It has come to my attention that a few of our members here have struggled to access useful physiotherapy. This is such a shame as appropriate physiotherapy can make such a difference to someone with Fibro and may actually be an essential part of getting control of your symptoms.
I have therefore copied some information that I posted as a comment elsewhere, so that hopefully more of you can use it. I would like us to produce a 'Fibro & Physio' factsheet, but there's only so much we can do at any one time!
Here is what we say people should get from physio with Fibro:
* Assessment to check for anything not related to Fibro (joint impingement, swelling, etc - often a physio will be the first healthcare professional to really look at your body).
* Assessment for hypermobility, if not already diagnosed.
* Exercises to strengthen joints without straining them, to protect the hypermobile joints and prevent future injury.
* Assessment for postural imbalances. Particular attention should be paid to the spine area, because of the implications of Postural Cervical Cord Compression (PC3) on Fibro.
* A graded program of prescribed stretches and exercises to correct any postural imbalances (ie. start very slowly and gradually build up - the physio shouldn't expect you to do too much at first).
* Teaching you how to exercise in a good neutral posture - without putting strain on your neck.
* Assessment for myofascial trigger points and wider areas of restriction.
* Stretches to help relieve myofascial restrictions.
* Possibly trigger point release manual therapies to help relieve what myofascial restrictions you have at that time that are most problematic.
* Possibly referral to hydrotherapy if this is in the hands of the physio department. Advice should be given on all the above points to enable you to get the most from hydrotherapy though.
Everything in that list apart from trigger point release manual therapies are assessments and physio treatments that you can take forward after your sessions with the physio end. They are aspects in which a physio can really help someone with Fibro long-term.
Many physiotherapists do seem to offer Fibro patients treatments which only have a short-lived effect - e.g. direct trigger point release or acupuncture. But they could use their time so much better by giving you the assessments and skills that you need to move forwards.