firbomyalgia and massage
i work on a lot of people with Fibromyalgia. What you do totally depends on the person. Some people are so tender you have to more stretching and Myofascial release - lighter stuff. Some are so used to pain and have lots of trigger points that you can work deeper and release those and they feel better because of that. I never do only one thing...it is always a combination of neuromuscular, trigger point, and myofascial work and adapt it to how the person feels. I always ask for lots of feedback during the treatment. And also keep in mind that people with Fibro, even those who act tough and are used to the pain, can actually think they are feeling ok with the pressure until the next day when the pain hits. So better to err ont he side of caution with these patients, especially the first treatment.
MLD, Manual Lymph drainage, actually is for lymphedema, the accumulatoin of lymph in the tissues. It is true you get the fluids moving in any massage, and it certainly would help anyone with a buildup of toxins in their system. But MLD is actually more specific for edema. Any kind of light efflurage (light strokes and especially to the heart) would help increase circulation, lymph flow and the release of toxins. Just depends on how technical you want to get!!!
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