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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    FRIDAY 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 ladies waiting for you. Two Very hot ladies (Qiqi & Summer) have returned to Alice spa today. Open 10am to 9pm: LUCKY (11:30am-9pm): is Vietnamese, small body, busty D cup, very beautiful face, Young/Cute/Petite/Pure/Submissive, Fair Skin/Perky Ass/Sweet, Super Open-Minded bbbj cim cof rim, excellent service, also strong massage.
  35. 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 Massa
  36. Annie Spa:
    ๐ŸŽ‰๐Ÿ’ANNIE SPA๐ŸŽ‰๐Ÿ’ โœ…7-1001 SANDHURST CIRCLEโœ… ๐Ÿ‘ŒSCARBOROUGH ON M1V 1Z6๐Ÿ‘Œ โ˜Ž๏ธ (647) 891-9688โ˜Ž๏ธ โ˜Ž๏ธ (416) 291-8879โ˜Ž๏ธ (FINCH & MCCOWAN) OPEN 9:30am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅ๐Ÿ”ฅ ๐Ÿ”ฅGORGEOUS NEW YOUNG ASIAN GIRLS - TODAYโ€™s ROSTER INCLUDES: ๐Ÿ”ฅ Yumi๐Ÿ˜˜๐Ÿ’‹A striking new tall gorgeous Korean model with long, flowing reddish-brown hair cascading down her back and a slender, elegant figure that exudes grace and poise. Yumiโ€™s natural confidence and allure, make her approach
  37. Golden Sunshine Spa:
    โœจ Looking for a relaxing escape? โœ… Click Here Meet๐ŸŒธLuna๐ŸŒธValentina๐ŸŒธKellyCall 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
  38. luckywellness:
    Lucky Wellness Center 4379721888 295 Eglinton Ave E,Unit 7,Mississauga Judy and Kiki work Their relaxing massage and deep tissue massage are very very good.
  39. Lulu1980:
    Phoenix Blossom Spa ๐ŸŒน๐ŸŒน๐ŸŒน3 girls ๐Ÿ˜˜Table shower ใ€body scrub ใ€ Sea salt bath๐Ÿ‘5124 Dundas St W Etobicokeโ˜Ž๏ธ416-817-3366๐Ÿ‘ New girl Sandy sexy body so open service ๐Ÿ˜œ๐Ÿ˜š Young girl Cherry (Student)๐Ÿ˜˜๐Ÿ˜˜โ€œcharming breasts.โ€beautiful curvy hips.โ€very provocative service๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜, You are welcome to make an appointment at any time or walk in the back door with plenty of parking spaces
  40. Lulu_Villa_Spa:
    Jessica Pretty Girl with amazing personality and super easy to get along with. Sasa friendly Vietnamese Judy is a gorgeous model type Vietnamese Girl Sami Vietnamese Girl Cherry ๐Ÿ’ From Malaysia Part time School girl โ˜Ž๏ธ647- 446-0886
  41. DareDevil:
    Add bookmark #400 Blackpink Wellness โ™ฅ๏ธโ™ฅ๏ธ90 Marycroft Ave. Unit #2, Vaughan, ๐Ÿญ๐ŸฌON L4L 5Y1 (647) 395-3188. BEAUTIFUL AND SEXY GIRLS TODAY: ๐ŸŒนSuperstar Julie and Beautiful Tiffany on duty๐ŸŒน.
