Distractors
Give deep, sustained pressure on the trigger points to break through the pain-spasm cycle; then follow with gentler work
Avoid the painful areas altogether, and focus on the anterior side of the body to address satellite tender points
Delay the session until her inflammatory flare has passed; then work gently to detoxify the affected areas
Key
Work within her pain tolerance to reduce discomfort and improve mobility in the upper back and other areas
Question
A client in a fibromyalgia flare also has several active, painful trigger points in her upper trapezius. What is your best course of action?