FAQ's for MTPT and FSM

Q. Do I need to see my doctor before I start treatment?

A. A physician's referral is not required, however one is suggested to rule out other pathology that may be causing your condition. In some cases, a therapist may require a physician referral to be sure that there is not a serious underlying medical condition that needs to be addressed.

Q. How many sessions will it take to resolve my condition?

A. Since every condition is different, the frequency and duration of treatment may vary. The length of time you have been in pain, the severity of your pain and the number of body parts that are in pain and your overall physical health affect how long treatment lasts. In the majority of cases, a person will achieve a noticeable reduction within 2-3 visits. Often the first visit gives significant relief. Being an active participant in your treatment will help you to recover more quickly.

Q. How can I help my treatment be more effective?

A. Your therapist will identify certain activities in your life that exacerbate your pain condition. We call these "perpetuating factors". These areas must be addressed to achieve lasting pain relief. These factors include posture, ergonomics, sleep and nutrition, among others. As part of your treatment program, your therapist will help you develop solutions to these perpetuating factors.

Q. Is Myofascial Trigger Point Therapy painful?

A. Trigger points are rather sensitive by definition. During the treatment of myofascial pain, pressure is applied to trigger points. You are always in control of how much pressure you can tolerate. Patients usually describe it as "good pain". In most cases, a pain scale of 0-10 is used (0= no pain, 10= intolerable pain. ) We recommend pressure in a 5-7 pain range. You should let your therapist know if they are applying more pressure than you can handle.  Communication with the therapist is very important because the proper amount of pressure is different for everyone and may be different in different areas of your body. Most people will also find it true that after a few treatments, the same amount of pressure will not hurt as much, this indicates that the treatment is working.

Q. Is trigger point therapy performed with a full body massage?

A. Not usually. Even though some certified trigger point therapists are also certified massage therapists, they usually differentiate between a trigger point therapy session and a massage session. Some massage therapists will work on a trigger point when they find one, but usually do not provide their patients with our comprehensive treatment protocol.

Q. Do I have to disrobe for a trigger point therapy appointment?

A. Myofascial Trigger Point Therapists need easy access to the areas needing treatment. Depending on what area is being treated you can choose to disrobe, wear undergarments or a swim suit. You may also choose to wear loose fitting clothing and adjust your clothing so that your skin is accessible for treatment. A typical trigger point therapy session will have your body in a variety of different treatment and stretch positions and may have you standing and walking so that the therapist can assess your posture and gait.

Q. Is there anything I can do to treat my own pain?

A. Yes. Your trigger point therapist can teach you self-treatment techniques. You can use your hands or your therapist may recommend treatment tools to assist you. Your therapist can guide you to appropriate educational materials.


  Dr. McMakin explains  FSM  

No technique is 100% effective and FSM is no exception. The effectiveness of FSM depends almost entirely on an accurate diagnosis. Shoulder pain can come from muscles, tendons, bursa, discs, nerves or joints. FSM will treat all of these pain generators effectively. But, if you are treating for muscle and the shoulder pain is from nerves or the bursa you may change the muscle but you won’t change the patient’s pain since it is not coming from the muscle. This analogy applies to every condition.


Dr. McMakin has been using FSM since 1994 and various practitioners have been using it since 1997. There have been no permanent adverse effects attributable to the use of the microcurrent units or to the use of the frequencies. There are two effects to be considered- the effect of the current and the effect of the frequencies. The practitioner is protected from the current by wearing latex gloves and is therefore not affected by the current. The practitioner is in the field created by the frequencies and the resonance effect experienced by the patient. This field can be perceived by some practitioners and is either pleasant or bothersome depending on the practitioner’s ability to process the sensations.

The sensation is usually perceived as being “light or floaty” and lasts only as long as the practitioner is using a frequency that is producing a positive effect on the patient. In every class, there is a bell-shaped curve of sensitivity to this sensation. 10% of the class will not feel anything at all in response to the frequencies. 10% of the class will feel a strong sensation of being “floaty or light headed (not dizzy) or slightly “stoned”. The rest of the class will have perceptions someplace in between those two groups. Patients fall into roughly the same bell-shaped curve of sensitivity. The “floaty feeling” response occurs not as a result of any particular frequency but in response to any frequency that resonates with the patient’s condition.

There are no risks to the patient that we know about as long as the practitioner follows the proper contraindications and precautions associated with both FSM and the use of microcurrent. There are frequencies used to remove scar tissue that should not be used with 6 weeks of the time of a new injury. Sometimes when muscles are successfully treated the range of motion increases so much that joints and nerves can become temporarily painful until the range of motion goes back down. Practitioners are aware of these possible reactions and are advised to warn patients about them. After muscles are treated there is sometimes a detoxification reaction that occurs 90 minutes after treatment similar to that seen with massage therapy. This can be lessened by having the patient drink water and take an anti-oxidant combination supplement. The warnings and contraindications appropriate to TENS devices are taught as part of the practicum sessions and reinforced during the lecture.
Category: FSM Courses
The frequencies appear to change a variety of conditions and tissues and change pain and function in a large number of clinical conditions. FSM is especially effective at treating nerve and muscle pain, inflammation and scar tissue. There is a kind of fibromyalgia associated with spine trauma that is particularly painful and difficult to treat even with narcotics. There is one frequency combination, and only one frequency combination, that has been observed to eliminate pain in patients with this condition. Shingles responds very well to only one frequency combination that eliminates the pain in 20 minutes and causes the lesions to dry up and disappear in approximately two to three days. There is one frequency combination that so far has been 100% effective in eliminating kidney stone pain. This frequency combination does nothing to remove the stone; it only eliminates the pain. The frequencies have created observed effects in asthma, liver dysfunction (reducing elevated liver enzymes), irritable bowel and many other conditions. It has been observed that patients who are treated within four hours of a new injury including auto accidents and surgeries have much reduced pain and a greatly accelerated healing process.

Frequency Specific Seminars makes no claims about the use of frequencies in the diagnosis and treatment of any condition. The frequencies appear to have beneficial affects when used in a clinical setting as an adjunct to appropriate medical diagnosis and treatment. More research is needed to document specific effects.

There are no guarantees that any protocol is going to be effective in any given patient on any given condition. In general, the frequencies either work or don’t work and if they don’t work they simply have no effect. In the seminars, physicians are advised to use good judgment and use FSM as an adjunct to appropriate medical diagnosis and treatment. As long as appropriate proven therapies are not delayed or withheld, FSM can be very helpful. Every practitioner is trained in the concept that FSM is to be used as an adjunct to therapeutics appropriate to their discipline for the patient after proper diagnosis. The FSM motto is “Can’t hurt; might help.”

It is NOT recommended that the frequencies be used to treat cancer. The condition is too serious and too complicated to be addressed with this technique. Dr. Arlene Lennox of Fermi Labs in Chicago published a paper showing that patients treated for scar tissue following neutron therapy for cancer that still had active tumor during the microcurrent treatment with Acuscope device had no increase in tumor growth and actually tolerated radiation therapy with fewer side effects.
Category: FSM FAQs