Post by Ana Reis – Chartered Physiotherapist & Pilates Tutor
FMS is a chronic widespread pain syndrome with multiple tender points, joint stiffness and systemic symptoms. FMS is often associated with rheumatic diseases, psychiatric or neurological disorders, infections and diabetes. Unfortunately, there is no evidence as to what causes it, but it is known that it can be aggravated or triggered by prolonged stress, childbirth, anxiety, physical and emotional trauma (e.g. car accidents, serious infections, post-traumatic disorder…).
It is most common in women, but can also affect men and children. They may experience a variety of symptoms, the most common being pain. However, fatigue, poor and/or unrefreshing sleep, cognitive problems such as memory loss, difficulty concentrating, finding words or organising thoughts are also common complaints. It is normal for patients to feel overwhelmed in crowded places where light and noise are difficult to tolerate. They are extremely sensitive to pain; and sensations that wouldn’t normally cause pain, such as light touch, temperature changes, noise and bright lights, can hurt.
The diagnosis is quite difficult to make, but the majority of patients are treated for the symptoms and can have a good outcome. Low-impact exercise, stretching programmes for at least 12 weeks, such as Pilates, are strongly recommended with strong evidence for pain management; 30 minutes of aerobic exercise 3 times a week helps to improve sleep; lymphatic drainage and/or connective tissue massage and acupuncture are also recommended for pain relief. However, there is strong evidence against treating people with FMS with chiropractic, homoeopathy and the use of strong opioids.
With or without a diagnosis, the safer approach is to make an appointment with a CHARTERED PHYSIOTHERAPIST to have a specific treatment planned for you.