Curious about fibromyalgia clients - a poll

Wowshi

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I've only worked on 2 fibro clients so far. If you've worked on them before what kind of clients are they? Chatty? Stiff? Are they able to relax? I'm just curious what kind of experiences you've had with them?
 


IME,

Fibro clients are ALL different.

I have had some that can handle deep pressure and others that can barely handle swedish.

They might be able to take pressure one treatment and not the next.

I have some that will have one issue that sticks around for months and then switch to something completely different.

I have some that are chatty others that are not. Some don't want scents others do. Some handle stress well others don't.

Some of the similar things with most:
  • Horribly tight cervicals, TP's, and poor ROM
    Problems with hips and legs
    Tight Trapezius
    Arm/shoulder issues
 


I agree 100% with Masthera. You just have to listen to your client and see what is best for them. They are all different and it isn't always according to the textbook. Some have horrible trigger points that need to be relieved with deep pressure and it is tollerated, while others can barely deal with even light pressure.
 


Is there any body type that is consistent among them? Personality type? Behavior trait?
 
My observations...

I specialize in working with people who have fibromyalgia. Over half of my clients have it. Every fibromyalgia client is very different. Unique in every way. But I have observed some things that they do have in common...

They all have at least 11 of the 18 tender points characteristic of fibromyalgia. (Tender points are different from trigger points.)

They are all sensitive to smells and sounds and light.

They all have trouble sleeping.

Most have IBS.

Even though they are all very different in their preferences, they all KNOW what they need. So listen carefully and they will tell you how to do the massage.

-Melody
 


I guess I'm not explaining myself or getting to the point.

I have worked on 2 fibro clients. This, by no means, qualifies me to generalize. Indeed, far from it. But both seemed to have control issues. They couldn't 'let go'. I'm saying this not as a statement of their condition or causal factors but just as a casual observation. I'm wondering if anyone else has picked up on this.
 
letting go

It's very difficult to "let go" when one is constantly tense from pain that never seems to go away. So, of course fibromyalgia clients will be more tense than most. You have to build a level of trust with them. And the best way that I have found to do that is to listen carefully to what they need.

For example... If they say, "I do not like my legs to be touched." Don't go anywhere near their legs. Don't assume that you can be gentle enough. They know better.

They live with this pain, day in and day out. They are accutely aware of it, and they usually know exactly what they need when they come in for a massage. Listen to them and they will learn to trust you. And when they trust you, they will begin to let go.

This is a webpage that may help you understand fibromyalgia better...
http://www.sover.net/~devstar/define.htm

-Melody
 


AV8TRX said:
I guess I'm not explaining myself or getting to the point.

I have worked on 2 fibro clients. This, by no means, qualifies me to generalize. Indeed, far from it. But both seemed to have control issues. They couldn't 'let go'. I'm saying this not as a statement of their condition or causal factors but just as a casual observation. I'm wondering if anyone else has picked up on this.

I think I know what you mean, I have wondered if most of fibro clients are the "type A" personality...most of my fibro clients are.
 


I have worked on 2 fibro clients. This, by no means, qualifies me to generalize. Indeed, far from it. But both seemed to have control issues. They couldn't 'let go'. I'm saying this not as a statement of their condition or causal factors but just as a casual observation. I'm wondering if anyone else has picked up on this.

Of my "new to massage clients" they are the one's who are more controlling and tense.

I have a few that have done massage for many years and they are no issues of needing to let go.

Personally, I have enough tender points and other symptoms to be diagnosised with Fibro. I can say that I definetly am a control freak. :D I love stability, but I have learned to "let go".

Melody said it well. It is hard to let go when you are in constant discomfort.
 


I hate to make assumptions but it's almost like I know exactly how they keep house. Perfect. Again, I don't know these people but they just seemed to have their emotions so in check.

I know I'm venturing into an area where an MT shouldn't go, psychoanalyzing clients, but I can't help but wonder about my clients.
 


AV8TRX said:
I know I'm venturing into an area where an MT shouldn't go, psychoanalyzing clients, but I can't help but wonder about my clients.

i know what you mean. but if you let yourself go there, you may interfere (mentally) with your intent (the massage itself) to help them.
 


AV8TRX said:
I hate to make assumptions but it's almost like I know exactly how they keep house. Perfect. .

