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Background: Fibromyalgia and myofascial pain syndrome are clearly distinguishable, different clinical conditions and can interact strongly. Each condition can be managed when it is clearly identified as such and the appropriate management corrections are applied.Findings: 1. The patient learned how to manage this combination of syndromes effectively. 2. The patient learned to gain control of FMS symptoms. 3. Gaining control of symptoms from myofascial trigger points required help from a skilled physical therapist.Conclusion: The management of patients with fibromyalgia and myofascial pain syndromes is often a very complicated process. Neuromobilization techniques and treatment of trigger points were quite effective in finally achieving a good functional outcome for this patient with both conditions. [ABSTRACT FROM AUTHOR]

A single-arm pilot study explored the feasibility of adapting in Interpersonal Psychotherapy (IPT) by telephone to reduce psychological distress and to enhance coping during cancer treatment. Therapy focuses on role transitions, interpersonal conflicts, and grief precipitated by cancer. Breast cancer patients receiving high-dose chemotherapy received weekly sessions with a psychologist throughout chemotherapy and for 1 month afterwards. Patients could invite one 'partner' to receive individual telephone IPT. Psychosocial functioning was assessed using standardized measures at study entry, after chemotherapy, and following telephone IPT. Accrual and participation supplied evidence of feasibility: 14 patients and 10 partners were recruited, 82.5% of those eligible. Patients had a mean of 16 sessions; partners had a mean of 11. Participants rated their satisfaction with the program between 'good' and 'excellent'. A test of the efficacy of telephone IPT requires a larger, randomized trial. In order to standardize the intervention, a treatment manual was developed. This study indicated the importance of outreach to family members as well as to cancer patients, intensive patient education about oncology treatment and the medical care setting, and psychosocial services that continue after cancer treatment has been completed. [ABSTRACT FROM AUTHOR]