Hotline: 07483 807551
Horsham: 01403 597373
East Grinstead/Lingfield: 01342 537610
ANRC Physiotherapy & Sports Injury Clinic Horsham, East Grinstead and Lingfield

Fibromyalgia-Physiotherapy- ANRC Physiotherpay clinic East Grinstead & Horsham

Physio East Grinstead, Fibromyalgia

Fibromyalgia is a chronic condition of widespread pain and profound fatigue. The pain tends to be felt as diffuse aching or burning often described as head to toe. The fatigue ranges from feeling tired to the exhaustion of flu-like illness.Physio East Grinstead and Horsham.

1 The name fibromyalgia is a combination of three terms-fibro from latin which is fibrous tissue such as tendons and ligament, Greek prefix ‘myo’ indicating muscles and ‘algia’ from Greek indicating of pain.

2 It is known as a syndrome because it is a collection of symptoms rather than a specific disease process that is well understood.Physio East Grinstead & Horsham contact us on info@anrc-uk.com
The definition of fibromyalgia syndrome (FMS) as stated by the American College of Rheumatology (ACR 1990)3 is as follows:

1. A history of widespread pain for at least 3 months.
Pain is considered widespread when all of the following are present: pain in the left side of the body, the right side of the body, below the waist and above the waist. In addition, there should be axial pain (cervical spine or anterior chest or thoracic spine or low back).

2. Pain (with the patient reporting ‘pain’ and not just ‘tenderness’) in 11 of 18 tender point sites.
The sites are all bilateral and are situated:

  • At the suboccipital muscle insertions (close to where rectus capitis posterior minor inserts)
  • At the anterior aspects of the inter-transverse spaces between C5 and C7
  • At the midpoint of the upper border of upper trapezius muscle
  • At the origins of supraspinatus muscle above the scapula spines
  • At the second costochondral junctions, on the upper surface, just lateral to the junctions
  • 2cm distal to the lateral epicondyles of the elbows
  • In the upper outer quadrants of the buttocks in the anterior fold of gluteus medius
  • Posterior to the prominence of the greater trochanter (piriformis insertion)
  • On the medial aspect of the knees, on the fatty pad, proximal to the joint line
  • DIAGNOSTIC CRITERIA
    To confirm the diagnosis the concomitant systemic diseases should be ruled out and common coexisting conditions should be recognized.
    Time rule
    According to American College of Rheumatology criteria, there should be chronic widespread of pain for at least 3 months on a more or less continuous basis.3
    Sign and symptoms
    Pain should be present at multiple fibromyalgia tender points when pressure (approximately 4 kg/cm2) is applied manually, with pressure increases gradually at the rate of 1 kg per second over 4 seconds, as depicted in the image below. The pressure should cause no referred pain.5
    Besides pain and fatigue fibromyalgia symptom often include:
    • Unrefreshing sleep – waking up tired and stiff
    • Headaches – ranging from ordinary to a migraine
    • Irritable bowel frequent diarrhea or constipation sometimes accompanied by gas in the abdomen or nausea
    • Cognitive disturbance including lack of concentration and word mix up
    • Clumsiness and dizziness
    • Sensitivity to changes in the weather and to noise, bright light, smoke and other environmental factors
    • Allergies
    PHYSIOTHERAPY ASSESSMENT TOOLS
    Numerous instruments have been used in clinical trials of fibromyalgia syndrome. Pain – Vastly used and validated methods are
    • Visual Analog Scale (VAS)
    • Numeric rating scale
    • McGill Pain Questionnaire
    • CLASSIFICATION
      Many rheumatologists recognize 2 types of fibromyalgia6
      • Primary
      • Secondary
      Primary fibromyalgia is the most universally accepted form of fibromyalgia and is normally diagnosed when no underlying causes are present (such as arthritis, lupus etc) and at least 11 of 18 designated points are confirmed. The cause of primary fibromyalgia syndrome is unknown but it can be induced by trauma, infection, stress, inflammation or their factors.
      Secondary fibromyalgia may be triggered by conditions such as RA, Lupus, hypothyroidism, HIV. It may also be triggered by physical trauma. Secondary fibromyalgia is sometimes referred to as post-traumatic fibromyalgia. It is also known as regional fibromyalgia and is present in the patient who experiences pain at fewer than 11 of the 18 positive tender points
      Physio East Grinstead and Horsham- for more details please visit www.anrc-uk.com.
    • ANRC Physiotherapy clinic East Grinstead and Horsham

      ETIOLOGY AND PATHOGENESIS

      The etiology of fibromyalgia is multifactorial and includes both environmental and genetic factors.

      Biologic variablesCertain biologic variables contribute to the development and persistence of fibromyalgia (eg, physical trauma, exposure to toxins).

      Inheritance

      FMS has a genetic predisposition. First degree relatives of individuals with FMS display an eightfold greater risk of developing fibromyalgia than those in the general population.

