It is a chronic soft tissue rheumatic pain syndrome manifested by widespread pain and tenderness in the muscles, extreme fatigue, sleep disorder, weakness and morning dysfunction.

IT CAN BE SEEN?

• Fibromyalgia syndrome is more common in women.
• It is usually seen from middle age and the risk of occurrence increases as you get older.
• Fibromyalgia has also been seen in children.

SYMPTOMS?

• Intense pain between the neck, nape, back and shoulder blades
• Pain in the hip, low back, knee and elbow
• Weakness, fatigue and dysfunction in the muscles
• Headache and weakness
• Depressed mood
• Difficulty focusing or paying attention
• Difficulty in breathing
• Lack of resistance to exercise and getting tired quickly

MECHANISMS PLAYING ROLE IN DISEASE DEVELOPMENT

• Although the causes of fibromyalgia have not been fully enlightened yet, there are various mechanisms that are thought to play a role in the development of the disease.
• Changes in the nervous system, changes in hormone levels and genetic factors are thought to be effective in the emergence of the disease.
• Triggering factors such as trauma, infection, emotional stress, and severe surgery may cause fibromyalgia attacks.

WHAT CAN BE APPLIED?

• Medication
• A balanced and healthy diet
• Regular exercise
• Manual techniques-applications
• Methods to increase tissue oxygenation
• Naprapathy
• Preventive health advice
• Active lifestyle
• Ergotherapy
• Healthy sleep
• Psychological guidance

WHAT DO WE DO IN FIZYOFORM?

• Fibromyalgia is not an incurable disease. As it is very important to approach the patient holistically, we proceed with this perspective.
• As a result of our detailed evaluation taking into account patients health problems, we make various manual applications for our patients. Our aim in these applications is to reduce pain, increase circulation, provide relaxation and increase soft tissue flexibility and joint movement. Firstly, we apply soft tissue mobilizations to prevent muscle spasms to relax tense muscles, and when necessary, joint mobilization and manipulations to increase joint movement.
• As regular exercise is one of the most important parts of the treatment, we plan a customized exercise program with a physiotherapist. We include pilates, which is a very beneficial exercise method for both our body and mind. We practice our sessions on specially developed instruments called clinical pilates, mat pilates and reformer pilates.
• The purpose of the exercises we planned:
• • Increase circulation
  • Reduce pain
  • Increase muscle strength and flexibility
  • Ensure relaxation
  • Increase joint movement
  • Maintain proper posture and spinal health
  • Increase functional and aerobic capacity
  • Improve balance and coordination
  • Increase the oxygen capacity of the lungs while facilitating correct breathing
  • Improve general well-being and reduce stress

• In addition, we provide preventive health advice to our patients during our sessions that they should pay attention to in their daily lives, and we support this process with home exercises. We pay attention to keep in touch with our patient thanks to the follow-up at the end of our sessions.

Pregnancy is a period in which many anatomical and physiological changes occur. In addition, social and psychological changes are among the factors affecting the physical fitness of the pregnant woman. For this reason, it is very beneficial for pregnant women to increase their physical activity level and exercise in order to adapt to these changes more easily and to minimize the problems seen in pregnancy.

When considered the researches done, it can be summarized as;

– Maintaining physical and cardiorespiratory fitness

– Reducing pregnancy-related complications such as pre-eclampsia and diabetes

– Ensuring weight control

– Improving body awareness, posture, coordination and balance

– Regulation of circulatory and digestive functions

– Minimizing problems during childbirth

– Shortening the birth process

– Increasing social and psychological well-being by providing social interaction

– Accelerating postpartum recovery.

WHAT ARE WE DOING AS FIZYOFORM FAMILY ?

EVALUATION

Before starting the exercise program, it is important for us to get a detailed evaluation and history.

If there are problems such as the physical characteristics, gynecological information (number of birth, time of birth, etc.), low back pain, incontinence and varicose veins of the pregnant; exercises for these are also included in the program.

