whats is fibromyalgia? How are the symptoms and the treatment?

fibromyalgia one of the problems we often hear about in recent years, is one of the diseases that is increasing in speed with modernization. What is the indication of fibromyalgia? How is the treatment done?

our life continuse to be surrounded by the blessings of the modern world. With intelligent buildings, developing technology, there is no doubt that our life is getting easier. While the medallion makes this side smile, on the other side is the negative effects of modern life on our health. Diseases are spreading, diversifying … Taksim Acibadem Hospital Physical Therapy and Rehabilitation Specialist Prof. Dr. Ferda Ozdemir says that fibromyalgia is a disease of sensitive, perfectionist, very sensitive people …

Fibromyalgia, which affects the economy, business life and daily life negatively and is defined as “age- old disease” , is a common problem that affects 3 to 6 percent of the world’s population. However, the disease is defined as a general syndrome rather than a single complaint, accompanied by a wide range of problems called widespread muscle aches, headache, fatigue, fatigue, sleep disturbances, depressive episodes and sometimes spastic colitis.

According to statistics made in America, business is in second place after heart diseases, in the order of the highest cost diseases because it leads to loss of power. Professor Dr. Ferda Ozdemir reminds us that despite the increasing prevalence of the problem, it is not easy to diagnose fibromyalgia . Only one of the three patients is getting the correct diagnosis and treatment begins. However, since it affects many systems, in addition to patience, determination and multidisciplinary approach is also required in the treatment.

What is Fibromyalgia?
Fibromyalgia syndrome is a chronic soft tissue rheumatic pain syndrome manifested by sleep disturbance, widespread pain and tenderness in the muscles, excessive fatigue, fatigue and morning prison. It manifests itself with extreme sensitivity, especially at certain points in the body. The fibromyalgia syndrome seen in 3% of the population affects the quality of life of the patients negatively.

Fibromyalgia, the second most common disease in rheumatic diseases, is three times more common in women than in men.

Research shows that there are about 1.3 million patients with fibromyalgia in our country. The possibility of comparing fibromyalgia symptoms with different diseases is very high. Although the complaints of fibromyalgia are diminished if the correct diagnosis can not be made, the risk of resuming after a while is too high. Untreated causes a decline in quality of life and loss of labor.

What is the indication of fibromyalgia?
Symptoms  are the body’s sensitivity seen in certain places along the most important symptom, but not very sharp. In addition to this, pain and mornings in particular are manifested by difficult awakening. Stiffness in breathing and tinnitus are also indicative of the greatest  fibromyalgia .

People with fibromyalgia have a special character!
Their expectations are very high, perfectionism, very rigorous, and emotional states change very quickly. The stress of these people is likely to increase the pain of the time. In particular, the indication of fibromyalgia compared with waist and neck pain, chronic fatigue syndrome, depression, hypothyroidism and sleep disorders   can be listed as follows:

Any pain can detect more than normal.
The non-painful stimulants also feel like pain.
Tingling sensation and numbness in hands and feet
Palpitation
Resistance to exhaust
Constipation, diarrhea and gas complaints
Depression state
Memory problems
Feeling tired during the day
Feeling awake without rest
Decrease in sleep quality
General sensitivity due to pain reduction due to noniseptive stimuli
Concentration defect, difficulty learning new things
Edema sensitivity varies according to the person
30-50% of patients have joint hypermobility.
The tendency to flush, which is limited to the upper part of the body
Extreme sensitivity from certain points in the body is also considered to be the most obvious feature of this disease.
Watch out for those who are sensitive and precise!
It is not known exactly why the syndrome develops. In the researches; sleep disturbance, impaired pain perception, imbalance of the substances called neurotransmitters in the central nervous system, impaired nervous system and hormonal system, impaired muscle and muscle function, overwork of the sympathetic system.

However, people with this syndrome have some common characteristics. Professor Dr. Ferda Ozdemir, “It is the disease of sensitive people, those who are affected from everything, those who have high expectation from them, perfectionists, very meticulous and whose emotional states change very quickly. “The stress of these people is likely to increase their pain,” he says.

