Physical therapy approach to fibromyalgia with myofascial trigger points: A case report

Background: Fibromyalgia and myofascial pain syndrome are clearly distinguishable, different clinical conditions and can interact strongly. Each condition can be managed when it is clearly identified as such and the appropriate management corrections are applied. Findings: 1. The patient learned how to manage this combination of syndromes effectively. 2. The patient learned to gain control of FMS symptoms. 3. Gaining control of symptoms from myofascial trigger points required help from a skilled physical therapist. Conclusion: The management of patients with fibromyalgia and myofascial pain syndromes is often a very complicated process. Neuromobilization techniques and treatment of trigger points were quite effective in finally achieving a good functional outcome for this patient with both conditions. (C) 2002 by The Haworth Press, Inc. All rights reserved.