Fibromyalgia (trigger point disease)

Musculoskeletal disorder, which is defined as Fibromyalgia in medicine, causes muscle joint pain, fatigue, especially in the back, neck, shoulders and hips, and waking up with tense muscles in the morning. Although it can be seen at any age and in both sexes, it is most common in women between the ages of 30-60, more than men. The most obvious reason for this is that women’s bodies are more easily deformed than men.

There is widespread body pain lasting more than 3 months. Pain is the main symptom. The pain felt in the muscles and joints can vary from day to day, week to week. Although the location of the pain tends to circulate in different parts of the body, it is most commonly felt in the neck, waist, arms, chest, hips and legs.

Pain may increase with especially bad sleep, cold and humid weather, psychological stress and mechanical loads.

There may be tenderness in the neck, shoulders, knees, elbows or hips, thighs

Unrestful sleep is very common

Tiredness in the morning and later in the day

Tension or migraine-type headaches, may be a feeling of lightheadedness

· Concentration difficulty,

Numbness or tingling may be felt in the hands, arms, feet, legs, or face.

· There may be complaints about the gastrointestinal system such as abdominal pain, swelling, constipation, diarrhea.

Premenstrual tension, painful menstrual periods

Frequent urination

All of these complaints may not be seen at the same time, the symptoms differ from person to person. However, muscle and joint pain, restless sleep and fatigue are the most common complaints.

The exact cause of fibromyalgia is unknown. It is thought to be associated with stress, anxiety, depression, restless sleep and some rheumatic and hormonal diseases. Doing excessive exercise or heavy sports, inactivity, cold and humid weather, psychological stresses increase pain. The first condition of the diagnosis of Fibromyalgia is widespread pain in the body that lasts longer than 3 months, and the occurrence of extreme sensitivity by pressing on at least 11 out of 18 tender points.

The coexistence of at least 3 of the common findings in fibromyalgia and any of the other accompanying findings will support the diagnosis. These complaints increase in inactivity in the morning, in cold, humidity, gloomy indoor weather and excessive activities, unhappiness, and decrease in hot weather, massage or hot applications, even on vacation.

In fact, the diagnosis of fibromyalgia is quite difficult, as these types of symptoms closely resemble those found in other diseases. Therefore, the doctor has to fully question the medical development of the patient. If these complaints last more than 3 months, fibromyalgia should be suspected.

There is no definitive diagnostic method such as laboratory or x-ray in fibromyalgia. These may only be of value in the differential diagnosis. For this purpose, complete blood count, urinalysis, thyroid hormone tests or rheumatism tests may be requested. In summary, the doctor should make his diagnosis not only based on the patient’s analysis and film, but after listening to the patient and examining them in detail.

“FIBROMYALGIA RISK TEST”, which includes sensitive point detection and some standard questions, must be performed in patients. By doing this test, you can get information about whether you have Fibromyalgia yourself.

Despite all their problems, patients should not withdraw from life and lead a participatory life. All the restricted vital functions of the patient should be increased again. The main aim should be to teach the patients, in stages, the strategies to cope with pain and other problems. Doctor-patient collaboration is extremely important in the treatment of fibromyalgia. Therefore, the first step of treatment is the education of the patient and his relatives. Secondly; Exercise therapy; It increases the condition, reduces traumas and harmful external stimuli, and can break the vicious cycle of pain. Drug therapy, physical therapy methods, local injections, appropriate diet and regular water drinking are among the treatment methods.

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