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I am not a massage therapist - I hope it is okay to ask here some questions as a patient too. If not, then I am sorry and the moderator can delete the message here of course .


For over 4 years I am sick and my doctors say I have fibromyalgia. So far no treatments helped. Regarding massage I only got deep tissue massage for about 6 months. It was nice to have - BUT it didn't do anything for my pain and my dizziness.


That's why I wanted to try now some different types of massage, but have some questions about it:

1.)Is Trigger Point therapy and Myofascial Trigger Point the same or are these different techniques?

   What is Myofascial release?


2.)Could one or more of the three above mentioned massage techniques help with my symptoms

  (I  attached a drawing of my main symptoms of the head, muscle etc)?


   Symptoms that are not on the drawing are: constant dizzines, brain fog, nausea, sensitive to light (eyes), migranes/ headeaches every day, food allergies.


3.) Right now I am in physical therapy ( 2 days a week), but it really makes my symptoms and pain 

    worse. So, I don't know if I should continue PT or if I can combine it with massage.


4.) I live in a very small town where are not many massage therapist. How can I find a really good 

     therapist, who is really experienced and knowledged - is there maybe a special website or so 

    where I can find one?


I want to thank you in advance! And sorry for the bad English, it's not my mother language and I am still learning. 

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Hi Ysabel

have you tried searching for an massage therapist by googling neuromuscular therapy? I notice there are therapists listed in Murphy (not far from you).

Another option maybe to contact a NC OR SC neuromuscular therapy school and ask for their help in finding a good therapist near to you.???

Take your time finding a therapist. You should ask, where they trained, how long they have been using triggerpoint therapy, do they use it every day in their practice? how many fibro clients have they treated? tell them your problems, have they experience of treating these problems. Chat with them, do you think you could work well with this person??  

Hi Ysabel,

I've just joined the forum. I wonder whether you are German (like me) because of your "kopfschmerz"-file.

I've done trigger point self-massage for the last two years and have been highly successful with it. I'm pretty convinced that you have tons of trigger points in your neck and head muscles which can produce most of the symptoms and pain you described. All you chiropractor visits will have left your neck muscles even with more trigger points which made  your symptoms worse (I had the same experience).

People with so  many trigger  points like you seem to have, are oftten diagnosed with fibromyalgia. Become your on therapist (like I did) and by "The Trigger Point Therapy Workbook" of Clair Davies (available in German, too).

Best wishes!

I want to say thanks again to all of you for your advise. I will look into everything - even if I am a bit more confused now WHICH will be best: trigger point, myofascial release, cranio sacrale, neuromuscular.....?


@Barbara: Yes, I am German :) Danke fuer den Tip mit dem Buch! Liebe Gruesse 


Everyone has given you a lot to think about.  There are a lot of therapies out there and from the amount of people I've talked to, and what I've been fortunate enough to learn is that no two people experience a treatment the same.  So I want to offer you the best of luck in your search and would say there is a lot of good to be said for Cranio-Sacral and for Neuromuscular Therapy (Trigger Point Therapy).

I think the most important question you asked is about how to find a good Therapist. These are my rules:

1) Do they really listen when you explain the issue and what you've been through?

2) Do they take a history and go over your medical information seriously?

3) Do they seem to genuinely care about your concerns and health?

4) If you allow them to work on you, do they listen to what you are feeling during the treatment and adjust to your comfort level?

  A big mistake I hear is that people allow themselves to go through a treatment that leaves them in a lot of pain.  I am a full believer that good therapy is uncomfortable at times but never painful.

I know how it feels to be in pain and to want to get better and still feel like the 'professionals' aren't listening and only make the issue worse. The best thing you can do for yourself is to know that nobody can understand what is going on inside your body like you can.  A good Therapist will want to work with you, not force you in anyway.

Best of Luck and many blessings.

 Dear Ysabel.

