Mansfield Physical Therapy Services              
Where patients come to feel better not worse.

Fibromyalgia Syndrome

Over the last several decades our staff has worked with many patients diagnosed with fibromyalgia.  Early on, when medicine had not yet recognized the pattern and symptoms of fibromyalgia, we were helping patients find relief through gentle soft tissue mobilization and trigger point techniques, applying  our holistic approach to pain in response to each persons need to be believed that their pain and fatigue were real. As medicine has advanced, we have also further developed and grown our professional expertise as well as   continuing to offer personal, one to one, hands on approach toward health.  We approach each person uniquely and work with his/her body as a whole interrelated dynamic system, offering relief through gentle manual approaches, trigger point techniques,  craniosacral therapy, awareness of fatigue in this process and how to respond, and assessment of functional activities and methods to adapt and improve quality of life.  As we slowly obtain symptom relief, we work with reestablishing a level of activity and function that works with each patients comfort zone and capacity.  Some individuals, who have lived with fibromyalgia for years, feel there is little that can be done.  We offer an alternative to that belief and are available for a phone conversation to answer your questions about your present status, and/or to come in for an evaluation to help become clearer as to what is possible.   We accept most major insurances and there is no doctor’s referral needed for an evaluation.   

For those of you who may wish to read more about fibromyalgia, one of our staff therapists, Olga Rozman, well experienced in manual therapy and fibromyalgia, has written a brief description about fibromyalgia and its relationship to endocrine disorders and exercise:


Fibromyalgia syndrome (FMS) is a chronic muscular endurance disorder with substantial overlap in Chronic Fatigue Syndrome and in multiple regional pain syndromes(**). FMS occurs in more women than men (9:1) and occurs in people of all ages(*).

Pain is a primary symptom of FMS, often described as aching or burning. It presents often as multiple tender points in the neck shoulders, spine and hips.

Other Symptoms are arranged in the table with their occurrence prevalence


Prevalence (%)

Tender points 11 out of 18


Arthralgia Myalgia


Non restorative sleep




Tension headache


Functional bowel disease


Numbness burning


“Brain fog”




Limb movem’t syndrome


FMS diagnosis is usually based on history and physical examination which can help to rule out conditions such as myofascial pain syndrome, rheumatoid arthritis, muscle inflammation, bursitis or tendonitis.

FMS has been found to be strongly associated with endocrine disorders.

Growth hormone (GH) secretion is predominantly at night. It has been discovered that If GH secretion decreases, muscle repair at night is compromised and consequently muscle endurance decreases and pain increases during the day.  This may explain symptoms that patients report with FMS.

Somatostatin, is a growth hormone inhibiting hormone (GHIH), and is one of the inhibitory regulators of the endocrine system. One of its primary functions is to counterbalance growth hormone [GH].  When accompanied by aerobic exercise Somatostatin release is inhibited (decreased) and GH increases resulting in increased muscle repair and decreased pain.

Thus, aerobic exercise may be helpful in restoring muscle integrity and decreased pain in FMS.


Simons D.G and Travell, J.G.: Myofascial pain and dysfunction: The Trigger Point Manual. Vol. 1&2. Baltimore, Lippincott Williams & Wilkins, 1999.