It wouldn't be wrong to say that the number of admissions due to pain increased during the year we spent sedentary due to the pandemic.
We hear the words "I hurt all over", "I wake up tired in the morning", "I don't have the energy to walk", especially from our female patients. These complaints mostly lead us to the diagnosis of fibromyalgia.
The common musculoskeletal pain called fibromyalgia and persisting for at least three months is accompanied by many other complaints. Until recent years, this disease was considered as a kind of mental disorder, and even tried to be treated with anti-depressant drugs. In the light of recent research and findings, it is possible to say that this view has changed. Although childhood traumas are often considered to be triggers in fibromyalgia, recent studies show that pain perception is increased in the central and peripheral nervous system. Again, while the presence of a certain number of tender points on the body was a diagnostic criterion, it is now thought that this may not always be the case. Perhaps the most important criterion that complicates the diagnosis is that laboratory tests appear completely normal. The diagnosis is made with long-term pain and accompanying findings.
Many symptoms that seem to be independent from each other coexist in fibromyalgia. Accompanying symptoms;
Headache, sleep disorders, anxiety, numbness and tingling in various body parts, restless legs syndrome, burning in urination, irritable bowel syndrome, reflux, painful menstruation, fatigue may accompany.
Researches; shows that disturbances in the intestinal flora are also linked to fibromyalgia. In recent years, it has been revealed that SIBO, which is known as excessive bacterial growth in the small intestine, is important as the root cause. Since fibromyalgia is a chronic inflammatory disease, it is necessary to approach the root cause solutions from several angles. We recommend rehabilitation.
For the continuation of permanent well-being;
Yoga and meditation can be recommended in terms of regulating sleep, reducing stress and spiritual relaxation.
Nutrition should be anti-inflammatory. That is inflammation in the body. It should be essential to remove the floury, sugary, packaged foods that increase it, to stay away from refined oils and processed foods, to include healthy oils and vegetables in the diet.
It is important to eliminate micronutrient and mineral deficiencies, if any. Especially magnesium and vitamin D deficiency lead to an increase in the perception of pain.
Finally, if SIBO symptoms are present, careful bowel rehabilitation is also an important step towards recovery.
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