It is a common disease characterized by intense muscle pain, especially in the neck, back and waist area, chronic fatigue and sleep disturbance. Fibromyalgia Syndrome, which is approximately 10 times more common in women than in men, occurs especially between the ages of 38-58. Four out of every five patients have sleep disorders. Fibromyalgia patients often have very low energy. The performance of these patients in their working lives has decreased. They have sleep problems at night, and while they appear very tired during the day, they are observed to doze off from time to time. They have muscle spasms and severe neck, back and waist pain that make them tired of their lives. Their quality of life has decreased significantly. Patients always feel tired and express their illness by saying "I am so tired" or "I hurt everywhere."
DIAGNOSIS CAN BE MADE BY CLINICAL FOLLOW-UP AND EXAMINATION
Diagnosis can be made by clinical follow-up and examination. The patient's disease history should be taken carefully and a detailed and comprehensive examination should be performed. It is important that 11 of the 18 points on the muscles are found to be sensitive during the examination. In this disease, routine examinations and imaging methods do not yield any findings. The results are completely normal. The purpose of the examination is to rule out other diseases that may cause pain similar to fibromyalgia with the help of examinations. Pain is chronic, widespread and symmetrical. It is most commonly seen along the spine, waist, back and neck areas. It spreads to the shoulders, arms, hips and legs. Pain may increase due to overwork or heavy sports, inactivity, cold and humid weather, before menstruation, and during periods of anxiety and depression. /p>
The feeling of fatigue is described by patients with sentences such as 'I am exhausted, I have no energy, I am tired all the time, I cannot lift my hands'.
A feeling of fatigue that usually lasts all day, difficulty in doing daily tasks and There is fatigue. Sleep disturbance is a very common problem in fibromyalgia syndrome. Complaints of waking up frequently at night, waking up tired, especially in the morning, and not feeling rested when they wake up are typical. A feeling of joint stiffness is observed in most patients. patients ti Typically, they complain of swelling in the muscles and joints, but this cannot be observed by the physician. Complaints called paresthesia, defined as numbness, tingling and pins and needles in the arms, legs and sometimes the trunk, are seen in 80 percent of patients. In addition, symptoms such as spastic colon, tension-type headache, painful menstruation, frequent urination without urinary tract infection and pain during urination, intolerance to cold, whitening of hands and feet in cold weather, and dry mouth often accompany fibromyalgia. 70 percent of fibromyalgia patients have a self-reported state of anxiety, and approximately 30 percent have depression. In addition to studies showing that fibromyalgia develops after depression, there are also studies showing that chronic pain causes depression. Pain threshold decreases with depression and depression may lead to the patient's musculoskeletal pain.
PHYSICAL AND MENTAL TRAUMA, INFECTIONS AND HORMONAL DISORDERS MAY CAUSE THE OBSERVATION OF THE DISEASE
Physical and mental traumas, infections and hormonal disorders may cause the disease. may cause it to start. Treatment of Fibromyalgia is only possible with a versatile program. In some patients, fibromyalgia is very mild, and just explaining the disease and relieving concerns can be helpful. However, in most patients it is necessary to plan a detailed treatment program.
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