      Gender

      Sex-related effects are important in fibromyalgia and with pain in general. Aversive stimuli and stressful tasks are more likely to evoke SNS, HPA axis, and psychological responses in females than in males.

      Sleep

      Almost all patients with fibromyalgia sleep poorly, and a night of poor sleep is followed by a more painful day. This contributes to negative mood and cognitive difficulties.

      Other variables

      Age is a variable; most cases occur between the ages of 20 and 50 years. Physical de-conditioning is also a variable.

      Physiotherapy management of Fibromyalgia please contact Physio East Grinstead

      Physiotherapist near to me- contact us on info@anrc-uk.com, for more details please visit www.anrc-uk.com 

      Medical tourism – Physiotherapy 

ANRC Physiotherapy Horsham, East Grinstead & Lingfield

Physiotherapy Works: Pain Management

What’s the ‘most exciting discovery in pain‘ in the last 20 years?

A new study at the University of Colorado tells us that we can change pain by the power of care and touch.

Pain is a protective system and we can provide relief by reassuring the patient that it is real. It can be managed by balancing danger cues and safety cues, says the study.

Physiotherapy works for pain. Pain is not visible; but it affects your mood, your career, your family, your relationships. The more pain you experience, the less you are able to take care of yourself, and the more the pain.

Peter came to ANRC Clinics with pain in the midriff, lower back and his left side. After seven weeks of addressing it in a holistic way with a range of therapies and a course of self-help with recommended exercises, he was pain-free.

Why does physiotherapy have an edge when it comes to pain management? It is the power of care and touch, the capability to customise and focus on the individual and the self-care element which works best.

Physiotherapy brings relief to people of all ages. It reduces pain and improves mobility. Restoration of normal body posture and alignment can lead to a speedy recovery and prevent recurrence of the problem. Physiotherapy is suitable for all disorders that have the symptoms of pain, stiffness, loss of movement and weakness.

What should you look for in a physiotherapy clinic?

  • Qualified Chartered Therapists
  • Reviews and recommendations
  • Look out for professionalism, with personnel who follow a code of conduct.
  • Are they covered by professional liability insurance?
  • Is the approach inter-disciplinary?

For more guidance, visit the Chartered Society of Physiotherapy website.

ANRC Physiotherapy & Sports Injury Clinic Horsham, East Grinstead and Lingfield

Physiotherapy Works: Pain Management

 Physiotherapy Clinic – East Grinstead, Horsham

ANRC Physiotherapy Clinic is a one of its kind neuromusculoskeletal rehabilitation center specializing in the prevention, assessment, and treatment of Repetitive Strain Injuries (RSI), other Musculoskeletal Disorders (MSD) and childhood disabilities through an interdisciplinary approach.Physio near to me. 

We provide bedside physiotherapy for elderly people with mobility training, stroke management, spinal code injuries, MS, cerebral palsy and many more conditions.

All our Crawley physiotherapists are registered with the Health and Care Professions Council and are chartered. This guarantees that their qualification is properly recognized and that they are governed by a professional code of conduct and covered by professional liability insurance. For more information, visit the Chartered Society of Physiotherapy website.

Physical injury can be defined as any stress on the body that prevents the organism from functioning properly and results in the body employing a process of repair. A sports injury can be further defined as any kind of injury, pain or physical damage that occurs as a result of sport, exercise, strains, fractures, and contusions.

Although the term sports injury can be used to define any trauma sustained as a result of sport and exercise, it usually describes injuries that affect the musculoskeletal system. More serious injuries such as head, neck and spinal code trauma, are usually considered separate to common sports injuries like sprains, strains, fractures, and contusions.

What are the benefits of physiotherapy?

Physiotherapy brings relief to people of all ages, in reducing pain and improving mobility. Restoration of normal body posture and alignment can lead to a speedy recovery and prevent recurrence of the problem. Physiotherapy is suitable for all disorders that have the symptoms of pain, stiffness, loss of movement and weakness. The following benefits can be gained with the physio.

  • Alleviation of pain
  • Restoration of motion in joints and increase in the range of motion
  • Relief from chronic ailments like arthritis
  • Pre-operative rehabilitation
  • Post-operative rehabilitation/stroke rehabilitation/spinal code injury rehab
  • Improved mobility and physical coordination

ANRC Physiotherapy Clinics are also at HorshamAshurstwood, and Lingfield.

ANRC Physiotherapy & Sports Injury Clinic Horsham, East Grinstead and Lingfield

Lower back pain- Physio Horsham and East Grinstead

Low back pain- Physiotherapy Horsham and East Grinstead

The low back supports the weight of the upper body and provides mobility for everyday motions such as bending and twisting. Muscles in the low back are responsible for flexing and rotating the hips while walking, as well as supporting the spinal column. Nerves in the low back supply sensation and power the muscles in the pelvis, legs, and feet.Most acute low back pain results from injury to the muscles, ligaments, joints, or discs. The body also reacts to injury by mobilizing an inflammatory healing response. While inflammation sounds minor, it can cause severe pain.

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