New approaches in the treatment of fibromyalgia
Physical Therapy Rehabilitation Expert Dr. Ferda Özdemir explains the indispensability of treatment to control fibromyalgia:

1- Training of both the patient and his / her relatives
As with all chronic diseases, the patient itself is at the center of the treatment of fibromyalgia. For this reason, the patient and his / her relatives are required to be informed and educated in order to reach effective results. In recent years, education programs called “Fibromyalgia School” covering theoretical and exercise applications abroad and in our country for the sake of patients and their surroundings have helped the treatment success to achieve more lasting results.

2- Active drug treatment with newly developed agents
In medication treatment; usually muscle relaxants, painkillers, antidepressants, sleep regulating drugs, minerals and antioxidant vitamins are applied. Professor Dr. Ferda Ozdemir reminds us that in recent years gabapentin derivatives have also been able to obtain effective results from medicines. It is also known that many of the drugs tested in the treatment of fibromyalgia are successful.

3- Physical therapy applications
Physical therapy applications have an important place in the treatment of the disease. Hot packs, deep heaters, and electrical currents that are pain relievers can provide positive results. Professor Dr. Ferda Özdemir also  reminds that methods such as magnetic field and cryotherapy which have not yet entered into the routine applications of physiotherapy give very effective results on fibromyalgia .

4- Accurate and regular exercise
Exercise is shown as one of the essential elements of both cure and care. Patients see limited benefit from other therapies if not exercised. Relaxation and stretching exercises, joint range-of-motion exercises, pilates, hiking, swimming and cycling are among the alternatives. It is also of utmost importance that exercise programs are arranged according to the patient. In addition, three times a week is necessary to obtain effective results.

5- Water healing power
Spa treatment in fibromyalgia syndrome is beneficial because of its properties such as temperature, mineral content and radioactivity. Whirlpools made with water, high-pressure showers make this contribution even stronger. It is suggested that 21 sessions should be maintained for positive effects from the caplets.

6- Not sunless!
The warmth that is required, the ultraviolet effect and sunbathing, provides long-term relief in many patients. For this reason, in the summer, when patients have the opportunity to sunbathe and swim, significant improvements are seen compared to winter months. It is important not only to evaluate summer sunshine, but also winter sunshine opportunities.

Causes of Fibromyalgia
Although the cause of fibromyalgia is not well known, research shows that genetic factors are very important. Accordingly, people with fibromyalgia in the first degree relatives are 8 times more likely to develop this disease. At the same time, environmental factors are also   one of the important reasons for fibromyalgia syndrome . Physical and emotional traumas, especially during childhood, are considered as major risk factors for fibromyalgia.

Fibromyalgia  is also a psychological disorder. Fibromyalgia is much more common in people with depression, sleep deprivation, and high anxiety. Fibromyalgia syndrome (soft-tissue rheumatism), which is more common in women between the ages of 25 and 55  , can be seen in males and childhood. The disease is more prevalent, especially in those who are above the average level of education and economic level.

Perfectionist and workaholic personality traits may also be among the causes of fibromyalgia. Fibromyalgia is frequently seen in occupations such as Journalism , Architecture , Finance Sector . In addition, fibromyalgia is seen in people who do not like work. Unhappiness is a factor that increases pain, those who are not satisfied with the work they are doing have the least risk of becoming fibromyalgia as well as those who work in stressful jobs.

In general, the  causes of fibromyalgia include  sleep disturbance, pain perception disorder, imbalance of substances called neurotransmitters in the central nervous system, impaired nervous system and hormonal system, impaired muscle and muscle functions, overworking of the sympathetic system.

Which doctor should go for fibromyalgia?
The diagnosis of fibromyalgia should not be recognized unless the patient is admitted to a rheumatology specialist for a fully equipped hospital and to physical therapy units for treatment. A multidisciplinary treatment is used for fibromyalgia, a very complex disease. Psychologists and physiotherapists can also be supported by many branches.

How is the diagnosis of fibromyalgia done?
Diagnosis of fibromyalgia is based on the patient’s history, disease symptoms and physical examination. Complaints and symptoms should continue for three months for the diagnosis of fibromyalgia. In the fibromyalgia examination, it is determined whether or not these painful points are present in about 11 of the 18 sensitive points of the body called the tender point. At these reference points, the patient’s hypersensitivity is considered a condition of initiation. We should not expect fibromyalgia to appear only in blood tests. However, blood tests may be required for differential diagnosis. Fibromyalgia, which is often confused with other diseases, studies to prevent this disorder are of great importance.

