Symptoms

• Widespread pain
• Fatigue
• Tender points
• Sleep disturbance

How Medical Massage Helps

• Gentle techniques reduce nervous system sensitivity
• Improves circulation
• Promotes relaxation
• Decreases stress hormones

Expected Outcomes

• Reduced flare-ups
• Better sleep
• Less pain
• Improved quality of life

When to Refer / Coordinate Care

• Severe fatigue
• Medication management needed
• Rheumatology coordination