SWEDISH

BY STEFAN GÖTHAGERFIBROMASSAGE®

Treatment of fibromyalgia- chronic pain syndrome

Project TeamFibro 1993-96

Project FibroRehab 1998

Many names for chronic pain

MUSKELSCHMEILE – MYOFASCIAL-TRIGGERPOINTS- MUSCULAR RHEUMATISM-INTERSTITIELL MYOFIBROSIT- FIBRISITIS – TENNIS ELBOW-PRESSURE POINTS – SCAPULO-COSTALT-SYNDROM – KRONISK REUMATISM – MYOFASCIAL PAIN DYSFUNCTION – RHEUMATISK MYOSIT – FIBROPATISK SYNDROM – OCCUPATIONAL MYALGIA – NODULÄR – MYOPATI – MYOGELOSISMYOFIBROSIT – MYALGI- TRIGGER ZONE -MYOSITIS – NON ARTICULAR RHEUMATISM – MYODYSNEURI – IDIOPATISK MYALGI- MUSKULÄR ISCHIAS – TRIGGER POINTS – MYOFASCIAL TRIGGER POINTS - INTERSTITIELL MYOFIBROSIT- TENNISARMBÅGE-.

Project objectives

If possible less pain and better quality of lifeHelp patients return to work.Decrease meaningless rotation within the medical service Reduce consumption of prescripted medicin.Evaluate new treatments and follow the development in the area.Spread the knowledge to other departments in the healthcare system.

Methods for measuring

- Measure of life quality NHP Laboratory tests (weight,cholesterol,insulin levels)- Tenderpoints- Autonom dysfunction SCI 93- Consumption of medicin- Wellfare officer conversation

Team FIBRO

Week 1. Introduction, short lecture about body and pain. (Doctor)

Week 2. Lecture: Healthy diet.(Dietist) Trainingschool (Masseur)

Week 3. Lecture: Pain causes, fibromyalgia, diagnosis, symptoms/causes and suggestions for treatment. (Doctor)

Week 4. Lecture: Ergonomics and means. (Occupational therapist )

Week 5. Lecture: Ergonomics och means. (Occupational therapist )

Week 6. Lecture: Body and soul. Is there a connection? (Wellfare officer)

Week 7. Lecture: The family and the patient. (Wellfare officer) The most useful massage strokes for patients. (Masseur)

FIBRO rehab

Group meetings1. Introduction2. Food and nutrition 3. Body and soul4. Aid at work and home5. Posture and ergonomics6. Breathing7. Family and friends

NHP- I am always tired- I have difficulties bending down- I have pain all night- I feel depressed- I have unbearable pain- I take medicine to be able to sleep- I have forgotten how it is to have fun- I feel tense- I feel lonely- It hurts when I walk- Everything feels like a big effort

NHP All GroupsEM (Emotional reaction) SL (Sleeping disorder)

EN (Lack of energy) P (Pain) PM (Mobility) SO (Social isolation)

EM 45% SL 28% EN 35% P 19% PM 5% SO 58% High chart = problems with reduced function. Low chart= increased function or less problems.

Daily difficulties– Morning activities: – Turn around in bed , make the bed 64%– Washing in the morning, showering, bathing , combing, hair drying, brushing the teeth, get dressed. 23% – Daytime activities at home or work 16%– Problems with noise, light, high or low table/chair at work 13,5 %– Make lunch, setting the table, eat, make the dishes 15,6% Afternoon activities:– Activities at home or work 22%– Make dinner, setting the table, eat, make the dishes 15,4%

Evening activities:– Have the energy to be social with family and friends, hobbies, travel, shopping, cleaning, washing, laundry 42 %

Amount of medicine per week400

300

200

100

0

BEFORE THE COURSE AFTER THE COURSE

The amount of prescripted medicine shows a decrease of 65% during 8 week treatment period.

Medicine intake (group 7-8 15 people)

Tenderpoints

a) 90,4 % b) 92,0 % c) 96,8 % d) 95,2 % e) 80,9 % f) 87,3 % g) 88,9 % h) 73,0 % i) 68,2 %

Other Points J) 50,7 % K) 66,7 % L) 76,0 %

M) 66,7 % N) 81,0 %

Daily difficulties in % None Weak Moderate Severe ExtremeFatigue 0 0 4 33 63Sleeping disorder 4 4 17 33 42Pain 0 0 0 29 71Stiffness 0 0 4 58 38Feeling of pins and needles 4 17 29 38 13Feeling of numbness 0 13 21 33 33Skinpain when touching 4 25 29 38 4Nausea 8 13 13 50 17Swelling 4 8 17 50 21Tense jaws 17 17 33 25 8Dry or itchy eyes 13 29 13 46 0Difficulty swallowing 25 29 25 17 4Dryness in mouth 25 21 25 17 13Very sensitive to light/sound 8 8 13 33 38Weather sensitive 0 4 13 38 46Fumbling with hands/fingers 0 8 8 54 29Trembling 25 21 25 17 13Cold hands/feet 13 13 13 29 33Dizziness 8 25 29 21 17Stomach disorder 8 4 25 42 21Frequent and urgent urination 21 0 33 29 17Sweating and chills 8 17 13 33 29Worried and restless 0 4 46 33 17Difficulties to concentrate 0 4 8 50 38Loss of memory 0 4 25 25 46Less appetite 50 25 21 4 0Heart palpitations 13 8 29 21 4Cheast pain 8 21 21 42 0Headache 4 8 8 29 50Reduced sexdrive 8 29 21 42 0

The 15 most/worst daily problems

Muscle pain

Muscle stiffness

Muscle fatigue

General weakness

Difficulties to concentrate

Weather sensitive

Fumbling with hands/fingers

Headache

Sleeping disorder

Very sensitive to light/sound

Swelling

Loss of memory

Nausea

Feeling of numbness

Stomach disorder

Fibro Oil Fibro Gel Fibro cushion

Fibro-Oil with natural raw materials of the highest qualities. The oil has a warming effect and adds Omega 3 and Omega 6.

Fibro-Gel with natural raw materials of the highest quality. Fibro-Gel reduces the pain and increase the circulation effect.

A specially designed wheat cushion that can easily be folded to the required size.

Massage technique-back

Massage technique-back

Massage technique neck & shoulders

Heat treatment

Massage technique-legs

Massage technique arms & neck

Massage technique arms & neck

Great opportunity for therapists and schools

Interested to bring the “fibro concept” to your country.

Learn all about the method and become an agent for the products in your country

Opportunities

www.fibromassage.cominfo@fibromassage.se