Back in 2006 my parents took me to the Cleveland Clinic to try and figure out what was wrong with me. They couldn't tell me anything, but offered a month long course on pain management. The clinic was 4 hours away and you had to attend everyday for a month. It wasn't possible then, but now my local hospital has the program. I recently was accepted and start in a couple of weeks but it seems like they focus more on Fibromyalgia and not the Myofascial Pain. This is the same problem I have been running into over and over again. I need a good physical therapist that knows and understands trigger points not one that is going to make me do exercises with muscles that are "charlie horsed". Would you run down the street to relieve a calf muscle that was in a charlie horse or would you stop stretch and rub it? This seems so simple to me and so complex for doctors to understand. In addition, I was on Effexor before and it didn't do anything at all to help me. Now they want to put me on Savella and isn't that just more of the same? I am just trying to move forward and feel like I am being pushed backwards. Any suggestions? I am open to hearing them.
Here in California I have not heard of a month long class on painmanagement. The Cleavland Clinic was a good selection. But what is good for one is not good for all.
I do understand that you are proactive in your care and that is very important. I have a suggestion that may help you. Water therapy. Even if you can not swim, you can do water therapy. The therapist gets in the water with you and they do non impact easy excercises. Infact you will not realize that you are doing excercises. One thing I found out, is afterwards you will not have the pain or overexeration aches.
I surely hope this helps.
I joined the site just so I could comment on this question^.^ I've been to the Cleveland Clinic many times for diagnostics and stuff, and the middle of August to the middle of September 2006 I was a participant in the Chronic Pain Rehab Program. Now, It was one the the very hardest months of my life, but it gave me almost a year of feeling almost normal. It was also hard to be away from home, I live in Wyoming, so I was kinda stuck there.
Since you have Myofascial pain as well (I do too), I couldn't recommend Myofascial Release enough. It's similar to massage therapy, but targets the specific muscular and fascial issues. Once my therapist got me to the point where all the major soft-tissue issues are reduced and stable, I started walking in the swimming pool and doing very, very gentle aqua-aerobics. Gentle stuff that's focused on conditioning, strength, and endurance/cardio. I've done all sorts of PT and OT and that's been one of the most beneficial.
Can't help you much regarding the Savella as I don't know anything about it. I currently take Pristiq (among a vast array of other meds, lol), it doesn't directly affect my pain, but controls my depression so well (and with so few side effects... bonus!) that I'm able to cope in a more healthy way.
Sorry this got a bit long-winded, it wasn't my intention at all. I hope there's something in there you can use. Good Luck!
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