POSTURE ANALYSIS AND TRAINING

Along with many changes in the body, the center of gravity of the expectant mother also changes. In this case, posture training is performed together with posture analysis in order to prevent the increase in lordosis (curvature) in the low back region of the expectant mother, weakening of the abdominal muscles, low back pain and many related problems.

AEROBIC EXERCISES

Aerobic exercises are also included in the program in order to maintain cardiovascular fitness, prevent chronic diseases and excessive weight gain.

STRENGTHENING EXERCISES

In addition to aerobic exercises, strengthening training increases muscle fitness and can be a part of the routine exercise program during pregnancy. Studies shown that moderate-intensity exercises are safe and increase the level of alertness by minimally affecting the baby’s heart rate. It has been reported in studies that strengthening the muscles of the core and pelvic floor muscles not only facilitates childbirth, but also prevents musculoskeletal problems. For these reasons, strengthening training is also included in the exercise program.

CLINICAL PILATES

In recent years, pilates has been included in the rehabilitation and exercise programs of us as physiotherapists. This is because it ensures that the neutral spinal position is maintained and the reliability of the exercises increases by adding more preparatory exercises and modifications to the existing exercises. In pregnancy, unlike other exercise trainings, it is aimed to strengthen the abdominal and back muscles and deep postural muscles. Moreover; core stabilization is improved by the functioning of the diaphragm, it balances the body and ensures a proper postural alignment.

STRETCHING AND FLEXIBILITY EXERCISES

The main purpose of these exercises is to increase the normal joint range of motion. However, other benefits are listed as reducing muscle tension, increasing relaxation, ensuring coordination, smooth and easy muscle contraction, and reducing muscle pain.

References :

– Cruz-Ferreira A, Fernandes J, Laranjo L, Bernardo LM, Silva A. A systematic review of the effects of Pilates method of exercise in healthy people. (2011)

– Caroline A Smith, Kate M Levett, Carmel T Collins, Mike Armour, Hannah G Dahlen, Machiko Suganuma Relaxation techniques for pain management in labour (2011)

– Prather H, Hunt D. benefits of exercise during pregnany. PM &R hte journel of injury (2012)

– Nascimento SL, Surita FG Physical exercise during pregnancy : a sistemic review. (2012)

Migraine and headache are becoming one of the most common health problems encountered in society. About 70-80% of people experience a headache at some point in their lives. Tension-type headache is the most common of these.

Stress, tension, working conditions, desk work, fatigue, not making exercise regularly, even our diet and sleeping patterns can increase the severity and frequency of this type of pain.

Many studies have proven that manual therapy is very effective in reducing the intensity, frequency and duration of pain in this type of headache. The treatment can be effective in 5-6 sessions depending on the patient’s complaints and the degree of compliance with the programmed treatment. After this treatment, it is aimed to increase the patient’s quality of life, increase the neck joint range of motion, relax the tense muscles in the neck, and increase the neck stabilization by strengthening the weak muscles.

During the treatment process, different manual therapy techniques are applied manually according to the complaints and needs of the person. These can vary such as spinal manipulation, cervical mobilizations, manual traction, suboccipital muscle inhibition, trigger point massage, soft tissue and deep tissue massages.

The most effective way for this treatment to show more successful results and to prevent future recurrences is to regulate the person’s lifestyle habits and work environment, and to add regular exercise to his/her life.

Strengthening the muscles in the neck and back region is important both in terms of muscle stabilization and will help prevent other neck disorders such as straightening of cervical spine and cervical disc hernia. The hormones secreted while doing sports will also help reduce the stress and anxiety level of the person.

Organizing the work environment is very important for people who work at desk. Keeping the head down for a long time causes the neck muscles to stretch and the joint movements to decrease. For this reason, it is recommended that people working in this way increase their screen levels if they use a computer, and use an orthopedically supported chair that supports the back. It is important for your spine health not to sit at the desk for more than 1-1.5 hours. Thanks to the muscle relaxation exercises taught to the person during the treatment, which can be done in between working hours, the tensions that occur in intense working conditions can be prevented to a large extent.

While arranging our life at home, not using very high and very soft pillows and not sleeping face down will be effective in preventing you from experiencing such pains.