ŸŒธ 2588 Birchmount ๐ŸŒธ 2 Invergordon ๐ŸŒธ 647-702-8800 ๐ŸŒธ Please visit for a great erotic massage
  45. FLOWER Spa โ€“ PINK | Scarborough | TORONTO:
    PINK FS โ€“ 3300 McNicoll Ave ๐Ÿ“ž 416-299-5515 / 416-817-3839 ๐Ÿ‡ฎ๐Ÿ‡ท ELINA, ๐Ÿ‡ป๐Ÿ‡ณ KELLY, ๐Ÿ‡ต๐Ÿ‡ญ MADY (1PM) ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingpinklove
  46. Jennyโ€™s Spa:
    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ( 647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ( 437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅTWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅ ๐Ÿ’ฏREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ ๐Ÿ”ฅ๐Ÿ’‹Limited Time Special Promotion๐Ÿ”ฅ๐Ÿ’‹ โœ…๐Ÿ’ฆ30 Minutes Nude Mass
  47. DareDevil:
    ARIA WELLNESS ๐Ÿฌ๐ŸญADDRESS: 360 HWY 7, UNIT #6, โ™ฅ๏ธRICHMOND HILL,647-222-5683 (PHONES CALL ONLY, NO TEXT'N AVAILABLE) โ™ฅ๏ธTODAY'S Schedule!โ™ฅ๏ธ Loaded lineup with Beautiful Girls : Yoga Lucy, Killer Kelly, Adorable Eva, Magical Mia and Work out๐Ÿ‹๐Ÿšด๐Ÿ’ช Babe Amy! BUY 10 HOURS (GET 11 HOURS) **TODAY'S PICK OF THE DAY ARE ๐Ÿฌ๐ŸญLUCY AND KELLY๐Ÿฌ๐Ÿญ**
  48. Soul Relax Spa:
    โœจ Looking for a relaxing escape? โœ… Click Here Meet๐ŸŒธNina๐ŸŒธAnna๐ŸŒธAmberCall us today for the best treatment and service experience. Click on our Username and FOLLOW US for updates ! Call now โ˜Ž 289 - 298 - 5662โ˜Ž๏ธ Your ultimate relaxation awaits! โœจ
  49. AliceSpa:
    TUESDAY at ๐—”๐—Ÿ๐—œ๐—–๐—˜ ๐—ฆ๐—ฃ๐—”, 4915 Steeles Ave. E, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿฎ๐Ÿต๐Ÿด-๐Ÿฌ๐Ÿด๐Ÿต๐Ÿด. 3 Young Beauties Today at Alice Spa. Open 10am to 9pm: CLOUDIA (10am-9pm): is Vietnamese, young, petite 5'2" & 96 Lbs, B Cup, best rim deep bbbj cim. $40 Room Fee + $80 (incl bbbj & fs). +$20 for rim/cim. Excellent open minded services. KITTY (1pm-9pm) is a new Korean girl, super busty, small body, new
  50. wonderspa:
    ๐ŸŒบWonder spa,(9421Jane st unit127)call416-5000-800โ˜Ž๏ธbest massage in vaughan,Tuesday RMT available,๐Ÿ’„sexy very young girl Mimi๏ผŒlong legs ,natural c cup,very good looking amazing massage nice body slide,really popular ๐ŸŽlong hair Lucy Q smile,very good looking ,strong to relax oil ,back walk,more experience,relief your pain,amazing ending๐Ÿ”ฅ๐ŸŒน๐ŸŒนmust try
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