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Massage and Fibromyalgia

Question:
I am a Licensed Massage and Bodywork Therapist (LMBT) and would like to get some feedback and guidance from this group about massage and FM. A chiropractor has recently referred a patient of his to come see me for relief of chronic pain- she has Polymyalgia Rheumatica, which I understand to be a more extreme case of Fibromyalgia. I have worked on her twice and she thoroughly enjoys the massage- she told a friend that she referred to me that the massage "was better than sex!" High praise, indeed. My questions to the group: 1. do you get massage specifically for relief of FM symptoms? 2. what do you look for in a massage session? 3. what do you ask your Massage Therapist to do for you?

I believe I am helping this woman, but I want to really do something for her. I really believe a lot of her FM flare ups are stress induced and exacerbate her admitted and untreated bouts of depression. I would really appreciate some honest input from the group.


Answer:
I'm sure you'll get plenty of replies, and mine isn't specific to massage techniques, but I wanted to let you know that FM and PMR are two very different things. PMR is not more severe FM.

If a person is on medicine for PMR it's for inflamed muscles and yes, the massage often feels good. The muscle pain comes from inflammation and is often readily cured thru two years of low dose steroid. Completely cured...so if you're treating a person toward the end of therapy, they're improved enuff to enjoy it.

There isn't a cure for FM, and without knowing about it, the pain can be easily made worse thru the wrong kinds of massage. FM is nothing like PMR. I know, because I am a long time FM'er who was misdiagnosed with PMR and made lots worse.

Figured I'd pop in and answer because I'm unique around here with the PMR misdiagnosis.



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