Fibromyalgia: Stop the Pain Without Drugs

A number of specific therapeutic touch methods are being integrated with conventional treatments to meet the challenge of supporting the Fibromyalgia Community. Medical professionals are recognizing the importance of touch therapies as studies and clinical trials are showing the effectiveness of touch as an essential component of a holistic health model. Touch therapies can play an important role in a multidisciplinary approach for managing pain, fatigue, depressed mood, sleep problems, gastrointestinal distress, poor concentration, restless leg syndrome, anxiety and headaches.

Touch therapies promote a "relaxation response" in patients, which allows for a state of deep rest that changes the physical and emotional responses to stress (e.g., decrease in heart rate, blood pressure and muscle tension). Bodywork disciplines that can have this effect on the body are massage therapy with lighter to medium pressure, aromatherapy massage such as The Raindrop Technique, Polarity Therapy, Cranio Sacral Balancing, energy therapies such as Reiki and Foot Reflexology. The "relaxation response" induced by the many forms of touch therapy is crucial in helping patients overcome chronic pain and the associated overlapping illness. Helping people to understand and control their fight-or-flight state is the beginning of regaining their health.

PAIN MANAGEMENT BEYOND MEDICATION

While medications help patients cope with the devastating symptoms of fibromyalgia, touch therapy enables the body to heal and function. Researchers at the Touch Research Institute, University of Miami, have studied adults with fibromyalgia and the effects of massage therapy1. The results reported reduced anxiety and uplifted mood immediately after a massage session. Sleep quality improved and other fibromyalgia symptoms such as pain, stiffness and fatigue were relieved as well. Researchers say that massage therapy alters the sleep pattern, increases serotonin levels and reduces levels of the chemical messenger for pain.

Touch therapy practitioners who specialize in treating chronic pain clients agree that a multidisciplinary approach is essential to improve quality of life, lend emotional support, decrease pain and support conventional treatments. As we educate the fibromyalgia community and physicians that many complementary therapies have precisely this focus and expertise, we provide options and avenues for each individual to take an active role in their wellness.

FOOT REFLEXOLOGY IN PAIN MANAGEMENT

One specific therapy that is effective in promoting deep relaxation and relief of acute and chronic pain is Foot Reflexology, sometimes referred to as foot acupressure. Reflexology is a type of therapy applied to the feet, likened to massage but having a specific focus on systems of the body (organs and glands). The effects take place through the nervous system and clients often report feeling euphoric and deeply relaxed. One explanation for this is the release of the body's endorphins (the body's 'feel good' chemicals) that can occur with the techniques applied to the acupressure points and nerve reflexes in the feet. The effects of regular reflexology treatments can have profound results, many reporting overall improvements in health, a greater sense of well being and an increased awareness of their body.

As a provider of various touch therapies specializing in chronic pain conditions, Reflexology is the foundation for every therapy I provide because of its ability to relax the body and reduce pain. A program for pain management may include craniosacral therapy, polarity, essential oils and so on. However, as I tailor the treatment for each individual, the feet are the basic assessment tool and an efficient communicator to the rest of the body.

HOW DOES REFLEXOLOGY WORK?

With the extensive nerve distribution in the feet, and the large portion of the sensory and motor area of the brain devoted to the feet, stimulation and therapeutic movement of the feet activates responses throughout the nervous system. The results are body-wide effects. Circulation is improved, lymphatic movement is enhanced and the body's natural pain relieving chemicals are triggered.

Neurologically, the activation of receptors in the feet changes the tempo and tone of the body by sending new messages into the system, which responds by becoming homeostatic (balanced). In essence, the foot becomes a conduit for sharing information throughout the body. Pressure applied to the feet generates a signal through the peripheral and central nervous system, then is relayed to the brain and on to the various organs to allocate the necessary adjustments in fuel and oxygen. Finally a response is sent to the motor system and the body's overall tone and tension level is adjusted, reducing stress on the body's internal systems.

