I have fibromyalgia that I can keep under control with a weekly massage. Is this just a stress or psychologic problem?

Fibromyalgia is recognized by the American College of Rheumatology as a syndrome with widespread pain and tender points. Most patients also have many other subjective symptoms. Headaches, cold hands and feet, sleep problems, and depression are just a few of the problems reported.

The cause of fibromyalgia is unknown. Researchers agree there is probably more than one system involved. The nervous system, endocrine system, and immune system all seem to be part of the process.

Biofeedback studies have shown a definite prolonged muscle contraction after the activity has been stopped. Massage may help by physical and psychologic means. A good massage tends to result in mental and physical relaxation. Increased blood flow to the area helps rid muscles of by-products of metabolism and overuse.

Massage also helps the lymphatic system. Lymph fluid is part of the immune system. It moves through the body as a result of the muscles contracting and relaxing in a pumping motion. Muscles that are constantly tight and in spasm slow down the lymph fluid. Massage can improve lymph flow and improve immune function.

Most patients with fibromyalgia must find ways to help them manage their symptoms. Massage, electrical stimulation, gentle stretching, and activity are just a few that can be used.