Fibromyalgia

Moderators: kwyss, Sillevis

Fibromyalgia

Postby Paula » Mon Sep 26, 2011 8:33 pm

Does anyone have any suggestions for treatment techniques for patients with fibromyalgia. I have treated many patients with fibromyalgia as a DX or a comorbidity and it is clear that they have to pace themselves with activity for decreased exacerbation of symptoms as well as stretching. However, in my experience, patients with this diagnosis do not demonstrate any significant decrease in symptoms with manual therapy, therex, modalities or taping especially with their symptoms in the CSA. Aquatic therapy in a warm pool has been the most therapeutic for these patients but we don't have a pool.
Paula
 
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Re: Fibromyalgia

Postby Sillevis » Tue Sep 27, 2011 9:57 pm

It seems that there is evidence that they respond to low aerobic exercise programs. Due to the chornicity we are often seeing a state of central sensitization which does benefit from a graded exercise program.
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Re: Fibromyalgia

Postby kwyss » Wed Sep 28, 2011 11:20 pm

an exercise protocol focussed on their ability rather than disability has been advised. Patients with FM appear to be very foccussed on "what they can not do" and will have read all excisting literatur. Myofascial stretching followed by low resisted high repetetive exercises has been documented to have the better outcome. It is advised to avoid creating dependence.
kwyss
 
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