Fatigue may be caused by fibromyalgia

If you have difficulty sleeping at night and wake up very often, if you constantly feel weak, exhausted, and as if you have been beaten in the morning, the cause may be fibromyalgia.

Fatigue is a health problem that disrupts a person's quality of life and requires intervention.

Physical Therapy and Rehabilitation Specialist, Dr. states that fatigue should not be taken lightly. Evren Kul Panza stated that complaints such as 'I wake up in the morning feeling like I have been beaten' indicate fibromyalgia syndrome, that is, soft tissue rheumatism, and gave the following information: After questioning, anemia, iron deficiency, diabetes, goiter, thyroid and other hormone disorders should be investigated with some blood tests. The tests are normal, fatigue and sleep disturbance; If it is accompanied by widespread, migratory muscle pain, 'fibromyalgia syndrome', also known as 'soft tissue rheumatism', should come to mind. These patients wake up in the morning feeling rested and tired. They are in a constant state of weakness and fatigue. Typically, they say, "I wake up in the morning feeling like I've been beaten." They have difficulty falling asleep and staying asleep, in other words, they have a 'poor quality' sleep. They complain of migratory muscle-joint pain and sometimes numbness-tingling. For example, while the patient has pain in his arm for a few days, the next day it may move to his foot, then to his back, knee or another area. Neck, back or waist pain is often present.”

IT MAY BE CONSIDERED TO BE PSYCHOLOGICAL
Specialist emphasizes that the diagnosis of the disease is difficult. Dr. Kul Panza explained that this situation leads to misdiagnosis, especially when it is confused with psychological problems:

β€œIt is very important to recognize soft tissue rheumatism and determine the disease, because since there is no abnormality in the examinations of these patients, these complaints seem to be psychological or It may be considered as a personality trait of the patient and the person may not be evaluated as a real 'patient'. These people can be thought of as people who constantly complain for no reason and have pain and fatigue. Therefore, it is very important that the disease is recognized and fully explained by the doctor to the patient and his/her relatives. Occurrence of the disease Disorders in the secretion of certain substances such as serotonin and noradrenaline, which should normally be secreted from the brain, and disorders in the deep sleep phase of sleep have been blamed for the emergence. These types of patients should be seen by physical therapy and rehabilitation specialists and undergo a comprehensive treatment process and follow-up that includes medication, exercise and physiotherapy. Otherwise, these people may be misdiagnosed as depression, anxiety disorder, or hypochondriac (hypochondriac) in psychiatric outpatient clinics, mistaking the fact that the incident is entirely psychological.

EXERCISE HAS A POSITIVE EFFECT
These patients benefit greatly from swimming, walking, cycling and pilates-style stretching exercises, and can permanently get rid of their complaints and chronic fatigue with the addition of medication and, if necessary, physiotherapy.”

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