Sjogren's syndrome and nerve pain

[zellparis]

I know that there's one post on here (from three years ago) about this disease, but I was wondering if anyone had new information or info specifically related to Sjogren's sydrome as it relates to nerve pain. A new client came to me, she's a personal trainer, very fit, and has been told that she almost certainly has Sjogren's syndrome. At this point, they don't know if it's secondary to another autoimmune disorder like arthritis or lupus. In addition to dried-out mucous membranes, peripheral nerve pain can be a part of Sjorgren's.

Unfortunately she didn't disclose the condition to me prior to massage (yes, I do have an intake form that asks for that sort of information) but mentioned that she has near constant pain in her shoulder as well as radiating pain into the arm. It was her first massage, we did a full body with medium pressure, and included some more specific work in the problem shoulder/neck/arm area. I checked in frequently for any spikes in discomfort, etc. Had I know about the autoimmune condition, I probably would have worked with the primary intent to calm the nervous system, not necessarily release out muscular tension. And I probably wouldn't have incorporated TP work. Shoulda, coulda, woulda...

Although she felt good during the massage, she told me today (four days later) that she's been experiencing very much increased nerve pain into the arm. I feel terrible about it. She still wants to come in for another massage in a few days, but OBVIOUSLY doesn't want to increase the nerve pain in her arm. She also mentioned that keeping her back contracted and aligned helps to reduce her pain.

Does anyone have experience working with the nerve pain associated with Sjogren's? How does your treatment protocol differ?