Fibromyalgia is a disease characterized by widespread musculoskeletal pain, insomnia and chronic fatigue. Muscle pain is persistent. Patients especially complain of morning stiffness. When they wake up in the morning, all their joints are stiff, and as time progresses, they open up with movement. Patients may also experience a state of depression.
Fibromyalgia patients may not be diagnosed for years. They generally apply to neurosurgery clinics for neck and back pain, internal medicine clinics for feelings of fatigue, psychiatry clinics for depression, and physical therapy clinics for general pain. They go from doctor to doctor for years. Patients who underwent surgery due to a herniated disc or cervical disc in neurosurgery clinics have been reported for neck and lower back pain.
A holistic approach to the patient is required to diagnose the disease.
FIBROMYALGIA DIAGNOSIS
Fibromyalgia patients have sensitive points on their bodies that cause pain when touched. These are called trigger points. The American Physical Therapy Association announced the number of these points as 18. If 11 trigger points are detected in the patient, it is necessary to consider FIBROMYALGIA (SOFT TISSUE RHEUMATISM).
Especially in patients who talk about morning stiffness, chronic fatigue and lack of energy, we should also suspect fibromyalgia and undergo examination and examination accordingly. It is the right thing to do your examinations. There is a test called FIBROMYALGIA RISK TEST to diagnose fibromyalgia. This test should be applied to all patients who are considered to have fibromyalgia. Patients who score 110 points or more at the end of the test are considered to have fibromyalgia.
FIBROMYALGIA TREATMENT
Fibromyalgia treatment is both very easy and very difficult. It requires close attention to the patient. H The patient must continue his treatment persistently and cooperate closely with his doctor.
EDUCATION: Education of the patients is of primary importance. Education of both the patients and their relatives is essential. Giving patients detailed information about their diseases and teaching them that their diseases are not life-threatening and will not cause any aesthetic problems will increase the patient's self-confidence. In addition, it is necessary to explain to the patients' relatives what kind of problems their patients, who seem to have no problems from the outside, are actually experiencing. Because they are not accepted as patients by some patient relatives.
EXERCISE TREATMENTS, ESPECIALLY PILATES: 3 days a week are recommended. Before starting the exercise, warm up for 5-10 minutes. Then, sports are done with emphasis on muscle strengthening exercises.
CLASSICAL MEDICINAL MEDICATIONS: Painkillers, muscle relaxants, anti-rheumatic drugs, depression drugs, antioxidant vitamins are used.
MEDICAL OZONE THERAPY: Ozone can be applied both intravenously and locally to painful muscle areas. Ozone therapy increases the antioxidant capacity of the patient and causes the toxins formed in the muscle to be removed. As a result of the liquefaction of the blood, more blood and more oxygen will reach the cells. Ozone increases the oxygen carrying capacity of the blood and the rate at which oxygen passes to the tissues. In this case, oxygenation of the tissues is possible.
MEDICAL LEECH TREATMENT: There are 106 different enzymes in the saliva of the leech. In addition to the leech sucking blood, healing occurs thanks to these enzymes. Liquefaction of blood, especially with the effect of leech enzymes As a result, microcirculation will increase and more blood will reach the tissues. More blood flow to the tissues ensures the nutrition of the tissues and the regular removal of toxic substances formed in the tissue.
CUP TREATMENT: Cupping is the removal of interstitial blood accumulated under the skin and the toxins and heavy metals stored there. process. 1 mm in advance thanks to a cup. It is done by taking blood from the scratched skin in a way that reaches the depth of the skin. In our clinic, in addition to leech and ozone therapy, magnetic field therapy and stem cell therapy are also applied to our patients. Our standard treatment is 12 sessions, 2 sessions per week. Therefore, there is a treatment that lasts 6 weeks. Although this is our preferred treatment program, we also apply 1 or 2-week intensive treatment programs for our patients coming from outside the city.
DISEASES IT CONTAINS
Fibromyalgia can be confused with many diseases. . Incorrect diagnoses may be made, especially if the patient's education level is low and he/she has difficulty expressing himself/herself.
IT MAY BE CONFUSED WITH WAIST AND NECK HERNIA: In our country, especially those with pain in the neck area are diagnosed with cervical disc herniation, pain in the waist area and legs. It is customary to call these cases a herniated disc. For this reason, fibromyalgia patients are especially confused with lumbar and cervical disc herniation diseases. There have even been reports of patients who were mistakenly operated on due to a herniated disc or cervical disc herniation.
IT MAY BE CONFUSED WITH HEADACHE: There are patients who are confused with migraine or other headaches and treated because they are accompanied by headache.
THEY MAY BE CONFUSED WITH PSYCHIATRIC PATIENTS: The patient goes to the psychiatrist with his psychological problems. If it has been pushed, it may have been treated with a diagnosis of "depression".
IT MAY BE CONFUSED WITH HYPOTHYROID: Due to extreme fatigue in patients, it is a disease related to hypothyroidism, that is, a disease related to low thyroid hormone, and chronic fatigue disease. It may also be confused with.
IT MAY BE CONFUSED WITH RHEUMATIC DISEASES. One of the most common mistakes is to give a general treatment to all patients who come with the complaint of pain everywhere, saying that they have "rheumatism". General practitioners do this most often. For this reason, these patients may be exposed to cortisone overload for a long time. If every doctor you visit prefers to give cortisone and provide short-term relief, especially to patients with a low level of education who cannot distinguish between drugs, as a result, the patients also have to struggle with excess fat, obesity and diabetes. The prescriptions written are always the same. Cortisone injection + painkiller + Nonsteroidal antirheumatic drugs are mixed and administered from the hip. This process is especially common in Anatolia. Some patients can get rid of their pain in a short time by mixing these three injections they bought from the pharmacy based on hearsay and administering them to the hip. However, after this treatment has a short-term effect, the same complaints recur the next day. Because painkillers are eliminated from the body within 8-12 hours, everything goes back to the way it was before.
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