“A misdiagnosis leads to an incorrect medication and treatment plan,” Miller explains. “When receiving manual therapy, for example, a patient with CMPS requires the deepest pressure while the true fibromyalgia patient requires only the lightest of touch.” Understanding the difference and diagnosis Without this information, creating a treatment plan that is beneficial to the client will be difficult.įor example, says Miller, clients with fibromyalgia are going to require different pressure than someone with CMPS.
#PAIN AFTER DEEP TISSUE MASSAGE PROFESSIONAL#
So, massage therapists are going to need to make sure these clients are in regular contact with their health care professional so they know they are getting the most accurate information regarding their diagnosis and disease during intake. According to Miller, differentiating between these two diseases can be difficult, which can lead to some people being misdiagnosed and a whole host of other issues. Kimberly Miller, DC, founder of the Georgia Massage Institute in Winder, has some insight into both of these conditions, as she suffers from both fibromyalgia and CMPS. What Massage Therapists Need to Know about Fibromyalgia and CMPS Accurate informationĭr. A diagnosis is usually made when a person has experienced quadrant pain for at least six months or more. Additionally, people with CMPS often have prolonged, deep aching trigger points with desensitized nerve endings, CMPS, unlike fibromyalgia, tends to affect both genders equally, typically appearing in adults who are between the ages of 30 and 60. Some notable symptoms of CMPS include lacrimation, deep aching that affects one group of muscles or several, complications with the vasomotor, cuticle fl ushing, an increase or decrease in body heat, and excessive sweating. This condition often occurs when a muscle has been contracted repetitively, like in jobs that require repetitive motion or when stress-related muscle tension is present. With chronic myofascial pain syndrome, symptoms can begin to show up after some type of trauma or injury. Related: An Evidence Based Guide to Fibromyalgia for Massage Therapists | 2 CE Credits
Generally speaking, too, fibromyalgia sufferers often have acute, superficial tender points.Īccording to the National Fibromyalgia Research Association, more than 6 million Americans, 90 percent of whom are women, suffer from fibromyalgia, with symptoms typically showing up between the ages of 20 and 55.Īdditionally, somewhere between 25 percent and 65 percent of the time, fibromyalgia presents along with other pain syndromes-most commonly rheumatoid arthritis, lupus and spinal arthritis. The areas where pain is most common amongst patients include the neck and lower back.Īdditional symptoms include recurrent feelings of exhaustion, musculoskeletal pain and a tingling or prickling feeling known as parathesia, which is similar to that of pins and needles and mainly caused by pressure or damage to the peripheral nerves. This condition is usually diagnosed when a minimum of 11 out of 18 tender points are active with pain to the touch. Some recognizable symptoms of fibromyalgia can include irritable bowel syndrome, headaches, migraines, numbness in the upper and lower body, and joint stiffness that is distributed around several areas of the body. A Quick Look at the ConditionsĪlthough both fibromyalgia and CMPS present with pain, these are different conditions, and so having an idea of what each diagnosis entails is important. Though the causes of fibromyalgia and CMPS are unclear, what we are starting to better understand is how massage therapy can help people with these conditions better manage their pain. Then, add in the depression and anxiety that often accompanies having to deal with chronic pain and what you have is this: a peek at what it's like for someone who suffers from fibromyalgia or chronic myofascial pain syndrome (CMPS). Every day you wake up-after a night where you might not have gotten very much sleep-knowing that your day will involve pain, most often in several areas of your body.
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