Plantar Fasciitis

       

Plantar Fasciitis

     Has your foot ever hurt so much that you could hardly walk on it? Have you been experiencing a sharp pain in your heel? If so you just might be a part of the four to seven percent of the population that is afflicted by a condition known as plantar fasciitis. Plantar fasciitis is a chronic condition characterized by sharp pain in the bottom or heel of the foot. The pain is usually the worst when first waking up in the morning, and after sitting for prolonged periods of time

This conditioned derives its name from how it affects the plantar fascia of the foot. The plantar fascia is a thick aponeurotica its primary function is to support the arch of the foot, and assist with walking by stretching so that the toes can be flexed when walking. The suffix itis would suggest that the condition has something to do with inflammation, however this has been proven to be inaccurate. In the last decade or so research has discovered that this condition is actually caused by micro tares in the fascia.  

These micro tares can cause the fascia to tighten which leads to pain.  The fascia can become torn by; overuse of the foot in the case of runners, standing for prolonged periods of time, tightness in the gastrocnemius muscle that can because by wearing high heels for prolong periods of time, or by overworking the gastrocnemius. Bone spurs in the bottoms of the feet can also cause this condition when the spurs grow larger enough to be able to stab into the fascia. People with flat feet have a higher chance of developing plantar fasciitis. Lastly obesity will also increase your risk of developing this condition.

Chinese medicine would say that this condition would be caused by insufficient kidney and bladder chi, because those meridians are on or close to the foot. Since the kidney and the bladder are a part of the water element there is could be an imbalance of the earth or metal chi. Since the earth is what controls the water element if the earth is to strong it will weaken the water, and since metal feeds water if metal is weak then the water chi will be starved. These imbalances can be caused by, eating to much or not enough of a particular type of food, seasonal changes, or being in a particular mood for too long.

Western medicinal treatments for this condition include: pain medication, non steroidal anti inflammatory to manage inflammation, Extracorporeal shock wave therapy which uses high amplitude shock waves to reduce pain and decrease recovery time, corticosteroids for inflammation control, physiotherapy which involves stretching and strengthen muscles, special insoles for your shoes to help elevate the pressure on the feet, and surgery as a last resort.

The primary treatment for plantar fasciitis in Chinese’s medicine is acupuncture on the bladder and kidney meridians that will increase chi, improve blood flow, and strengthen the sinews. Other treatments could involve changing the diet to incorporate more pungent foods like almonds broccoli and eggs to strengthen the metal element. Another dietary approach would be to eating more sour foods such as oats, limes, and soft dairy to strengthen the wood element.

Deep tissue massage is a very effective treatment for plantar fasciitis it increases the circulation promoting faster healing, it can eliminate adhesion, and it relaxes the muscle thus reliving pain. . Starting with the gastrocnemius apply deep slow strokes paying special attention to the heel were the plantar fascia originates. Its also a good idea to massage along the entire plantar fascia as small fascial tares can cause the surrounding tissues to adhere to the plantar fascia creating localized trigger points. This can be one cause of the disorder. By relaxing the gastrocnemius, and treating the entire plantar fascia it increases the odds of treating the cause of the symptoms.

           
http://www.naturalawakeningssa.com/foot-relief-traditional-chinese-medicine-remedies-for-foot-pain-and-strain/

http://www.integrativehealthcare.org/mt/archives/2005/08/bodywork_techni.html

https://en.m.wikipedia.org/wiki/Plantar_fasciitis

http://www.orientalmedicine.com/five-element

https://theory.yinyanghouse.com/theory/chinese/five_element_nutrition_theory

Restless Legs Syndrome (RLS)

                                          By: Jessica McInnis

Restless legs syndrome (RLS), also called Willis-Ekbom Disease, causes unpleasant or uncomfortable sensations in the legs and an irresistible urge to move them.  Symptoms commonly occur in the late afternoon or evening hours, and are often most severe at night when a person is resting.  They also occur when someone is inactive and sitting for extended periods. Moving the legs or walking typically relieves the discomfort but the sensations often recur once the movement stops.  RLS is classified as a sleep disorder since the symptoms are triggered by resting and attempting to sleep, and as a movement disorder, since people are forced to move their legs in order to relieve symptoms. It's best characterized as a neurological sensory disorder with symptoms that are produced from within the brain itself.

