Myofascial Pain ????????

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doodie
Regular Member


Date Joined Apr 2009
Total Posts : 67
   Posted 6/10/2009 7:26 PM (GMT -7)   
Does anyone have any experience with Myofascial Release Therapy?
 
My new Dr. and I talked about message therapy.  She wanted me to find a physical therapist or message therapist that does Myofascial Release Therapy; aka Active Release Therapy. 
 
I did some rearch and I have to say I was very interested.  Fascia is the white, translucent covering you sometimes see on a chicken breast under the skin.  This covering has many purposes in the body.  Everything from protecting muscles to holding every organ in place.  Here is one website I found interesting http://www.sover.net/~devstar/define.htm.  In the reading I have done many talk about both FM and Myofascia Pain. Even how they can mimic each other.  Instead of telling every detail about this I just want to tell you what peeked my interest. 
 
Myofacia is the fascia around the muscle.  I have read that if the fascia is in dysfunction it can tighten which constricts (or squeezes) the muscle.  Since day one,which was 4 1/2 years ago, I have discribed the pain in my arms was like being squeezed.  There are a few other things that makes me wonder "could this be what is causing my pain?"  I don't know.  Maybe it is just wishful thinking, but maybe it is a possibility.  It could also be both.  As I have said before I have been in denial of the FM up until just this year.  I had a horrible flare in March that still lingers.  In these past 4 1/2 years my pain comes and goes.  It will be gone for months at a time, then only to return. 
 
Well Today I had my second session.  At my first session she told me I was intirely to tender to do Myofacial. So she went easy on me.  Well, easy was no piece of cake.  She would message until she found trigger points or knots (not tender points) then press and hold until it released.  It wasn't to bad.  But she worked so much on the back she only had time to barely touched the arms.  Which I was glad because they hurt anyway.  Then at the second session she started on the back but made sure to leave time for the arms.  The back was painful but not as bad as last week.  Oh but the arms, Yikes!  She said she was still going easy.  At the end she said she wanted to try Myofascial Release on one spot.  It consisted of again finding the trigger, applying pressure using body weight while moving the arm causeing the muscle to be active.   I know, it is a lot to take in.  Needless to say I am hurting so bad right now.  She warned me it would hurt. I just hope that in the long run this pain is going to be for the good.  In order for her to really be able get it good my next appointment is for 1 1/2 hours.  I am scared.  Lets see how I am feeling tomorrow. 
 
I am sorry this is so long.  I did not know how to shorten it.  Please let me know if you have any experience or knowledge of this. 
 
Thanks,
Doodie

WhiteChocChip
Regular Member


Date Joined Jun 2009
Total Posts : 439
   Posted 6/10/2009 10:08 PM (GMT -7)   
Oh, yeah ... I had this done for a while. That was my best physical therapist. I seem to remember that if I didn't stay mobile for a little while after the treatment that my muscles would then tighten up extra. I lived 2 miles from the physical therapist's office. I would sometimes walk back after my appointments and I think that helped. Maybe if you tried to stay a little mobile after the treatment it could help?

I have also heard that these kind of treatments may take a few sessions to work, since your muscles are stubborn and like to go back to the way they were and the doc has to convince them that the way she wants them to lay is better. :)

good luck

lucysgd
Veteran Member


Date Joined Jun 2008
Total Posts : 669
   Posted 6/10/2009 10:36 PM (GMT -7)   

Your therapist probably already told you this - but be sure to drink lots of fluids, especially water, after your session, and take it easy for the next day or so.  Not that you should lay around necessarily, but not do anything stressful or strenuous.   The toxins and cellular stuff that gets released after being trapped in the "system" can make you feel puny and cause a lot of stiffness.

Massage and trigger point release have been very helpful to me.  A good therapist is half the battle.  There will probably be times when she goes too deep and you will pay the price.  I wasn't able to sit for almost an entire weekend after one session - and my therapist admitted it was due to her getting too deep into the muscle.  There is definitely a point at which anymore is definitely too much - so be sure to communicate pain and discomfort, so you can find a balance that will keep you moving forward without painful setbacks.  I found for awhile that 2 half hour sessions per week were better than 1 hour all at once.   

Good luck - I hope it helps  you!

