Muscle Rheumatism - What is Kulunç?

• Myofascial Pain Syndrome is a type of regional muscular rheumatism disease.

• It is the most common cause of neck and back pain and is one of the main reasons for applying to the physical therapy clinic.

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• There are common sensitive trigger points and tight bands around the neck, back and shoulder blades. These points are commonly called kulunç among the public. The patient complains that his shoulder and shoulder blade make a crunching sound and that these areas are painful.

• Excessive and sudden loads on the muscles, various musculoskeletal injuries, repetitive microtraumas, genetic factors. Long-term bad and bad posture, sitting positions, fatigue and stress cause painful points in the muscles.

• In Kulunch disease; Pain can occur suddenly due to reasons such as trauma, overexertion, cold, stress and abnormal posture; It may also start gradually due to chronic muscle fatigue and repetitive microtraumas.

• In regional muscle rheumatism disease, neck pain along with a feeling of tightness and soreness in the muscles, limitation of neck movements and a general state of fatigue. is seen. The intensity of pain varies. While some patients experience the disease mildly, in some patients the pain may be severe enough to impair the person's quality of life.

• Pain may be continuous or occur periodically. By pressing on painful points, the pain may spread to the head, ear, neck and arms.

• Insomnia, fatigue, weakness and depressive symptoms may accompany neck pain in patients.

• The diagnosis of Myofascial Pain Syndrome is made by the Physical Therapy and Rehabilitation specialist physician by taking the patient's history and physical examination. MRI or other tests have no additional contribution to the diagnosis. However, it can be done to exclude other diagnoses.

• The treatment of Myofascial Pain Syndrome (MAS Disease - Muscle Rheumatism) is carried out by a physical therapist with a multifaceted approach; First of all, the patient should be educated about the causes of pain and pain prevention methods. Activity that puts excessive strain on neck muscles It is very important to stay away from work, take frequent breaks during long-term desk jobs, not sleep with a very high pillow, and take precautions against cold and stress.

• Mobile phones, computers, reading books, knitting. It should be known that excessive performance of activities in which the head is kept tilted forward for a long time, such as knitting, may cause stroke disease and personal precautions should be taken.

• Analgesics, muscle relaxants, anti-inflammatory drugs and anti-inflammatory drugs are used to eliminate pain and muscle spasm. dose medications and physical therapy methods can be used.

• In cases of resistant pain, local anesthetic injection, acupuncture, dry needling, neural therapy, prolotherapy, PRP, manual therapy, massage therapy by physical therapists into the painful limbs. and kinesiotape can be applied. In addition to all these treatments, patients should be informed about ergonomics, posture and regular neck exercises.

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