This topic is a continuation of our Fibromyalgia topic.
At the beginning of the treatment there should be a detailed information talk about the clinical picture and the course of the physiotherapeutic treatment, in order to explain the connections and behavior patterns to the patient and to relieve him of the fear of the treatment.
Since, in addition to the physical complaints, the psychological situation of the patient also plays an important role in fibromyalgia, the structure of one plays an important role Relationship of trust between patient and therapist an important role. The success of the treatment essentially depends on the fact that the patient feels personally addressed and has the feeling that the treatment is individually tailored to his symptoms and that his pain and problems are taken seriously. There is one interdisciplinary cooperation of the physiotherapist with the doctor and psychotherapist is very important (see multimodal treatment concept).
Without an accompanying drug treatment (chronic pain picture) the Physiotherapy / physiotherapy do not achieve sufficient pain relief, but which is the prerequisite for active therapy. Additional information aids such as Recommended literature, information events and self-help groups are useful.
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The training of the physiotherapist in the treatment of chronic pain symptoms is therefore a prerequisite for good treatment. For the reasons mentioned, it therefore makes sense that there is no change of therapist if possible.
Since the patients are often afraid of pain and movement, the physiotherapy treatment should be based on an individual finding (see also Physiotherapy / physiotherapy) and careful start of treatment with pain relieving and relaxing measures an increasingly demanding trend in terms of physical activity to have. In this way, the often careless and inactive patient can find out that he is able, despite his pain picture, to perform physical activities with hopefully less pain. A slowly increasing stress demand can be crowned with success to the extent that a moderate strength training is possible.
That is in most cases Increased performance in everyday life and at work and a clear one Increase in quality of life reachable.
$config[ads_text2] not foundIf more pain occurs with increasing physical activity (this can certainly happen because the assessment of the patient's resilience - often fluctuating and depending on the daily form -) and therefore the individual dosage is difficult, the load requirements should be reduced and tackled again at a lower level. The patient must be informed beforehand about the possibility of increased pain in the event of excessive training be well informedso that he doesn't lose heart and fall back into his old habits of exercise.
The detailed assessment includes 2 parts:
Anamnesis (collection of the medical history)
Here it is advisable to obtain additional information via a pain questionnaire, which the patient should fill out before treatment.
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Physical examination