Thank you! It is a two-way street. Patients with FM require first patient education about what FM is.
First and foremost. Second, soft tissue work particuarly on the upper traps and on their 11 of 18 points that are clinically involved. Aerobic activity is helpful however, heat is very relaxing accompanied by the pool to relax the muscle.
The patient/client needs to also learn other relaxation techniques such as diaphragmatic breathing, meditation to calm down the nervous system which will decrease the sensory input into the muscle
Then flexibility or stretching can be commenced. Next stability or strengthening is ideal targeting the weaker phasic muscles such as the rhomboids, low traps
Finally an individualized program that is not only holisitic but personalized!!!!!!!!!!