The clinical picture in cases of fibromyalgia is devastating, with individuals experiencing pain throughout their bodies, clinical depression, and disorientation, rendering them practically disabled. Approximately 35 years ago, patients displaying fibromyalgia symptoms, despite inconclusive lab tests and radiological means, were often referred to psychiatric care. It is noteworthy that once antipsychotic medications were introduced, these patients rarely returned to a state of normalcy. The entire complex of fibromyalgia syndrome originates at the muscular level and, therefore, necessitates treatment targeted at the muscles. In this regard, a medical massage protocol proves to be the most effective approach for fibromyalgia cases.

To better comprehend how massage can aid in fibromyalgia cases, a brief discussion of anatomy and pathology is warranted. Muscles are enveloped by fascia, a connective tissue crucial for determining muscle stretch and contraction. Importantly, fascia also serves as pathways for nerves and blood vessels. In cases of fibromyalgia, prolonged pathological hypertonus in muscles results in tense fascia, causing compression of muscle fibers, nerve tissue, and blood vessels. This irritation initiates and eventually leads to the development of fibromyositis. The persistent muscle tension in fibromyalgia cases induces strain on muscles and tendons, inevitably leading to inflammation. This inflammatory condition prompts the deposition of calcium in muscles and tendon attachments, termed fibromyositis. Chronic inflammation in the musculoskeletal system triggers secondary changes in neurotransmitter levels and activities in the central nervous system, which become evident as chronic pain sets in.

The sustained tension in skeletal muscles further affects fascia, aponeurosis, and other soft tissues, causing a decrease in elasticity and influencing microcirculation. This tension, coupled with a mismatch between motor nervous commands and insufficient arterial blood supply, initiates changes in local pH, activating pain receptors and causing the patient to experience pain. After weeks or months of such chronic pain, changes in neurotransmitter activities become apparent, with an increase in substance P and a decrease in serotonin levels. Substance P is responsible for slow or chronic pain conduction through the spinal cord, while serotonin is vital for bodily functions such as smooth muscle contraction and blood coagulation, in addition to its role as a neurotransmitter in the brain. Clinical depression, often accompanying fibromyalgia, correlates with a significant decrease in serotonin concentration in the brain.

In program number 3, Boris provides a detailed explanation and a hands-on, step-by-step demonstration of a medical massage protocol for fibromyalgia cases. Additionally, Boris teaches Manchurian acupressure for tension headaches, which proves beneficial when treating fibromyalgia patients. The program includes a demonstration of full-body massage and movement therapy. Importantly, these techniques are not only applicable to fibromyalgia cases but are also useful and beneficial in treating other unrelated conditions.