How to Treat Fibromyalgia?
Stability is very important in the treatment of fibromyalgia. If the correct diagnosis is not made, treatment of a different disease is initiated and the patient may experience additional problems under an unnecessary drug burden. This also causes fibromyalgia to become chronic. Constantly changing the doctor, cutting the treatment at the hemorrhage and seeking different treatments negatively affects the treatment of fibromyalgia. In fibromyalgia, which can be treated with medication, it is very important to make the treatment particularly sustainable.

Fibromyalgia patients need to make some changes in their daily lives in addition to drug treatment. Stress is the most important key to a decentralized, regular life, balanced diet and regular sleep treatment. As long as the body can not rest, the person will overreact to even the smallest thing that he or she may encounter in everyday life.

The most important principle in the treatment of fibromyalgia is patient-physician collaboration. Among the treatment options that can be applied to the individual, one or all of PRP applications, physical therapy and rehabilitation methods, exercise programs can be applied together. It is much easier to eliminate fibrosis (painful muscle nodes), which is the main cause of fibromyalgia in recent years, especially with PRP. Some physical therapy options that can change depending on the person in the treatment of fibromyalgia are;

Regional Injections,
Ozone Treatment,
Electrotherapy Applications (Tens, Ultrasonics, Enterfrenial Currents, Biofeedback, Hvgs),
Temperature Agents,
Tissue Massage,
Classic Massage,
Stretching Relaxation Trainings
Prp (Thrombocyte Rich Plasma),
Nöralterapi,
Proloterapi,
Manipulation.
Fibromyalgia exercises
Fibromyalgia exercises are one of the most important parts of the treatment process. After a tiring and stressful working day, you should spend time doing sports at least 3 times a week. Especially working long hours at the desk and inactivity affect the development of the muscles negatively. Thanks to the sport, both the muscles work and feel good. It should not be forgotten that it is not possible to treat this disease only with medication.

The goal in the treatment of fibromyalgia is to prepare treatment options for the sufferers of physical and social inflicted sufferers of pain and fatigue. Pain medicines and muscle relaxants are preferred in medication. However, in addition to drug treatment, patient education is also important. It should not be forgotten that complaints of long sitting, standing, stress, long writing, weight lifting, working arms in tension position should be remembered.

With exercises for fibromyalgia, the condition is increased, trauma and external harmful stimuli are reduced and the pain cycle is broken. Fibromyalgia patients especially aerobics, posture, stretching, pilates, yoga and swimming exercises are very important to do. In addition, physical therapies such as hot treatments, electrical simulations, spa and massage are very effective. Although fibromyalgia patients are difficult to exercise, when they start mildly and continue to lightly, there is a large increase in the quality of their life.

Use of fibromyalgia drugs
Fibromyalgia should be treated separately for each patient. Drug-treated fibromyalgia may also be harmful for a long time. Antidepressant group drugs can also be used in fibromyalgia syndrome. These drugs are good for both sleeping and chronic pain. However, prolonged use of these medicines may cause addiction in people.

This causes fibromyalgia to be untreated. Psychiatric drugs should only be used in the event of a comorbid psychological disorder. Attention should be paid to kidney, stomach and blood pressure problems in the use of painkillers used for fibromyalgia pain.

Be careful to protect them from fibromyalgia!
Although fibromyalgia is not a life-threatening disease, it should be followed with care because it affects the quality of life. Physician control is essential until treatment improves with long-lasting fibromyalgia findings. To protect against fibromyalgia it is necessary to pay attention to these;

It is very important to exercise regularly. Activities such as relaxation exercises, stretching exercises, cardiovascular conditioning exercises, low intensity walking, swimming and cycling, water aerobics are particularly useful.
Medications used to treat fibromyalgia are to reduce pain, to regulate sleep, and to treat depression. Antidepressants, pain relievers, sleep regulators, and muscle relaxants are not necessarily used for doctor control.
Before sleeping, you should avoid tea, coffee, alcohol, cola.
Hot treatment, deep heaters and electrical stimulation, massage and spa treatments are recommended for physical therapy applications.
Hot and dry air can be good for fibromyalgia.

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