Current Approaches to Fibromyalgia

One of the most common diseases brought about by modern life is fibromyalgia. Fibromyalgia disease becomes very common due to stressful living conditions, not getting enough rest, not eating properly, poor quality sleep and sedentary life. It is known that there are currently approximately 1.3 million fibromyalgia patients in our country. If we define fibromyalgia; We can call it soft tissue rheumatism, characterized by general muscle aches and chronic pain at certain points in the body. General symptoms: Sensitivity in certain parts of the body, feeling tired throughout the day, sleep problems, getting tired easily during exercise, feeling unrested despite long periods of sleep, and depressed mood. When diagnosing fibromyalgia, two main points are taken into consideration. Widespread body pain lasting at least three months and pain in at least 11 of the 18 sensitive points of the body, called tender points, are evaluated. Blood tests may also be requested for differential diagnosis. In recent studies, fibromyalgia is often confused with other diseases, 3 out of every 4 patients diagnosed with fibromyalgia do not actually meet this definition, and many people have diagnoses such as chronic pain syndrome, latex allergy, muscle spasm, fasciitis, arthritis, neck pain, shoulder pain or back pain. It has been determined that it is overlooked by calling it 'fibromyalgia'.

In the treatment of fibromyalgia, the first correct diagnosis is very important. If a correct diagnosis is not made, treatment for a different disease will be started and the patient may face additional problems under an unnecessary drug burden. This situation also causes fibromyalgia to become chronic. Fibromyalgia patients also need to make some changes in their daily lives. A regular life that is as stress-free as possible, balanced nutrition and regular sleep are the most important keys to treatment. Unless the body can rest, the person will overreact to even the slightest event encountered in daily life.

Manual therapy is a very successful treatment method in fibromyalgia. In fibromyalgia patients, the balance between the sympathetic system and parasympathetic system is disrupted. As the sympathetic system is more activated, relaxation becomes difficult and pain and spasms occur in many parts of the body. Especially the back, shoulder and neck muscles are tense. manual therapy By removing locks in the back, relieving muscular and fascial tensions, and opening movement restrictions, it will facilitate relaxation as it will reduce sympathetic activity and stimulate the parasympathetic system. Therefore, problems related to the musculoskeletal system will decrease, and the effectiveness and healing speed of other applied treatments will increase.

Also, another important issue for fibromyalgia patients is exercise. Individuals should definitely add movement to their lives and avoid sedentary life and the problems it brings with it. Time should be allocated for exercise at least three days a week. Working at a desk for long hours and inactivity, especially, negatively affect the development of muscles. Thanks to sports, a person's muscles work and he feels good. It should not be forgotten that it is not possible to treat this disease with medication alone.

Exercises for fibromyalgia increase fitness, increase the body's general well-being and break the pain cycle. It is very important for fibromyalgia patients to do exercises such as brisk walking, cycling, pilates, yoga and swimming. In addition, physical therapy modalities such as hot applications, electrical stimulation, and kinesiology taping are very effective.

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