 On February 1 2012,at Science Translational Medicine, was published research article Massage Therapy Attenuates Inflammatory Signaling”  Here is some conclusions of scientists who conducted this research:” Dr.Melov: "Our research showed that massage dampened the expression of inflammatory cytokines in the muscle cells and promoted biogenesis of mitochondria, which are the energy-producing units in the cells, the pain reduction associated with massage may involve the same mechanism as those targeted by conventional anti-inflammatory drugs. "This research article was published after I have proposed  you to read  fibromyalgia subject article.

if you had spent some time to read from article , you found that I and Dr. Ross, describing fibromyalgia symptoms as a results of ATP(biogenesis of mitochondria means converting /generating  ATP) crisis, practically offering explanation similar to Dr. Melov’s. Including many  of reference that this scientists used in the research article, and as you will be able to see, our article was published in 2004 . Why it wasn't so powerful conclusions within medical Society? Because it wasn't published at Science Translational Medicine or similar publication. Now you have support of this research, and as we recommending your therapist should spend 50% of procedure time for Petrissage techniques. I agree with many people who respond to you about looking for good therapist but also important that this  good hands therapist will understand condition he/she treating

And will apply correctly designed protocol. This   what will make different in your condition.

Get well fast.






Ysabel Wu said:

I want to say thanks again to all of you for your advise. I will look into everything - even if I am a bit more confused now WHICH will be best: trigger point, myofascial release, cranio sacrale, neuromuscular.....?


@Barbara: Yes, I am German :) Danke fuer den Tip mit dem Buch! Liebe Gruesse 

As in medicine, not all protocols/modalities work for everyone. I discovered a treatment through trial and error after a MVA five years ago after reaching a plateau in healing. Doing my own research, I discovered a treatment that may work for you as it has for me. Take a look at this Syndrome and see if the symptoms listed affect you.

Barre-Lieou Syndrome:

The treatment for this Syndrome is prolotherapy/prolozone and it addresses soft-tissue injuries and over-active nerves (nerves that were injured and have failed to shut off, meaning the injury may've healed but the nerves have not. Ligaments/tendons, facet joint injury often trigger referred pain. You mentioned fibromyalgia -- that is like the nerves don't shut down or are over-compensating and continue to send "pain" signals to the brain.

After four years, I found out about Barre-Lieou aka over-active autonomic nervous system and loose ligaments and damaged facet joints after long-term chiropractic and various massage modalities. I had headaches 15 or more times a month and they often came with excruciating eye pain (it felt like my eyeballs were being pulled out through the back of my head). I began my search by Googling whiplash+(any of my symptoms) and discovered what none of my own doctors didn't seem know about or dismissed (Barre-Lieou Syndrome). I had the majority of symptoms listed at the wehelpwhathurts website. Massage therapy would be a great adjunct to prolotherapy if massage/chiropractic alone does not give you relief. There is probably undiagnosed/improperly diagnosed facet joint injury and loose vertebra. Over-active nerves need to heal in order for them to shut off properly.

Important question: Do you have any past injuries to your cervical neck region (e.g. whiplash)?

Yes, chiropractic CAN make symptoms worse/exacerbate your C-spine issues, especially if your chiro doc is heavy-handed.

See this site (it's where I found my own doctor after four years of treatments):

My doctor is using prolozone (oxygen treatment for rebuilding/restrenghthening and healing soft tissue damage).

It's worth a try. Not all treatments are the answer for all patients/people, but it is worth investigating. I say this with personal experience. I used chiro/massage (including cranio-sacral therapy)/rolfing. They all did their magic. Something was still not right with the symptoms I kept getting. Prolotherapy/prolozone has been a God-send for me.

I'm a post-MVA patient so I know what I am talking about. The MVA led me to a career change (in massage therapy).

Is it possible that you might have concurrent undiagnosed allergies too? Just another consideration.

Try to find a Hemwall-Hackett prolotherapy-trained doctor at the getprolo website (this is crucial).

I hope this information helps you. 

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