RLS occurs in both men and women, although women are more likely to have it than men. It may begin at any age; however, many individuals who are severely affected are middle-aged or older, and the symptoms typically become more frequent and last longer with age.  People with RLS feel the irresistible urge to move, which is accompanied by uncomfortable sensations in their lower limbs. The sensations in their legs are often difficult to define but may be described as aching throbbing, pulling, itching, crawling, or creeping.  The sensations can occur on just one side of the body, but they most commonly affect both sides.  They can also alternate between sides.  The sensations range in severity from uncomfortable to irritating to painful. Because moving the legs relieves the discomfort, people with RLS often keep their legs in motion to minimize or prevent the sensations. They may pace the floor, constantly move their legs while sitting, and toss and turn in bed.  RLS symptoms may vary from day to day, in severity and frequency, and from person to person.  In moderately severe cases, symptoms occur only once or twice a week but often result in significant delay of sleep onset, with some disruption of daytime function.  In severe cases, the symptoms occur more than twice a week and result in burdensome interruption of sleep and impairment of daytime function. People with RLS can sometimes experience remissions-spontaneous improvement over a period of weeks or months before symptoms reappear-usually during the early stages of the disorder. In general, symptoms become more severe over time.  

The cause of RLS is unknown (called primary RLS).  It does have a genetic component, however, and can be found in families where the onset of symptoms is before age 40. Evidence indicates that low levels of iron in the brain also may be responsible for RLS. Numerous studies suggests that RLS is related to a dysfunction in one of the sections of the brain that control movement (called the basal ganglia) that use the brain chemical dopamine.  Other factors or underlying conditions include certain medications, neuropathy, pregnancy (especially in the last trimester), use of alcohol, nicotine and caffeine, end-stage renal disease and hemodialysis, and iron deficiency. 

RLS is generally a lifelong condition for which there is no cure. However, current therapies can control the disorder, minimize symptoms, and increase periods of restful sleep.  In western medicine, RLS can be treated, with care directed toward relieving symptoms.  Moving the affected limb(s) may provide temporary relief.  Sometimes RLS symptoms can be controlled by finding and treating an associated medical condition, such as peripheral neuropathy, diabetes, or iron deficiency anemia. Iron supplementation or medications are usually helpful but no single medication effectively manages RLS for all individuals. Trail of different drugs may be necessary.  Treatment options for RLS include:

1. Lifestyle changes and activities may provide some relief in persons with mild to moderate symptoms of RLS. These steps include avoiding or decreasing the use of alcohol and tobacco, changing or maintaining a regular sleep pattern, a program of moderate exercise and massaging the legs, taking a warm bath, or using a heating pad or ice pack. Use of medical devices such as a foot wrap that puts pressure underneath the foot and another that is a pad that delivers vibration to the back of the legs.  Aerobic and leg-stretching exercises of moderate intensity also may provide some relief from mild symptoms.
2. A trail of iron supplements is recommended as the first treatment for individuals with low or low-normal blood tests called ferritin and transferrin saturation. 
3. Anti-seizure drugs, specifically gabapentin enacarbil, is becoming the first-line prescription drug for those with moderate to severe RLS. This drug can decrease such sensory disturbances as creeping and crawling as well as nerve pain.  Other dopamine-related medications are effective in managing RLS symptoms also, however, long-term use can lead to worsening of the symptoms in many individuals. 
4. Opioids are sometimes prescribed to treat individuals with more severe symptoms of RLS who did not respond well to other medications. 
5. Benzodiazepines can help individuals obtain a more restful sleep. These are the last-line drugs due to their side effects. 

