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Fibromyalgia: Clinical Approaches for the Manual Therapist

Fibromyalgia is a chronic syndrome, characterized by widespread body pain and pain at specific tender points. Clients can exhibit a range of symptoms including fatigue, sleep disturbance, muscle soreness and headaches. 

Join Steven Goldstein BHSc MST Musculoskeletal Therapy who will review current evidence based research that links the benefit of massage with people suffering from fibromyalgia. 

This will be followed by the hands-on component where Steven will demonstrate and instruct on possible treatment protocols that can be integrated into your practice.

  1. Participants will be introduced to the complexity of Fibromyalgia as a syndrome
  2. How does the manual therapist participate as an overall health care provider?
  3. Participants will understand and discuss the definition of the official diagnosis of Fibromyalgia by the College of Rheumatology
  4. Participants will be introduced to and palpate 18 major diagnostic points for Fibromyalgia
  5. Participants will be introduced to and discuss the multi-faceted etiology of Fibromyalgia syndrome which includes dysregulation syndrome, muscle pathology, neuroendocrine abnormalities and pain processors and neurotransmitters
  6. Participants will understand the concept of Central Sensitisation and how ANS techniques are utilised to address this neurophysical model
  7. Participants will be introduced and discuss the HPA Axis
  8. Participants will be introduced and discuss Dr Gillicks premise for Fibromyalgia
  9. Participants will be introduced to and discuss chronic pain in relationship to sufferers of Fibromyalgia
  10. Participants will be introduced to and discuss observations presented by Dr Devin Starlaynl from 200 patient reviews
  11. Participants will be introduced to the signs and symptoms presented and subjective/objective phenomena presented with a physical examination
  12. Participants will be introduced to and learn fundamental health history questions to be posed to those suffering from Fibromyalgia
  13. Participants will be introduced to the complexity of treatment involved in Fibromyalgia
  14. Participants will view, practice and palpate various approaches and techniques to address Fibromyalgia pain from a soft tissue perspective including perspectives from Dalton, Chaitow, Comeaux, Myers, Prilutsky, Goldstein and Starlanyl

DAY ONE

Theoretical information:

  • Definition of Fibromyalgia

  • Clinical Research Articles:

    • Bio-Pathophysiological Mechanisms of FMS

    • Fibromyalgia and the Concept of Central Sensitisation and adaption for Bodywork

    • Importance of the HPA Axis and the Autonomic Nervous System

  • Dr Gillick's Premise for Fibromyalgia

  • Mediations used Allopathically for Fibromyalgia

  • Observations presented by Dr Devin Starlaynl from 200 patient reviews

  • Signs and symptoms presented and subjective/objective phenomena presented with a physical examination

  • Fundamental health history questions to be posed to those suffering from Fibromyalgia

  • Fibromyalgia Impact Questionnaire

  • View, practice and palpate various approaches and techniques to address Fibromyalgia pain from a soft-tissue perspective

Palpatory assessment:

  • Diagnostic Tender Points and Palpation

  • Including Ease-Bind Palpatory Assessment

  • Cardinal Lines of Myofascial Tension - Superficial Back Line (SBL), Superficial Front Line (SFL), Lateral Line (LL)

Practical approaches:

  • Indirect osteopathic approaches

    • Autonomic nervous system techniques

      • IFR Integrative Fascial Release's Two Point (Mann-Goldstein) for Transverse Planes which treat the following areas:

        • umbilical/pubis area for Enteric Nervous System/Vagus nerve parasympathetic stimulation

        • respiratory diaphragm

        • thoracic outlet/GH joint

        • Hyoid/infra & supra hyoids

        • cranial base

      • Two Point with Imagery: Spinal Float & Spinal Awareness Exercise

      • Diaphragmatic Breathing

    • Indirect Manual Therapy Treatment

      • The Fulcrum 3D Planar Release (Giammatteo) Applied to SFL/Pubis Symphysis

      • PRT Positional Release Technique concepts modified for Fibromyalgia

DAY TWO

Practical approaches:

  • Indirect osteopathic approaches

    • Autonomic nervous system techniques

      • Two Point for Lower Extremity

        • inguinal crease/GTO hamstring

        • knee - medial/collateral ligaments and patella/popliteal fossa

        • ankle - anterior/posterior: talus/calcaneus and medial/lateral: malleolar

  • Direct IFR MFR Approaches

    • use of static compression 

      • lateral leg release at greater trochanter/gluteal fascia

    • fascial grasps, sleeve twists and capsular restrictions

      • lower extremity 

      • upper extremity

    • introduction of leverage compression

      • hip/innominate neutral lever

    • modified myofascial pain syndrome (Trigger Point) technique

    • Joint mobilisations/joint play concepts

      • ankle rock

    • JET Joint Energy Technique which will introduce low load resistives designed to address joint, ligament and myofascial directional restrictions 5%-10%

      • innominates resistives

        • ramic innominate up/downslip

        • ASIS rotational resistive

    • Upper Extremity Linkage

      • radial/scaphoid 'hinge'

    • oscillatory 'dance' an introduction (Comeaux, Lederman, Goldstein)

Teacher: Steven Goldstein

Date: 26/27 March 2011; 9am to 5pm both days 

Venue: Edinburgh Academy Junior School, 10 Arboretum Road, EDINBURGH EH3 5PL

Cost: £250 [Early Bird and SMTO discounts available] 

To book: +44 (0)1224 822960 or info@scotmass.co.uk

Click to download booking form

 

** Trade Exhibition Open to All – Free Entry **

 

    

 

Presenters

Joanne Avison

Maggie Brooks-Carter

Willie Fourie

Steven Goldstein

Roger Golten

Serge Gracovetsky

George Kousaleos

David Lauterstein

Stephen Levin

Dr Peter Levy

Paul Lewis

Greg Morling

Divo Müller

Gilad Naaman Perry

Sol Petersen

Jerry Powell

Art Riggs

Robert Schleip

Ralph Stephens

James Waslaski

     
 

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