...or the opposite. Can't get it perfect, so just let it go completely. Have to clear a space at the table to place your plate; walk on the paths b/t the clutter.
 


My 2 cents and a recent interesting experience....

All the fibromyalgia clients I have encountered are women who are wound up very tight and seem to have control issues. My impression is that they were like that before the diagnosis of fibro and have now entered a vicious circle where one feeds on the other.

Recently while massaging a client with fibro I noticed that her torso was very, very hot and her extremities (arms & legs) were cold. She also told me that she required very light pressure. I massaged her lightly at first, but then had an AH HA moment and thought about opening up energy pathways down her arms & legs because it seemed like everything was stuck and bouncing around in her body. So with my very limited knowledge of Shiatsu points (I am only a few weeks into certification) I pressed into a few (that I remembered as master points) as I encoutered them in my Swedish work. The extremities started to warm up and I was able to use a pressure such that I could now feel the muscles under my hands. The client was thrilled!

Has anyone else noticed obvious temperature variations in your fibro clients?
 


Very interesting. The two clients I've worked on are country club wives, very sweet but seemed to be wound up tight, even though some of the muscles weren't. Sure, there was tightness in the traps, hips and legs but not to the extent that I would expect. Both were able to take fairly moderate pressure.

What it felt like to me was like they really needed to literally scream their lungs out but they are stifling and holding it in.

Shiatsu huh? I'll look into it.
 
Fibromyalgia is a very misunderstood condition.

Be careful not to draw conclusions too quickly. It is not easy living in constant pain. It affects every aspect of their lives. They are constantly judged by friends, family and coworkers. Their massage therapist should be one of the people in their lives who doesn't judge them.
 


You're right. Sometimes I think I try to look for quick and easy answers.
 
My observations...

Melody said:
They all have at least 11 of the 18 tender points characteristic of fibromyalgia. (Tender points are different from trigger points.)

They are all sensitive to smells and sounds and light.

They all have trouble sleeping.

Most have IBS.


-Melody

In my practice, I have noted that all have suffered a traumatic event within 1-2yrs of their diagnosis. What type of traumatic event:
divorce
severe accident
menopause (traumatic for some)
severe illness
nervous breakdown
physical, emotional or sexual abuse

I have also noted that the majority are classic type A personalities.

Please keep in mind, this is what I have experienced in my practice. I am in no way suggesting the above "events" were a precursor to illness or if these are a result of fibro going undiagnosed. The information presented above is the result of a client intake form. No psychoanalysis was necessary. Since I am not qualified in that area, that was not a problem :lol:
 


thanks for the info. Just goes to show that nothing can happen to the psyche without it affecting the body as well. And vice versa.
 


How often do you have a male fibromyalgia client and how do they differ from females?

Do your fibromyalgia clients receive regular body work or do yoga, meditation, etc to manage their condition?

I have had a handful of people come in andd state that they have fibromyalgia, but none of my regular clients suffer from this condition. Most have been women, but I have 2 men who told me they had it. Also, most of them expressed a need to have regular bodywork and one even told me she was considering going to a MT who specialized in fibro. The problem with that is that most were experiencing there 1st or 2nd massage and even though they were saying otherwise, I didn't feel they were committed to getting regular bodywork or attempting to manage daily stress in a more efficient manner. (I live in a college town and most were young, female college students).
 
