Physiotherapy is one of the basic treatments to help improve the quality of life of patients with Fibromyalgia and Chronic Fatigue Syndrome, by considerably alleviating the symptoms of the disease. It can be of great importance in controlling the pain that these pathologies cause to patients and in addressing most of the pathologies that may appear associated.
On the other hand, thanks to this specialty, it is possible for the patient to significantly reduce the pharmacological treatment that at first is essential to relieve their pain. This is of enormous benefit, since these long-term treatments can lead to problems of a very diverse nature and severity (as an example, mentioning the harmful long-term effects that anti-inflammatories produce on the stomach and liver).
Objectives of the Physiotherapy and Rehabilitation Service
The main objective of Physiotherapy in Dwarka is undoubtedly to improve the quality of life of people affected by FM and / or CFS.
To do this, we work on:
- Improve the conditions of patients to carry out their activities of daily living
- To alleviate the pain of patients as much as possible.
- