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Student Case Study: Fibromyalgia

Stress with Fibromyalgia

Stress with Fibromyalgia

Alex Dekhtyar


The patient is a 57-year-old white male diagnosed with fibromyalgia, herniated disk and atrial fibrillation with rapid ventricular response. He has had many other types of therapy with only temporary relief. The client was measured for physical asymmetry in the body. Trigger point therapy, massage therapy, cranial mobilization, correction and atlas, axis correction were used to help achieve relief.


The purpose of this case study is to see if massage therapy and cranial mobilization will relieve fibromyalgia pain.


There were 2 treatments each week for about1- 1.5 hrs in duration. The period was 5 consecutive weeks for a total of 10 treatments. The treatments were every Tuesday and Friday. Postural assessments were done before each treatment. At the end of each week a patients comfort assessment guide, Bournemouth MSK pain questionnaire, numeric pain intensity scale and numeric pain distress scale was completed. These were filled out just before the treatment on Friday.


Massage therapy along with cranial mobilization and corrections did provide temporary pain relief. It was noted that right after the therapy the patient stated his pain did decrease. He stated that on average the therapy helped his pain for about 2 days then went back to the way it was before the therapy.


Massage therapy, with a combination of mobilization and trigger point therapy did give the patient relief but only for a short duration of around 1 to 2 days. He did state that he felt less pain right after the therapy but unfortunately by the time the patient came back for another treatment he did revert back to the way he felt before the therapy.

Key words:

Fibromyalgia, sleep apnea, atrial fibrillation with rapid ventricular response. Neuromuscular therapy, massage therapy, depression, anxiety, P.T.S.D

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