Fibromyalgia, which literally means "connective tissue muscle pain," causes severe tenderness in multiple points throughout the body as well as persistent fatigue, morning stiffness, and non-refreshing sleep. Fibromyalgia is found in about 2 percent of the adult population, and women are five to seven times more likely to have it than men.
Theories about the cause of fibromyalgia include thyroid imbalance, sleep disorders, genetic predisposition, allergies, trauma--especially whiplash injuries--and possibly even viruses. Many who have fibromyalgia syndrome have other conditions as well, including chronic fatigue, depression, irritable bowel syndrome, chemical sensitivities, intolerance to exercise, restless legs syndrome, extreme sensitivity to cold, and seasonal affective disorder.
Jay Goldstein, MD, a leading researcher and clinician, identified three common factors in people who are susceptible to fibromyalgia. It's helpful to consider these factors when planning a treatment approach:
1. Biochemical factors, such as hormonal disturbances, allergies, frequent colds and viruses, and nutritional deficiencies.
2. Biomechanical factors, such as congenital deformities (one leg longer than the other or scoliosis, curvature of the spine) or functional conditions (poor posture, overuse syndromes, or poor breathing patterns).
3. Psychosocial factors, like depression, anxiety, or difficulty coping with stress.
Fibromyalgia is best treated using a multidisciplinary approach, and massage can be a key part of healing, recovery, and management. More common types of massage for fibromyalgia include Swedish and Lymphatic, which are more gentle approaches to massage therapy. Other, more intense, methods include Rolfing and Trigger-Point Therapy.
Sensitivity to touch varies greatly for fibromyalgia patients. Some people prefer very deep work, while others are sensitive to the lightest pressure. It's important that you establish good communications with your massage therapist so you can explain what feels comfortable to you and what doesn't.
When you're in an acute flare-up, limit your bodywork to more gentle techniques. When you're feeling better, deeper work intended to eliminate trigger points or work on posture may be more appropriate. Partner with your therapist to find the best approach.
You may be sore after a session. A moderate level of soreness can be expected, but should only last about forty-eight hours as your body adapts to the changes. If it lasts longer or is more severe, bodywork may be too aggressive or the session may be too long. Start out slowly, learn what works best for you, and let your therapist increase the time or intensity as you progress.
Fibromyalgia is a soft tissue condition, and bodyworkers are experts at working with soft tissues. By including massage in your care, you can expect to manage and improve your fibromyalgia.
Devada Rammell is a Holistic Health Practitioner and licensed Massage Therapist who owns her own wellness practice, La Vida Sana Wellness, located in the Escondido Hills shopping plaza. More information about her and her services can be found online at www.LaVidaSanaWellness.com.
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