  42. DareDevil:
    ARIA WELLNESS โ™ฅ๏ธโ™ฅ๏ธADDRESS: 360 HWY 7, UNIT #6, RICHMOND HILLโ™ฅ๏ธโ™ฅ๏ธ,647-222-5683 (PHONES CALL ONLY, NO TEXT'N AVAILABLE) โ™ฅ๏ธTODAY'S Schedule!โ™ฅ๏ธ Loaded lineup with Young Beautiful Girls : New Girls Cici and Joy, Ellagant Ella, Magical Mia and Work out๐Ÿ‹๐Ÿšด๐Ÿ’ช Babe Amy! BUY 10 HOURS (GET 11 HOURS) **TODAY'S PICK OF THE DAY ARE๐Ÿฌ๐ŸญCici or Ella๐Ÿฌ๐Ÿญ
  43. wonderspa:
    wonderspa: wonderspa: ๐ŸŒบ๐ŸŒบWonder spa,(9421Jane st unit127)call416-5000-800โ˜Ž๏ธbest massage in vaughan,Wednesday RMT available,๐Ÿ’„sexy very young girl Joey natural c cup,very good looking nice body slide,really popular ๐ŸŽlong hair Q Lucy good strong to relax oil massage, Relieve pain and remove stress,more experience,young very beautiful new girl Cici, back walk ,body slide,amazing the end,give you warm and comfortable time must try๐Ÿ”ฅ
  44. EMSpa_schedule:
    Tomorrow's sneak peek: On Friday May 2, 2025, our attendants will be Ada ๐Ÿฅฐ, Carla โค, Vicky ๐Ÿฅฐ, Opal ๐Ÿฅฐ and Cici ๐Ÿ˜. Call us at โ˜Ž๏ธ(905) 479-6668โ˜Ž๏ธ to book!
  45. Lilyspa1:
    Lily Spa :๐Ÿ’•๐Ÿ’•Thursday Schedule ๐Ÿ‡ฎ๐Ÿ‡ณ๐Ÿ‡ฎ๐Ÿ‡ณSana 23, , Punjabi girl , very pretty 36 DDD ๐Ÿ˜ˆGFE โค๏ธElena ( Latino ) Big Nature Boobs & SuSu ( Asian )Slim , ๐Ÿ˜๐Ÿ˜Porn Service ๐Ÿ”ฅDuo ๐Ÿ”ฅ,โ˜Ž๏ธ 6475318288
  46. Soul Relax Spa:
    โœจ Looking for a relaxing escape? โœ… Click Here Meet๐ŸŒธLuna๐ŸŒธValentina๐ŸŒธKellyCall 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
  47. bnwellness_wilson:
    We have 4 young girls are working today, young cite Taiwanese Victoria 25โ€™s slime open mind and young flirty Tina 30โ€™s with sexy body open mind, sexy Coco and sweet GFE Ella are providing deep tissue massage, pls call 4163985777 book appointment and walk in always welcome,back entrance and parking available, 350 Wilson Ave North York
  48. Lulu1980:
    Phoenix Blossom Spa ๐ŸŒน๐ŸŒน๐ŸŒน2 girls๏ผŒNina ใ€Cindy ๐Ÿ”ฅ๐Ÿ”ฅ๐Ÿ”ฅ5124 Dundas St W Etobicokeโ˜Ž๏ธ416-817-3366๐Ÿ‘ Table Shower Sea Salt Bath Body Scrub๐Ÿ˜˜ Japanese girl Nina โค๏ธ Natural Big Boobs 38 DD ๐Ÿ˜˜Pink Mini Nipples Hot body slide, super enjoyable๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜ very provocative service๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜, Mia sexy girl 1.65 M.pretty boobs 36D๐Ÿ˜˜Superb service ๐Ÿ‘ massage, has therapeutic effect to loosen bones and relieve muscle pressure and will bring you unexpected service effects, she will bring you a little surpr
  49. AliceSpa:
    THURSDAY 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 girls here today at ALICE SPA. Open 10am to 9pm: BEBE is a young slim Vietnamese girl with a beauty face, C Cup, 5'2" & 100 Lbs, student and model looks, vg at fs multiple positions, bbbj ymmv must be clean and respectful. KITTY (12pm-9pm) is a new Korean girl, super busty, small body, new to the business.
  50. Moneylee:
    All season wellness center: Young girl big boobs beautiful face deep massage Midi,Young girl big boobs beautiful face deep massage Tina ,Young girl big breasted beautiful buttocks charming temperament big boobs Cindy ,Student big boobs buttocks Vicky, Enchanting sexy petite deep massage Sherry ,๐Ÿ address: #5-30 Rambler dr Brampton ,Ontario L6W 1E2โ˜Ž๏ธ4376655510 ๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿฆต๐Ÿฆต๐Ÿ‘…๐Ÿ‘…๐Ÿ‘„๐Ÿ‘„
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