Physical therapy often takes a hands-on approach, which may make you cringe if you're experiencing pain from multiple hypersensitive tender points. However, physical therapy uses methods that are gentle, effective, and will most likely play a major role in managing your fibromyalgia symptoms.
There are a variety of physical therapy techniques. Passive treatments relax your body and include deep tissue massage, heat therapy, hydrotherapy, electric muscle stimulation, and ultrasound.
Your physical therapy program will usually begin with passive treatments. When you feel ready, you will start active treatments that strengthen your body and prevent further fibromyalgia pain. Your physical therapist will work with you to develop a plan that best suits you.
Deep Tissue Massage: Unless you're in an extreme amount of pain, deep tissue massage is an ideal fibromyalgia treatment because it uses a great deal of pressure to relieve deep muscle tension and spasms. Spasms prevent muscle motion at the affected level, which is one of the reasons people with fibromyalgia experience a decreased range of motion. Physical therapy techniques, including deep tissue massage, will help you use your muscles more effectively. This treatment may be combined with heat or cold therapies to boost the benefits.
When using heat therapy on your own after physical therapy ends, never overheat painful areas. If you're using a heating pad, set it to low or medium. When using a hot towel, touch it first to make sure it's not too hot. Excessive heat may not only exacerbate your fibromyalgia pain but also potentially cause burns.
Hydrotherapy: As the name suggests, hydrotherapy involves water. As a passive treatment, hydrotherapy may simply involve sitting in a whirlpool bath to relieve pain, relax muscles, and condition your body without adding unnecessary stress.
Electric Muscle Stimulation: Electric muscle stimulation sounds intense, but it really isn't painful. This technique reduces muscle spasms and is generally believed to trigger the release of endorphins, which are your body's natural pain killers.
Ultrasound: This therapy uses sound waves to create a gentle heat that increases blood circulation to your deep tissues. Ultrasound helps reduce muscle spasms, inflammation, stiffness, and pain and is most effective in relieving range of motion limitations in chronic pain sufferers, as opposed to those with acute inflammatory conditions.
Active treatments help address core stability, flexibility, strength, and joint movement. An exercise program may also be prescribed to achieve optimal results. This will not only curb recurrent pain but will also benefit your overall health. Your physical therapist will work with you to develop a program based on your specific symptoms and health history.
Active treatments include:
Your physical therapist will teach you self-care principles so you understand how to best treat your fibromyalgia symptoms. The ultimate goal is for you to develop the knowledge to help control your symptoms.
It's essential that you learn the exercises and continue them after the formal therapy ends. If you fail to keep with a fitness regimen, you won't enjoy long-term results from your physical therapy. By taking care of your body on your own, you can reduce further fibromyalgia pain.