An initial assessment was conducted by a medical doctor consisting of a complete physical examination addressing the history of previous therapies, most offending symptom, and medications and dosage used. Subjects were asked to give a subjective rating of pain, mood, insomnia and ADL. The same medical doctor then examined the participants’ ability to sit and stand without pain (measured as length of time in minutes) based on participant self-report, referenced to tasks such as watching television or washing dishes. No standardized scale was used. Each subject was then examined separately by a doctor of chiropractic medicine to determine range of motion (ROM) and muscle tone in different areas of their body. Each subject then completed the Fibromyalgia Impact Questionnaire (FIQ) (80), the Jenkins Sleep Scale (JSS) (81) and the Pain Disability Index (PDI) (82,83). This comprehensive pretreatment assessment was performed as an indicator of steady baseline condition on which to make treatment effect comparisons