The pain moves. It spreads. Some days it's your shoulders, some days it's everywhere. You're exhausted but you can't sleep well. People around you don't always understand what you're going through because there's nothing visibly wrong. I've worked with fibromyalgia clients for over twenty years, and I want you to know something: what you're experiencing is real, and your body can respond to the right kind of work.

Occiput Low cervical Trapezius Supraspinatus Second rib Lateral epicondyle Gluteal Greater trochanter Knee 18 tender points (9 bilateral pairs)

Fibromyalgia amplifies the way your nervous system processes pain signals (Yunus, 2007). That means your muscles can feel intensely sore even without a specific injury. Trigger points develop in predictable patterns. Fascia tightens. Sleep suffers, which makes the pain worse, which makes sleep harder. It becomes a cycle that's difficult to break on your own.

How I Work With Fibromyalgia

The biggest mistake I see is therapists treating fibromyalgia the same way they'd treat a sports injury—going in too deep, too fast. That approach backfires. Your nervous system is already on high alert. What it needs is precise, informed pressure that reduces tension without triggering a flare (Field, 2014).

I use a combination of neuromuscular therapy and myofascial release, calibrated to what your body can handle that day. Some sessions we work deeper. Some sessions the focus is on calming the nervous system and releasing fascial restrictions. I read what your tissue is telling me and adjust accordingly.

We start every session with a conversation. Where are you today? What flared this week? What's your sleep been like? The answers shape the entire treatment. Over time, we identify your body's patterns—the areas that hold tension first, the triggers that set things off—and we build a strategy around that.

Most of my fibromyalgia clients describe a gradual but real shift: fewer flare-ups, better sleep, less daily pain (Wolfe et al., 2016). The goal isn't to eliminate fibromyalgia—it's to help you reclaim a level of function and comfort that you may have stopped believing was possible. Your body can rebuild that capacity. It just needs someone willing to work with you, not against you.

Booking Around Flares and Bad Days

One of the hardest parts of fibromyalgia is that you can't always predict how you'll feel on the day of your appointment. You book when you feel okay, and then the morning of, you're in a flare. I want you to know this isn't a problem. Tell me when you arrive and we'll adjust. On flare days, the work is slower, lighter, and often more focused on settling the nervous system than on specific tension points. You'll still leave better than you came.

That said—if you wake up with a migraine-level flare, feverish, or so depleted that the drive in feels unsafe, reschedule. I don't charge late-cancel fees for flare days. That's part of working with this condition honestly. A session when your body genuinely can't tolerate touch isn't useful to either of us. Text me and we'll find another time.

For regular clients, the rhythm that tends to work best is every two to three weeks. Going longer than a month, most people lose ground. Going weekly can overwhelm the nervous system in early stages, though it's sometimes the right choice during acute periods. We'll find your cadence together. A few clients have standing appointments that they shift around flares as needed—that flexibility matters when your baseline changes day to day.

References & Further Reading

  1. Wolfe F, Clauw DJ, Fitzcharles MA, et al. (2016). 2016 Revisions to the 2010/2011 fibromyalgia diagnostic criteria. Seminars in Arthritis and Rheumatism, 46(3): 319–329.
  2. Yunus MB. (2007). Role of central sensitization in symptoms beyond muscle pain, and the evaluation of a patient with widespread pain. Best Practice & Research Clinical Rheumatology, 21(3): 481–497.
  3. Field T. (2014). Fibromyalgia pain and massage therapy. Journal of Clinical Rheumatology, 20(3): 144.