Fibromyalgia is characterized by muscle inflammation, pain, fatigue, sleep disturbances, poor concentration/memory, headache and depression. Because these symptoms are often similar to other medical issues and not visible to others it can be very frustrating to diagnose and treat. Causes of fibromyalgia are not clear. Research is focusing on the role of diet, bowel health, leaky gut syndrome, viruses and environmental pollutants. Because the body may be thrown out of balance physically, nutritionally, hormonally and emotionally, it can be difficult to treat if only one area is addressed.

To start, medical assessment is needed to identify any underlying conditions. Nutritional consultation with a professional familiar with fibromyalgia is important, especially when medications are being taken. Dealing with emotional and relationship issues is also important. From a therapy point of view, thorough assessment of posture, tissue tension, pain, swelling, range of motion, strength and endurance is important. Also it is critical to assess lifestyle and activity level to develop a plan that meets your goals.

It has been noted that fibromyalgia often occurs as a response to multiple stresses, which can be physical or emotional. Pain (physical and emotional) causes us to tense and the tension causes more pain. This pain-tension-pain cycle can be devastating to normal functions. Pain causes us to exercise less, which causes stiffness and more pain. When toxins are released though stress, activity, exercise or massage and the body cannot release them, pain often results.

Myofascial release is a long slow stretching technique used by therapists to help patients release holding patterns and connective tissue restrictions. It is well tolerated by patients and can restore flexibility and mobility as well as decrease pain. Myofascial release treatment, lymphatic, massage and stress reduction, combined with a graded exercise program, can gradually increase the body's tolerance for activity. The increase in activity can help resolve depression and improve mental focus.

An exercise program, especially water therapy, is often recommended. However, if the exercise is too vigorous and resistive or the patient pushes too hard, it can increase symptoms. Lack of movement also slows down the lymphatic system (which moves toxins out of the body). This can result in swelling, stiffness, weight gain and more pain. Sometimes patients experience a flare up and drop out of therapy, afraid to go any further. These ups and downs are part of the healing process. Understanding this and working through it with the guidance of an experienced therapist are the keys to progress. A home program can help you maintain and improve even after therapy.

Often people deal with pain by disassociating from it. If we ignore our bodies long enough they will scream at us. Learning to listen to what your body is saying is instrumental in changing your health. Then you can make the most of working with your health-care team on your healing journey.

Virginia Taft, OTR/L, ATP, is a licensed occupational therapist, with advanced training in assistive technology and manual therapy. She has been practicing in North Idaho for more than 25 years and is owner of Coeur d'Alene Hand Therapy & Healing Center. Her clinic employs physical, occupational, massage therapists who specialize in hands on, individualized treatment.

Treatment is provided for hand and repetitive motion injuries (such as back pain, tendonitis, carpal tunnel and back, neck, arm pain) ergonomics and other conditions such as fibromyalgia, scar release and breast cancer recovery. The center also houses the North Idaho Assistive Technology Library.

She enjoys teaching, writing and community involvement.

She can be reached at (208) 664-2901.

FREE CONSULTATION available.