In Traditional Chinese Medicine (TCM), RLS is usually diagnosed as a Qi depletion or internal wind resulting from both internal weakness, and excess pathogenic disturbances.   The internal weakness includes dysfunction of the liver and kidney, and insufficiency of blood and Qi. The excess pathogens can be wind, coldness, dampness, and blood stasis. Depending on the accompanying signs and symptoms, one might be diagnosed as not having enough Qi to hold the legs still (Qi depletion) or lack of yin or blood (internal wind). In both diagnosis, the underlying imbalance comes from some kind of depletion, so the strategy would be to build the body back up. Since RLS symptoms can vary from person to person, treatment based on disharmony patterns can be an effective option for the individuals. This is likely to include acupuncture, moxibustion, the use of an herbal formula, and food therapy, as rebuilding usually takes a many-faceted approach. 

Massage is highly beneficial for people with RLS.  Very little research has been conducted in an effort to understand how or why massage for RLS is effective, but most experts strongly recommend considering massage both for relieving and preventing RLS. Still, research is in agreement that both tactile and temperature stimulation appear to relieve the symptoms, and in some cases may prevent them from disrupting sleep.  This is one of the proposed uses of massage - as a way of stimulating the legs in order to reduce RLS. 

References

1. http://acupunctureinthepark.com/health-conditions/how-to-calm-restless-leg-syndrome/
2. http://www.shen-nong.com/eng/exam/restless_leg_syndrome_treating.html
3. http://www.progressivehealth.com/rls-massage.htm
4. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Restless-Legs-Syndrome-Fact-Sheet

Weight Balance Challenge - Special Meditation

How did the intro steps go? Did you find it easy or hard to love yourself exactly as you are right now?  Were you able to work out any issues in this that you wouldn’t mind sharing?

In changing our Mindset so that we really love and work with our bodies, we can actually tell our body what we need it to do and then expect that to start happening.  Ok, there is a little background info to understand here.

First, when we tell our body out of love what we need it to do, this has a completely different energy that demanding, begging, or talking down to.  “Body, I love you so much. We’re going to be working together to balance our weight differently than it is right now and I would adore your help with this. You have some incredibly important work to do on your end and I appreciate your grasp of the details. Thank you!”

It’s very interesting that when we speak out of love in this way, who are we that is saying this? It’s us, but we’re connecting to our Higher Self also, and there’s an energy of power associated here.  Whenever we completely feel love – gratitude – appreciation and we speak or act within this feeling, we are connected to our Higher Self.  The feeling it part here is very important.

Here’s an easy, fun meditation to work with over the next few days. Doing this right before bed can be really nice! But do it whenever you have a quiet moment.

1. Bring your attention to your heart center and consciously breathe here, as if you are inhaling and exhaling from your heart center.
   
2. At a certain point, your breath will naturally slow, and this signifies that physiological changes are starting to take place. Enjoy the slow softness of your breath.
   
3. In the slow breathing, start to feel love for yourself.  Allow the feeling to grow until you feel your entire emotional state shift and expand.
   
4. Consciously radiate this feeling of love coming out of you beyond your body, into the space that surrounds you.  Can you fill the area or room with it?
   
5. When we do this, our brain waves literally change.  You may feel as if you are experiencing a slight altered state that is extremely light and clear.
   
6. In this state say to yourself “Subconscious Mind, I direct you to begin right now doing what is necessary to change my weight.”  You can tweak this sentence to fit your own words as long as you speak directly to your subconscious mind and tell it exactly what to do – in a state of love.

Let me know how this goes – I’m excited for you to try it! And it’s so much fun to see what your subconscious mind knows you need and starts to do for you. 

Weight Balance Challenge - Introduction

What this is:  We are going to blend a variety of real-life natural techniques found in Oriental medicine that work.  This is going to be done in steps that allow us to experience and integrate genuine changes into our daily routine that bring us into a more balanced state of being.  Through mindset, reaching a higher vibration, caring for and moving our body, and using gifts from the Earth like herbs and crystals, we are going to have FUN shifting into our natural weight and feeling absolutely wonderful about it.