Dr. J. Manzanares, M.D., surgeon and reflexologist with 20 years of medical experience who has treated 70,000 clinical cases of reflexology patients, confirms this neurological circuit that takes place from the receptors in the feet2. There are over 7,000 nerve receptors in each foot and there is no other single part of the body that when massaged can affect the entire body like the feet. No wonder we love foot rubs!

TRIGGER POINTS IN THE FEET

The feet have tender points and trigger points just as the body does. With fibromyaglia patients, these points in the feet are significant and relevant to aches and pains elsewhere in the body. A Reflexologist assesses these tender areas in the same way that trigger points are addressed in the body. Identifying structural and mechanical factors in the feet or legs that contribute to these perpetuating trigger points is essential for the treatment of the chronic pain. One example is restless leg syndrome which can be caused by trigger points in the feet and calf muscles. Relieving these tender points can often alleviate this syndrome.

In addition to treating the body's 18 FM tender points, the feet need to be addressed. A 'fibromyalgia foot' is characterized by certain shape variants. The feet are good indicators of stress in the body. We've all heard it said, when the feet hurt, the body hurts. Unfortunately, many are unaware of the importance of the health of our feet and with fibromyalgia and chronic pain sufferers, they are of vital importance. A reflexologist will address these points in the feet as part of tailoring a session for the individual. In a treatment, a health history is taken and specific concerns are discussed. The feet are assessed and the treatment proceeds to relax the overall body, internal organs and promote relaxation.

LOCATING A REFLEXOLOGY PRACTITIONER

Many licensed massage therapists, specialized bodyworkers and healthcare professionals are trained and certified in Reflexology. For a listing of Certified Reflexologists in your area, contact your state's reflexology association or the organizations listed below. Seek out a reflexologist who understands the complexity of fibromyalgia and manages chronic pain patients. Ask questions and qualify the practitioner. Inform your physician that you are receiving reflexology or other alternative treatments. A skilled Reflexologist can play a valuable role in your wellness program.

CLOSING THOUGHTS

J. Madison Taylor, M.D., wrote in 1908: "No single therapeutic agent can be compared in efficiency with this familiar but perfect tool...The Human Hand. If half as much research had been expended on the principles governing manual treatment as upon pharmacology, the hand would be esteemed today on a par with drugs in acceptability and power."4 Science is confirming what we know in our hearts: intentional, caring touch is good medicine. It can create hope, ease the symptoms of disease and calm the body and soul.

About the Author

Linda Chollar, MTI, APP, CHT, is a wellness coach, board-certified Clinical Reflexologist, educator and director of Pain Free Path Wellness Programs. She has spent the last twenty years in the holistic health field, treating private clients, researching and teaching complementary and alternative medicine approaches in massage schools, hospitals, nursing schools, and health organizations in an effort to bridge the gap between traditional and complementary medicine.

Linda lectures and provides reflexology training for professionals and the general public, online resources for fibromyalgia support groups to learn reflexology for self care and will soon release a self-help book on reflexology for chronic pain. She is located in the Los Angeles area. Contact her at www.PainFreePath.com

Resources:
PainFreePath Wellness Programs, www.painfreepath.com (for wellness resources, training and speakers)
American Reflexology Certification Board, www.arcb.org
Reflexology Association of America, www.reflexology-usa.org (for reflexologists in your area)
International Council of Reflexologists, www.icr-reflexology.org

1 Fields, Tiffany,, M.D.: Touch Research Institute, http://www.miami.edu/touch-research/history.html
2 Manzanares, J.,M.D.: Principles of Reflexology, 2000
3 McDonald, G., Medicine Hands, Massage Therapy for People With Cancer. vii, 1999

This article previously published in the Fibromyalgia Online Newsletter of the National Fibromyalgia Association (www.fmaware.org) Vol.3, No.16 9/03/03.