Lucy


diagnoses:  mono 1972; postviral CFS 1997; fibro 1998;  UCTD (dx limbo) 2007
meds: Plaquenil 400 mg, occasional low dose xanax for sleep aid, artificial tears w/ ointment at night, Advil/aspirin prn
 
 


Statgeek
Veteran Member


Date Joined Jul 2008
Total Posts : 1495
   Posted 6/10/2009 11:17 PM (GMT -7)   
Doodie, I definitely have myofacial pain in my neck area in addition to fibro. I never did myofacial release, though. Just botox injections and that stuff they use in dentist . . . novacaine?. Please let us know if it helps. I've had myofacial pain for years and cannot seem to get free from it.

Marlee2
Veteran Member


Date Joined Aug 2007
Total Posts : 6067
   Posted 6/11/2009 7:17 AM (GMT -7)   
I am a knotty old woman. turn Like Lucy said you have to find the right therapist that has the right touch for your body, some may not do enough and some may try to do too much. I have a great one but she only works part time and it takes forever to get an app with her. I was going pretty often but then got busy with trying to get stuff done in the house, my shoulders could really use it now. My back, shoulders and upper arms are the worse and they can spend a whole hour just on those areas and not get all the knots. I have gotten very sick from having too much done at a time so I have learned the hard way and tell them if they are going too deep or spending too much time on one area. You do need to drink a lot of water. The sad thing is the knots come back. If I could afford to go every week and have some done it might be more helpful but that would get costly.
 
I have been dxd with both fibro and MPS. There is an article in the fibro 101 thread that I found that explains the difference between the two.
 
luv and hugs
Marlee
Forum Moderator Fibromyalgia
 
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Sherrine
Forum Moderator


Date Joined Apr 2005
Total Posts : 17101
   Posted 6/11/2009 10:49 AM (GMT -7)   

Yes, this is the same article that Marlee found. I put a link to it in the Fibro 101 thread.  It is an excellent article!  Some doctors think that fibro and MPS are the same illness.  I know I've got knots all over my body.

I see a massage therapist and she is wonderful  Here is a great site to find a good, licensed massage therapist in your area that has to keep up with their education in order to have this certification.  This is where I found my wonderful gal!  Hope this helps! 

http://www.amtamassage.org/

Sherrine 


Forum Moderator/ Fibromyalgia
***********************
Fibromyalgia, Crohn's Disease, Ostomy, Diabetes, Autoimmune Inner Ear Disease, Osteoporosis
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
God does not give us a spirit of fear, but of power and of love and of a sound mind.    2 Timothy 1:7


Statgeek
Veteran Member


Date Joined Jul 2008
Total Posts : 1495
   Posted 6/11/2009 1:05 PM (GMT -7)   

I once talked to a guy in school to be an occupational therapist and he said that mps is nothing more than knots in your muscles.  I think that minimizes the severity of the problem.  Everybody gets tight muscles and knots in the muscles sometimes.  This is a lot worse and doesn't seem to want to go away.  I know you all know this already.  Just bothered me that he said that.  I am very limited in what I can do because of the mps and can throw myself into a raging migraine if not careful.  Took me a long time to figure out the say my body gets migraines.

It is kind of like people's opinion of fibro.  If only they could spend a few days in our bodies.

Sue


lucysgd
Veteran Member


Date Joined Jun 2008
Total Posts : 669
   Posted 6/11/2009 1:46 PM (GMT -7)   

I hear you, Sue.  It is different than simple muscle strain, and the only people who minimize the effects are the ones who don't have it.  Someone I know who also deals with the problem had it explained to her this way:  It's as though you are wearing a wet T shirt...it clings and rubs and bunches in uncomfortable ways and just doesn't move, absorb, or drape appropriately and eventually begins chafing.  And that's just the myofascia.  Add deeper muscle problems (as in fibro) and it's no wonder we experience so much and such a variety of pain yeah  

Lucy


diagnoses:  mono 1972; postviral CFS 1997; fibro 1998;  UCTD (dx limbo) 2007
meds: Plaquenil 400 mg, occasional low dose xanax for sleep aid, artificial tears w/ ointment at night, Advil/aspirin prn
 
 

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