Clinical Pathology for the Professional Bodyworker Indications & Contraindications for Massage, Movement and Hydrotherapy by Dr. Don Newton, M.A., D.C. College Edition (streamlined for student use) Professional Edition (longer version for practicing bodyworkers) This comprehensive book covers the most common diseases likely to be encountered in a bodywork practice. There is a clear description of each disorder and an overview of its causes, signs and symptoms. Indications and contraindications for massage, movement therapy and hydrotherapy are also included. The college edition is streamlined for quick reference and to make it easier to teach the material in a massage college setting. The professional edition includes more diseases and detail and is designed for the busy professional bodyworker or massage therapist. No other book in the field presents such a vast array of useful information at such a low price! SAMPLE FROM THE BOOK Fibromyalgia Description: Fibromyalgia (which is also called “fibrositis, myofibrositis, fibromyositis or myofascial pain syndrome”) is a syndrome involving pain, tenderness and stiffness of the connective tissue components of muscles, tendons and ligaments. Etiology: Although fibromyalgia is of unknown etiology, its onset is often associated with physical or mental stress, poor sleep patterns, trauma and occupational or recreational strain. Exposure to dampness or cold as well as a bacterial or viral infection may also be involved. Fibromyalgia tends to be more common in women aged 25 to 45 and may be associated with autoimmune disorders such as rheumatoid arthritis. Signs and Symptoms: Only recently accepted as a medical diagnosis, fibromyalgia produces a gradual onset of stiffness, pain and aches that are aggravated by overuse of the involved muscles. There are local muscle spasms and a specific pattern of tender points (see illustration), which tend to be found in the suboccipital muscles, the middle trapezius, the insertion of the levator scapulae, near the lateral and medial epicondyle, the belly of the gluteus medius, the posterior surface of the greater trochanter and the medial knee. Fibromyalgia is often found in conjunction chronic fatigue syndrome. Massage: Massage is often an effective treatment for the muscle spasms and myofascial trigger points associated with fibromyalgia. Bodyworkers should learn the typical trigger point areas and apply static compression, deep effleurage, petrissage and friction to these irritated regions. The stress-reduction benefits of massage can also help relieve the anxiety and sleep problems from which fibromyalgia clients may suffer. Movement: Passive and active stretching as well as all forms of exercise can be helpful in reducing the muscular spasms and myofascial trigger points associated with fibromyalgia. Hydrotherapy. Hot water applications to spasmed muscles can be an excellent adjunctive treatment.