Posted in Physiotherapy on Apr 9, 2019.
What is it?
Fibromyalgia is a chronic condition characterised by widespread pain throughout the body along with fatigue, memory problems, sleep and mood disorders. Sufferers of fibromyalgia often spend years trying to find a diagnosis that fits their many symptoms and fluctuate between periods of having high energy and ‘crashes’ of fatigue and pain. In severe cases, fibromyalgia can cause significant lifestyle disruptions, including reduced activity, unemployment and depression.
The underlying mechanism that creates the symptoms of fibromyalgia has been shown to be increased pain amplification by the central nervous system and reduced activation of the sympathetic nervous system. Essentially this means that small pain signals in the body are processed as large pain signals by the central nervous system.
What causes it?
Fibromyalgia is a complicated condition that is poorly understood. This can be very frustrating for sufferers, who often find themselves being shuffled between health practitioners looking for answers and long term relief. While the pain generally feels muscular, usually little to no muscular damage or injury can be found on physical assessment. The symptoms can also mimic those of an infectious illness, or other chronic diseases. Often a diagnosis of fibromyalgia is reached after other diseases and causes have been ruled out.
The cause of fibromyalgia is as yet unknown, it was thought that the depression and reduced activity that are often associated with fibromyalgia could be causative, however it has been show that these are symptoms of fibromyalgia rather than causes. Other significant signs of fibromyalgia are a lack of REM sleep in sufferers and a positive result of more than 11 out of 18 muscular trigger points.
What is the treatment?
Following a diagnosis of fibromyalgia, patients primary strategy is to understand and manage their symptoms. This can involve pacing activities and balancing exercise so as to reduce ‘crashes’ and unhelpful pain cycles that lead to frustration. Identifying activities, employment and a routine that don’t exacerbate symptoms can have a significant impact on quality of life for someone with fibromyalgia. Having psychological support can also be very important to help patients deal with the emotional distress of a complex chronic condition that has no outward physical signs.
Treatments that have been shown to help reduce symptoms are TENS (electrical stimulation) which produces an endorphin response and can reduce pain. Certain medications may be helpful when prescribed by a doctor. Education and understanding of this condition can have the largest impact for sufferers, helping them to manage and maintain some control over their symptoms. Physiotherapists can have a large role in education and helping patients find a routine and activity level that helps them manage their condition as best as possible.
None of the information in this article is a replacement for proper medical advice. Always see a medical professional for advice on your individual injury.
Shelbourne Physiotherapy, Pilates & Massage is a locally owned health company with 3 locations in beautiful Victoria & Saanich, British Columbia. Our clinics offer Physiotherapy, IMS (Intramuscular Stimulation) & Dry Needling, Kinesiology, Exercise Rehabilitation, Massage Therapy, Sports Rehabilitation, Post-Operative Rehabilitation, Vestibular, Dizziness & Balance Rehabilitation, Women's health (peri-partum and incontinence), Acupuncture, Hydrotherapy, Scoliosis Treatment, Clinical Osteofit Classes, Osteoporosis Treatment, Aquatherapy, Pool Therapy, Real Time Ultrasound, Arthritis and Osteoarthritis Treatment, Electrical Modalities, Pelvic Floor Physio, Pelvic Pain Physiotherapy, Incontinence Treatment, Thoracic Ring Approach Physiotherapy Treatment, Sports Physiotherapy, Chronic Pain Treatment, Shockwave Therapy (ESWT), Aquatic Therapy, Yoga, Yogalates, Saanich Physiotherapy, Polestar Pilates, Stott Pilates, Clinical Pilates, PIlates Instructor Training in Victoria BC, Scoliosis Treatment and Custom Knee Bracing, Physiocanhelp.ca.
Our clinics are approved providers for WorksafeBC (WCB) Physiotherapy and ICBC Physiotherapy, Kinesiology & Rehabilitation. We are proud members of the Canadian Physiotherapy Association (CPA), the Canadian Academy of Manipulative Therapy(CAMPT), Sport Physiotherapy Canada, SportmedBC, British Columbia Association of Kinesiologists (BCAK), Canadian Society for Exercise Physiology (CSEP), Vestibular Disorders Association, ISST International Schroth 3D Scoliosis Therapy, International Society for Medical Shockwave Treatment (ISMST), Think Local Victoria, Canadian Federation of Independent Business(CFIB), the Orthopaedic Division of the CPA and the Physiotherapy Association of British Columbia (PABC) We have a clinic located in the Gordon Head Recreation Centre in Saanich
Shelbourne Physiotherapy staff provide clinical instruction at our Victoria Clinic for students in the UBC Faculty of Medicine. We are an accredited facility for UBC Dept. of Physical Therapy Student Practicums.
Our 3 Victoria Physiotherapy clinics are modern and provide a relaxed healing atmosphere with private rooms available. Many Physiotherapy clinics in Victoria work out of a single room or a basement that does not offer the equipment, resources or space to help you recover properly. Our convenient locations make our clinics easy to access from all the neighbourhoods of Victoria, Saanich, Esquimalt and Oak Bay such as Dockside Physiotherapy Green, Fairfield, James Bay, Oaklands, Fernwood, Harris Green, Jubilee, Hillside Quadra, Gonzales, Rockland, Gordon Head, Cadboro Bay, Uplands, Downtown Victoria, Cordova Bay, Arbutus, Camosun College Lansdowne Campus and the Songhees. We offer appointment times ranging from 7:00AM to 7:00PM for your convenience.Our Multidisciplinary Health Clinic is located right across the street from the Hillside Shopping Centre. we share a building with the Shelbourne Medical Centre which has a walk in clinic and many great General Practitioners.
We are a friendly, local Victoria & Saanich owned and community based health company designed to meet your individual needs. Our mission is to provide Physiotherapy and related services to the communities of Victoria, Saanich, Oak Bay, Victoria West and Esquimalt and help keep these residents active and healthy. We strive to creatively and professionally maximize client functioning and promote life-long wellness.
Our experienced and dedicated Health Care Professionals include Victoria & Saanich Physiotherapists Penny Salmas, Jennifer Kolot, Mark Gottfried, Nicole Gill, Jenna Peters, Brad Curry, Andrew Mills, Meena Sran, Phil Lawrence, Jessica Shave, Kim Lobb, Kathy Murdoch, Laura Werner, Rosie Chamberlin, Ruan Le Roux, Nina Bai, Seung Bai, Eimear Brogan, Faralay Vander Schilden, Kira Crover, Sarah Hubbs, Mary-Anne Levson, Alex Thompson , Victoria Pelvic Floor Physiotherapist Miriam Haistein, Hilary Beck and Blair Braz. Our experienced Victoria BC Kinesiologists include Kira Crover, Heidi Nottelman, Larry Muir, Radek Wiechecki, Lindsey Tabish and Madeline Juba. Our experienced Victoria & Saanich BC Registered Massage Therapists include Taryn Krizan, Selena Curvelo, Jennifer Koebernick, Kathy Pantalon, T'airah Bowker RMT, Molly Scott, Jessica Bundy RMT and Rebekah Neubert. Our Certified Victoria Pilates and Yoga Instructors include Sharon McAuley, Dana Carter, Chris Csak, Alex Thompson, Amanda Rosts, Holly Newton, Regina Flueck, Rhiannon King and Jenny Stewart.
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