What this is not:  This is not a New Year’s Resolution.  It is also not a diet.  It is not a quick gimmick to lose 5 or 10 lbs then gain it right back.  If you’re looking for an external source to change you, there are plenty available out there.

How to participate:  Over the next few weeks I’ll be posting specific items and ideas to work with, so make sure you Like my Facebook page (https://www.facebook.com/TouchOfTao/) and watch for them.  I’ll also re-post everything here on our blog in case you missed it, or so you can come back to it anytime.

These will be actionable items that you’ll need to play with and actually do.   I like to make things flexible enough to allow them to fit your own unique preferences and ways, because all of this has to work from you and through you.  It’s you that is changing you – not me or anyone else doing something to you. You create your own beauty from within, and all of the upcoming activities will help that come out.

Ready? The first item to work with is Self-Love.  In order for all of this to work as fluently as possible, we need our bodies to feel incredibly loved – no matter what - and invite them to work with us. 

This may take some inner work, because often if we want to change our weight we don’t like how we are right now.  Really look at the self-talk you have going on inside about this.  What do you think about yourself and how your body looks?

If you already say “I love myself exactly as I am right now. I’m beautiful and perfect!” then keep doing more of that.

If you say anything at all like “I’m too fat. I’d look good if I lost 20 pounds. I look terrible.” Etc. etc., then become very aware of exactly what you are saying.  You’ll need to add a disclaimer at the end.  You can make up what works for you, but it needs to be something like:  “I’m too fat. But I totally love myself anyway.”  “I’d look good if I lost 20 pounds. But I completely love myself right now regardless of my abundant weight.”  “I look terrible. Well I love my terrible looking self so much it doesn’t matter what I look like!”

I think of our inner self-talk like talking to a child.  How does a child respond that is told he/she is too fat and looks terrible?  It’s not a good feeling.  Usually it’s a heavy, energetically damp feeling that weighs down morale and slows down the energy flow.  This can directly translate into a slower metabolism.

If we tell a child “You’re beautiful! You’re perfect! I love you so much!” and we mean it deeply and genuinely – now we’ve got some amazing energy to work with and we can be motivated and play and love what we create within.

So start today – right now - and look at your inner self-talk about your body and weight.  Wherever you think or say something negative, imagine you are talking to a beautiful innocent child and change it around.  Add a disclaimer, or apologize to your body, forgive yourself, and think/say a better thought filled with unconditional love.  This takes commitment and practice, so keep doing it until it’s so natural the love you feel for yourself becomes emotionally palpable.

I’d love to hear your comments and experience with this, especially if it will help someone else who can relate or is having a hard time.  Thanks! Have fun & be creative with this.

PS: Throughout the challenge if you feel like you need one-on-one personal assistance please call to make an appointment with myself or the other amazing practitioners at the Oriental Healing Arts Center.  Your success means a lot!

Massage Therapy For Carpal Tunnel Syndrome

　






Carpal Tunnel Syndrome - It’s painful, and those that suffer from it know it doesn’t take many flare ups before it has to be addressed.


