Eastern Mediterranean University (EMU) Faculty member support in the Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation. Assoc. Dr. Sevim Oksuz issued a statement on May 12, International Fibromyalgia Awareness Day.
Please help. Assoc. Dr. Oksuz made the following statement in his statement:
Fibromyalgia syndrome, also known as “soft tissue rheumatism”, affects 3% of society. It is also seen in infancy and men and it often affects women. Although the causes are not fully known, recent research shows that it is caused by a genetic predisposition that affects triggering factors such as infection, physical or emotional trauma, and stress. One of the most talked about theories in recent years is that for whatever reason the brain lowers the pain threshold and the sensations that were not painful become very painful over time. Another theory is that the nerves respond excessively to pain signals. As a result of these theories, a person’s brain and nerves may misinterpret or over-react to normal pain signals.
There are no laboratory tests or imaging methods that can detect fibromyalgia syndrome. For this reason, it is either seen as a mental disorder or as a result of misconceptions and widespread misconceptions about the person’s kinship and social environment, it is not accepted as a “real” disease. It is the cause of the social impact of the individual. Such as chronic, extensive pain, stiffness, tender spots in different areas, fatigue, etc. In addition to muscular symptoms, mood swings, memory effects and cognitive impairments, sleep disturbances, inability to wake up in the morning, hypersensitivity to external stimuli. May be with pictures. As a result of these symptoms, disability increases, daily activities and independence are affected and so the quality of life decreases.
Since fibromyalgia syndrome has psychological as well as social as well as biological effects, the treatment process is complex. To achieve success in symptom management, multidisciplinary team members, including health professionals such as arthritis specialists, physiotherapists, psychologists and dietitians, should work together and target patient-centered management.
Safely proposed non-drug treatment methods; It is a physical activity and exercise program organized by physiotherapists and cognitive behavioral therapy offered by psychologists. Misconceptions such as physical activity and exercise increase pain should be changed. It should be noted that these can only cause pain if the dose is not adjusted well. The treatment of fibromyalgia syndrome emphasizes two types of exercise; Aerobic exercise and strength training. Aerobic exercises like walking and swimming reduce fatigue and positively affect mood. In addition to these, activities like pilates, yoga, tai-chi that provide body awareness are very effective if they are given by trained people. The most important thing here is to plan and gradually increase the intensity of physical activity and exercise to prevent triggering the symptoms. It is important to do this regularly and throughout life to increase success in symptom management; Therefore, priority should be given to all the activities that a person can enjoy and continue.
Since information from the right source will increase fear and anxiety, the patient’s education should begin as soon as the diagnosis is made. The focus of treatment should be learning to live with this syndrome. Symptom management should be taught without letting the symptoms control life. The increase in symptoms from time to time in this lifelong struggle should not be seen as a failure; It should be considered as a sign of return to self-management skills. In chronic pain management, it is necessary to identify and eliminate the causes of pain, break up excessive activity-rest cycles, increase sleep quality and provide relaxation training. Fibromyalgia is a real disease and individuals are not alone in the process of controlling symptoms for a quality of life.