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  32. Sunrise Health Centre:
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  33. New Oriental Health Centre:
    โค๏ธ Happy, Nayla & New Girl Lily are in today๐Ÿ’„~๐Ÿ“žCall ๐Ÿ“ฒ Text: (647) 381-2688 ๐Ÿ’„Make Your Day Incredibly Delicious ๐Ÿ‘ Our girls provide lots of service options & are Extremely Open-Minded ๐Ÿค— We're Open 9am - 2am everyday! Drop in to Unit 26, 10 East Wilmot Street, Richmond Hill.
  34. wonderspa:
    ๐ŸŒบ๐Ÿ’„๐Ÿฅฐ๐Ÿ”ฅ Wonder spa [9421Jane st unit 127)Please โ˜Ž๏ธ4165000-800,if you need to find a comfortable... ๐ŸŒบ๐Ÿ’„๐Ÿฅฐ๐Ÿ”ฅ Wonder spa [9421Jane st unit 127)Please โ˜Ž๏ธ4165000-800,if you need to find a comfortable place to revive your body come visit us.beautiful attendants AMY Mina Mimi seevice you relieve stresses.๐Ÿ˜Amy is very sexy and long hair fridendly girl, Mimi is younge sexy girl excellent service make...
  35. Newspring@:
    ๐ŸŒนNu spring spa โค๏ธโ€๐Ÿ”ฅโค๏ธโ€๐Ÿ”ฅโค๏ธโ€๐Ÿ”ฅ sexy hot Viennese and Latino girl working at Nu spring spaโ˜Ž๏ธ 416-669-8508โค๏ธโ€๐Ÿ”ฅโค๏ธโ€๐Ÿ”ฅโค๏ธโ€๐Ÿ”ฅ
  36. Sparkling Spa:
    Sexy Korean Massage Girl Summer is working at Sparkling Spa with Service Queen Zoe today. Real pictures of Summer & Zoe๐Ÿ’ฏ๐Ÿ’ฏCall or text to book appointment ๐Ÿ“ฒ โšก๏ธ๐ŸŒŸSPARKLING SPAโšก๏ธ๐ŸŒŸ โœ…50 Lockridge Ave Unit 8โœ… ๐Ÿ‘ŒMarkham, ON L3R 8X4๐Ÿ‘Œ โ˜Ž๏ธ (905) 604-8186 Spa Land Lineโ˜Ž๏ธ โ˜Ž๏ธ (437) 446-6688 NEW Spa Cell Phoneโ˜Ž๏ธ (West of Warden & 16th Ave) OPEN 10am to 9pm MONDAY to SUNDAY
  37. Golden Sunshine Spa:
    โœจClick on our Username and FOLLOW US for updates and special services ! โœ… Today๐ŸŒธAletta๐ŸŒธYoyo๐ŸŒธCarly๐ŸŒธTiffany๐ŸŒธTania Call us โ˜Ž 905 - 265 - 2158โ˜Ž๏ธ Your ultimate service awaits! โœจ
  38. Jennyโ€™s Spa:
    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ( 647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ( 437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅTWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅ ๐Ÿ’ฏREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ ๐Ÿ”ฅTODAYโ€™s ROSTER INCLUDES: Rose๐ŸŒน - A sexy new addition to our lin
  39. Moneylee:
    All season wellness center :Young girl big boobs beautiful face deep massage Doris ,New Young girl big boobs beautiful face deep massage Baby ,Young girl big breasted beautiful buttocks charming temperament big boobs Yoyo ,Young girl Big breasted saucy naughty Ella ,Enchanting sexy petite deep massage Sherry , address: #5-30 Rambler dr Brampton ,Ontario L6W 1E2โ˜Ž๏ธ4376655510๐Ÿฆต๐Ÿฆต๐Ÿ‘„๐Ÿ‘„๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘…๐Ÿ‘…
  40. Moneylee:
    Full season wellness center: New Young girl Big-breasted big Big boobs big butts May, Young girl big breasted beautiful buttocks charming temperament big boobs Vita ,Young girl big boobs beautiful face deep massage Bobo, Young beautiful face sexy body and good deep massage maggie,Enchanting sexy petite deep massage Mary. 2560 Shepard ave Mississauga unit 1 .โ˜Ž๏ธ4379857899 ๐Ÿ‘„๐Ÿ‘„๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘…๐Ÿ‘…
  41. Red Rose Spa:
    ๐ŸŒธ We have 5 hot brown girls today ๐ŸŒธ LUCY, ASHA, MALIYA, SANA, ANGELINA, MEERA, NISHA, AMANDA, MIMI, ANGEL ๐ŸŒธ 2588 Birchmount ๐ŸŒธ 2 Invergordon ๐ŸŒธ 647-702-8800 ๐ŸŒธ Please visit for a great erotic massage
  42. Soul Relax Spa:
    โœจ Looking for a relaxing escape? โœ… Meet๐ŸŒธIvy๐ŸŒธBrandy๐ŸŒธKimCall us today for the best treatment and service experience. Click on our Username and FOLLOW US for updates ! Call now โ˜Ž 289 - 298 - 5662โ˜Ž๏ธ Your ultimate relaxation awaits! โœจ
  43. Lulu_Villa_Spa:
    Candy She is a Vietnamese๏ผŒ Face and body to die for. Her smile will make you melt. Sami Gorgeous Model Type CBC Vietnamese School Girl Judy is a gorgeous model type Vietnamese Girl โ˜Ž๏ธ647- 446-0886
  44. See You Health Center:
    Natalie she is CBC/filipina mixed Petite school girlโ€จGFE, BBbj, DFK in her menu. Judy is a gorgeous model type Vietnamese Girl Judy is a gorgeous model type Vietnamese Girl โ˜Ž๏ธ416-988-2950
  45. AliceSpa:
    MONDAY at ๐—”๐—Ÿ๐—œ๐—–๐—˜ ๐—ฆ๐—ฃ๐—”, 4915 Steeles Ave. E, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿฎ๐Ÿต๐Ÿด-๐Ÿฌ๐Ÿด๐Ÿต๐Ÿด. 32 Sexy Young Girls Today at Alice Spa, : LALA,[/color 19Yrs young & beautiful petite, pretty, baby faced Japanese, 5โ€™2โ€ 90Lbs B Cup, bbbj, rim. Lala is energetic, fresh, beautiful & innocent, makes your heart beat. Beauty and youth can conquer everything. Highly recommended ๐Ÿ‘ SUKI, baby face student, nice all natural C Cups, short 5โ€™2โ€, sexy ass,
  46. bnwellness_wilson:
    We have 4 young beautiful girls are working today, young cute Yuki 30โ€™s open mind slime and young fun Selina with curves body 30โ€™s , pretty GFE Ella and sexy Coco are providing deep tissue and sensual massage, pls call 416-3985777 book appointment and walk in always welcome, back entrance and parking available, 350 Wilson Ave North York
  47. AmoreSpaEtobicoke:
    AMORE SPA 127 Westmore Drive, Unit 106C Etobicoke, ON M9V 3Y6 โ˜Ž 437-688-2407 โ˜Ž This is the official schedule for AMORE SPA: (Korean Ashley hasn't been here for AGES. The old confused imposter doesn't realize he has lost another customer, and continues to post errors and incorrect pics). Monday at AMORE SPA: CHERRY(10AM-11pm) & *New Spinner LALA CHERRY is a proven superstar, Slim Asian
  48. Mephistopheles:
    Where is milf mimi working, a little crazy lady.
  49. ASPA:
    ๐— ๐—ข๐—ก๐——๐—”๐—ฌ ๐—”๐—ง ๐€ ๐’๐๐€: EMMA and Best Massage RACHEL. ๐Ÿ…ฐ๏ธ๐€ ๐’๐๐€๐Ÿ…ฐ๏ธ, 28 South Unionville Ave, Unit 5, Markham. ๐Ÿ…ฐ๏ธ๐—–๐—ฎ๐—น๐—น ๐Ÿฒ๐Ÿฐ๐Ÿณ-๐Ÿณ๐Ÿฎ๐Ÿต-๐Ÿฒ๐Ÿฒ๐Ÿฌ๐Ÿฒ ๐—ผ๐—ฟ ๐˜๐—ฒ๐˜…๐˜ ๐Ÿฒ๐Ÿฐ๐Ÿณ-๐Ÿด๐Ÿฏ๐Ÿต-๐Ÿฑ๐Ÿต๐Ÿฒ๐Ÿฒ๐Ÿ…ฐ๏ธ EMMA is 1.64Cm. and weighs 52Kg. Emma is sweet and elegant, has very good communication & massage, and her services will make your visit enjoyable. RACHEL is slim and attractive
  50. Endless Joy Spa:
    โœจโœจโœจโœจโœจ[GRAND OPENING]โœจโœจโœจโœจโœจ ๐Ÿ’žEndless Joy Spa๐Ÿ’ž ๐ŸŽ‡ (155 East Beaver Creek Rd Unit #8, Richmond Hill) 416-731-8565๐ŸŽ‡10am-2am, New First Day Young Slim Petite Chinese Vivi, Tall Slim Sexy Chinese Kelly, Sexy Chinese Coco, Young Sexy Chinese Abie, Young Sexy CBC Rachel.
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