The script from the Rheumy said for 12 sessions of massage, and ultrasound. I'm in a flare that's lasted a couple months, and I was having issues with extreame tightness between my shoulder blades, and muscle spasms below one shoulder blade. In the first PT session I had an assessment from the head of the PT. OK, that I understand. She had me move my arms in all positions and push against her hands as hard as I could even if it hurt.... and I think I may have injured my rotator cuff (not sure on terminology) -- shoulder didn't bother me ever in the past, but it's been two weeks and it's still very very painful. Can't reach up, can't sleep on my side, can't stand to touch the shoulder, can't reach back to hook bra, etc. Even my vicodin doesn't touch the pain. Going to family Dr. tomorrow to see what's up with that, as Rheumy said that's not her area. I am NOT happy about this. My right shoulder was sore for a few days, but is ok now, but the left shoulder hurt immediately, and now, 13 days later, is no better at all. All the PT place says is that they could not have injured me, and fibro people take forever to get better. Grrrr.... I've lived with fibro for 30 years. This is not a fibro soreness. This feels like something really wrong. But anyway.... back to my question..... since that first time, the head PT lady had me see another PT person, I assume an assistant of some sort, who seems to be making my treatment up as he goes. The first session, all he did was try to give me a tens unit, but I already had one from the Rheumy's office. Next session, he gave me a bunch of neck stretches that involve using both arms above my head - I said "I can't lift my left arm above my head because of the shoulder injury from the evaluation" he said "we cannot have hurt you in the evaluation - try harder!" When I insisted, he gave in and figured out a way for me to do the exercises using only the good arm. Next time in, they put me in a thing where I laid down and my head was laid in the metal cradle, and strapped in, to stretch my neck with 15 lbs of pressure for 50 seconds, let off for 10 seconds then pull for 50 more, did that for 15 minutes. Before he started, he said 'are you comfy" I said No - that thing is pressing right on the tender points at the base of my skull, which are two of the most painful of my fibro points!" He said the stretching would make them feel better. So, I tried it. Today, I feel like someone is pressing on them constantly!!!!! ARGH! (OK, my fault, I didn't protest loudly enough.) I asked him - what happened to the massage, ultrasound etc on the script? He said that Dr's don't know what people need, that's why they send people to PT's..... I cancelled tomorrow's appt. till after I see my Family Dr. and find out if I have a real injury to the shoulder, or if it's the fibro reaction to the evaluation movements. SOOO..... question is... have any of the rest of you had a PT place do stuff that was NOT on the script? I know the script said massage, ultrasound. They have not done any of that. It said nothing about excercise, neck pulling etc. I see the Rheumy next Tues, and will ask her then too.... but you all have a lot of experience to fall back on. After the shoulder injury, I am so afraid of coming out of there with more problems than I went in with!