What is Carpal Tunnel Syndrome (CTS)?
According to The American Massage Therapy Association, “ Carpel Tunnel is the inflammation or entrapment of nerves within the carpal tunnel of the anterior of the wrist”. (Michelle Vallet 3/7/14 Massage Therapy Journal)
What are the symptoms? Shooting pain down the wrist to the hand
Severe burning sensation
Numbness with burning and pins and needles type pain like your hands and or wrists are asleep.
Wrist and hand weakness
Sometimes the pain can be limited to a couple of fingers.
Many people experiencing CTS express that the pain is worse at night when the body is at rest and can be so painful that sleep is often interrupted.
What causes CTS?
There are several causes associated with CTS. Repetitive motion, such as working at a computer all day, or factory work that requires turning screws or other repetitive hand manipulation. I have known mechanics, massage therapists, potters, and wood workers that apply pressure to their wrist joints repetitively that have suffered from CTS.
Simply put, overuse and repetitive flexion and extension seem to be the biggest cause factors, although genetics - having small carpel tunnels and medical conditions and pathologies must certainly be considered.
　
　
　
　
　
How to treat CTS.
Western Medicine traditionally would assess a person, based on symptoms and level of pain.
The Mayo Clinic (mayoclinic.org) protocol is as follows:
Non surgical treatment: Ice therapy and resting the wrists throughout the day.
Wrist splinting - Nocturnal splinting - where your wrist is aligned and unable to move and offer some relieve.
Nonsteroidal anti-inflammatory drugs - Ibuprofen, Advil etc. may offer some short term pain relief.
According to the Mayo Clinic there is no evidence that such drugs improve CTS.
Corticosteroids - where a doctor injects your carpel tunnel with a corticosteroid which relieves pain by decreasing inflammation and swelling which takes pressure of the median nerve.
Surgery - Many people opt for a surgical option when dealing with carpel tunnel syndrome. If symptoms are persistent and the patient feels they have given the no surgical therapy enough time without positive results - no pain.
In the surgery according to the Mayo clinic, whether the patient has endoscopic or open surgery the procedure essentially does the same thing.
The surgeon goes into the wrist and cuts the transverse carpal ligament pressing on the median nerve. The patient we be advised to avoid forceful wrist motions, may have to continue to wear wrist braces and the symptoms may never completely subside.
No where in the Mayo clinic literature did I read anything about assessing any other region of the arm or shoulder or neck where the median nerve may be affected by repetitive motion. So I went to the American Association of Orthopedic Surgeons ( orthoinfo.aaos.org) to see what they had to say:
Their information was very detailed and included an anatomy lesson with slides and a video.
The Physical examination portion of the site described the test the doctor would perform with the patient such as pressing down or tapping along the median nerve at the anterior side of the wrist to see if there is tingling or numbness (Tinel’s sign) Phalen’s test and several other tests. To my amazement all the tests were performed on the wrist only, and there is a quite a number of tests.
Nerve conduction studies, electromyogram, ultrasound, X-rays, and magnetic resonance imaging MRI.
The treatment plans were actually close to identical to the Mayo Clinic treatment plan.
　
　
Traditional Chinese Medicine - looks at CTS with a completely different set of tools. Traditional Chinese Medicine acknowledges the impingement of the median nerve. However according to Sarah Cherry - Practioner of Chinese Medicine -acupuncturist and herbalist (healthspaceclinics.com.au)There are two primary etiologies for carpal tunnel syndrome
1. Channel sinew taxation damage leading to qi and blood stagnation.
2. Invasion of wind- cold.
According to Cherry the principle treatment plan would be to
Nourish the blood, soothe the sinews and course energy through the meridians.
This is done through accupuncture or pressure on local and distal points, Chinese herbs and moxabustion.
This site also suggested exercise and massage.
Is massage indicated?
Yes! According to Mary Bennett LMT and owner of Alleviate LLC in Bloomington Indiana. She explains that a good understanding of the area is very important so that you don’t harm the client.
According to Kanoa General owner of Blue Turtle Healing in New York “sound critical thinking is a must, as well as knowing how to apply massage techniques to help resolve the problem.”
General advises that if you don’t have experience in treating carpal tunnel that you seek advice from experienced professionals. Former instructors, your cohorts at the office or clinic.
Do a through intake especially if the client has been to a doctor for pain medication injections.
General states that he always assess the pronator teres, the shoulder and cervical region for compression along the median nerve.
According to General internal rotation of the shoulder and arm is typical.
Richard Garcia LMT from Peyton, Colorado emphasizes the importance of clear communication throughout the treatment process. What pressure helped? What exercises, stretches are being beneficial? Garcia also states that carpal tunnel is rarely strictly a wrist problem, “the probability of other muscles being out of balance is approximately 100 percent”.
Many people have found lasting relief from massage and exercises, as well as a CTM approach to healing in a harmonious way.
To summarize Carpel Tunnel Syndrome is a common (over 2 million cases documented annually, with 20 billion dollar pay out in workers compensation and over 450,000 surgeries annually according to OSHA and the US dept of labor) condition that has many treatment options available, so if this is a condition that you suffer from consider a Chinese Traditional Medicine approach, combined with the benefits of massage therapy, qigong and energy work before going under the knife.

