Kocyigit Burhan Fatih, Akyol Ahmet
Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Kahramanmaraş Sütçü İmam University, Turkey.
Physiotherapy and Rehabilitation Application and Research Center, Hasan Kalyoncu University, Gaziantep, Turkey.
Reumatologia. 2022;60(6):413-421. doi: 10.5114/reum.2022.123671. Epub 2022 Dec 30.
Fibromyalgia syndrome (FMS) profoundly impacts patients' quality of life with its symptoms and clinical signs. Fibromyalgia syndrome impairs daily living activities, reduces work efficiency and raises health-related costs. Although the prevalence rates vary depending on geographical location and diagnostic criteria, it is a common disorder worldwide. Females have a higher prevalence of fibromyalgia syndrome, with varied rates, and there is an increase in prevalence rates with age. Although its etiopathogenesis has not been fully elucidated, various hypotheses have been proposed that central sensitization is at the core of the process. Fibromyalgia syndrome diagnostic approaches have advanced significantly over time, moving away from pain assessments alone and emphasizing multiple clinical signs of FMS. This condition has raised physicians' and researchers' awareness of non-pain symptoms. Considering the complicated etiopathogenesis of fibromyalgia syndrome, diverse pathways connected with symptoms, and multiple clinical presentations, it becomes clear that drug and non-drug treatments should be chosen in combination.
纤维肌痛综合征(FMS)的症状和体征对患者的生活质量产生了深远影响。纤维肌痛综合征会损害日常生活活动,降低工作效率,并增加与健康相关的成本。尽管患病率因地理位置和诊断标准而异,但它在全球范围内都是一种常见疾病。女性纤维肌痛综合征的患病率较高,且比例各不相同,并且患病率会随着年龄的增长而增加。尽管其病因发病机制尚未完全阐明,但已经提出了各种假说,认为中枢敏化是该过程的核心。随着时间的推移,纤维肌痛综合征的诊断方法有了显著进展,不再仅仅依赖疼痛评估,而是强调纤维肌痛综合征的多种临床体征。这种情况提高了医生和研究人员对非疼痛症状的认识。考虑到纤维肌痛综合征复杂的病因发病机制、与症状相关的多种途径以及多种临床表现,显然应该选择药物和非药物治疗相结合的方式。