Benefits of Massage for Chronic Fatigue Syndrome

Chronic Fatigue Syndrome is extreme fatigue that does not go away with rest. It is recognized as a collection of signs and symptoms that can range from being mild to completely debilitating.

Nobody knows what causes Chronic Fatigue Syndrome, it can be a combination of different factors such as viral infections that trigger the disorder, impairment of the immune system or hormonal imbalances.

Symptoms of Chronic Fatigue Syndrome may include:

Fatigue

Memory loss or concentration

Brain Fog

Depression or mood problems

Sore throat

Enlarged lymph nodes in the neck or armpits

Unexplained muscle pain

Joint pain that moves from one joint to another without any swelling or redness

Unusual headache (new type, severity or pattern)

Visual disturbances (Eye pain, blurring, sensitivity to light)

Problems with sleep/non-restored sleep

Extreme exhaustion more than 24 hours after physical activity or mental exhaustion

The benefit of massage for Chronic Fatigue Syndrome are that it stimulates a parasympathetic response, when exercise may be too much to handle it stimulates circulation, helps with sleep quality, lowers anxiety, relieves muscle and joint pain.

Some other massage techniques besides swedish that are popular for Chronic Fatigue Syndrome are myofascial therapy, craniosacral therapy, and manual lymphatic drainage. 

In manual lymphatic drainage it helps the circulation of the lymph and superficial blood, removing toxins and stagnate lymph replacing it with clean lymph. An active lymph system activates the immune system helping detect and eliminate viruses that may cause Chronic Fatigue Syndrome.

Massage is indicated for Chronic Fatigue Syndrome. The only contraindication is if a fever is present.

Western treatment of Chronic Fatigue Syndrome can be a combination of immune-suppressant drugs and low dose anti-depressants.

In a Traditional Chinese Medicine point of view Chronic Fatigue Symptoms include:

Fatigue

Weak and lean

fever

puffiness

night sweating

irregular chills and fever

insomnia

dream disturbed sleep

headaches

anxiety

depression

impaired digestion

muscle and joint pain

edema

irregular pulse

Treatments include prescriptions that replenish the body’s deficiencies. Formulas are used to invigorating qi and yang, nourishing yin and blood, adjust sleep and emotion and clearing heat resistant pathogens. One formula is a combination of Ginseng and Astragalus which tonifies qi and strengthens the function of the stomach and spleen. 

Acupuncture is highly recommended for Chronic Fatigue Syndrome, it releases endorphins which increases the body’s immunity. The combination of acupuncture and an herb remedy helps balance hormones, reduces stress and anxiety and restores immune function and promotes detoxification in the body.

References:

http://www.mayoclinic.org/diseases-conditions/chronic-fatigue-syndrome/basics/symptoms/con-20022009

https://www.cdc.gov/cfs/symptoms/

http://www.health-wellness-care.com/html/health_articles/chronic_fatigue2.html

Werner, Ruth. A Massage Therapist’s Guide to Pathology. Philadelphia: 2002. Print

Chikly, Bruno. Silent Waves Theory and Practice of Lymph Drainage Therapy An Osteopathic Lymphatice Technique. Scottsdale: International Health &Healing Inc, 2004. Print

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2816380/

http://www.suntenglobal.com/news/show.php?ID=190&page=

http://www.pacificcollege.edu/news/blog/2014/06/22/oriental-medicine-brings-new-life-chronic-fatigue-syndrome-sufferers

Benefits of massage therapy for fibromyalgia

Benefits of massage therapy for fibromyalgia

By: Rebekah Zellers

What is fibromyalgia? -  It is a musculoskeletal condition; muscles and the soft tissue are affected. More than 12 million Americans have fibromyalgia. Causes widespread pain or aching in the joints and muscles, chronic fatigue, multiple tender points, morning stiffness, nonrestorative sleep, inability to concentrate, numbness and tingling in feet and hands, chronic headaches, and hypersensitivity to heat and cold. The muscles can twitch, burn, or even cause sharp stabbing pain. Your muscles seem to feel as if they are over worked or pulled but with out doing any physical activity at all. The symptoms lead to depression and even social isolation. It is the most common of the musculoskeletal conditions after osteoarthritis. Yet still one of the most misdiagnosed and misunderstood. Contributing factors include; neurochemical imbalance, central nervous system hypersensitivity, disrupted sleep patterns, and dysfunction of myofascial repair mechanisms. Women are ten times more likely to get the disease than men.

Western medicine treatments and medications – There is no cure for this complex condition. There also is no “one” medication for fibromyalgia. We can only treat the symptoms. Instead a combination of medication, exercises- aerobic and strengthening muscles, and behavioral techniques are used for treatment plans. The FDA approves of 3 medications for fibromyalgia; Lyrica, Cymbalta, and Savella. Lyrica helps with pain associated with fibromyalgia, while Cymbalta and Savella are a part of drugs known as serotonin and norepinephrine reuptake inhibitors (SNRIs).

 Benefits of massage therapy-Research from massage therapist and their clients from the University of Miami school of Medicine, Touch of Research institute, conducted studies and have found that massage therapy does help relieve the symptoms of fibromyalgia. Benefits include; increased serotonin levels, decreased circulating hormones, decreased levels of substance P, decreased tender points, improved sleep patterns and an overall sense of well being. 

Techniques and contraindications for massage therapy- While the patient will already feel as if there muscles are over worked; deep tissue massage is to be avoided when first starting treatments with fibromyalgia patients. Begin by using long soothing strokes, mild rocking with a combination of trigger points, and cross-fiber techniques. When muscles are warm deeper friction strokes over knots are used to breakdown fibers and release toxins. This helps reduce creation of the pain fibers. Client should come to see therapist in the beginning every 1-2 weeks for the first 10 sessions, after the first 10 session light work outs are to be started, followed by monthly maintenance visits. Suggested not to leave a patient on there stomach for more than 12 minutes at a time. Sideline positioning on neck and upper back is recommended and no chair massages.  Any form of massage that will cause therapeutic inflammation, including intense exercise and stretching programs is to be avoided as well.

Traditional Chinese Medicine for fibromyalgia- TCM looks at fibromyalgia as a Bi-syndrome. Which looks at the disorder from the obstruction of the meridians, sluggish of qi and poor blood circulation.

TCM uses a threefold strategy to treat fibromyalgia; resolve syndrome and expel wind, cold, and damp, treat any underlying factors contributing to syndrome, provide symptomatic relief by stopping the pain. 

  A combination of acupuncture, herbal medicine, and Qi-gong are used in an effective treatment plan.

            Acupuncture and moxibustion is used to control the pain using 3 different kinds of points; local points in the area of tenderness and pain are needled, specific acupuncture points associated with Bi-syndrome are needled, and any underlying factors contributing to the Bi are treated.

            Herbal medicines use herbs to address the 3 levels of treatment. These individualized herbal prescriptions will stop pain but also expel the pathogenic factors responsible for BI. Herbs that affect any predisposing factors may be used as well.

            Qi-gong treatments help correct imbalances in the body by offering gentle physical movements and stretching. Thus helping reduce pain, moving blockages in channels and maintaining movement. Mindful Qi-gong massage relieves pain and increases the flow of Qi.

References: http://www.webmd.com/fibromyalgia/guide/what-is-fibromyalgia

http://www.fmcpaware.org/massage-for-fibromyalgia-a-therapist-s-point-of-view.html

 http://www.healthcommunities.com/fibromyalgia/alternative-medicine/tcm-treatments-for-fibromyalgia.shtml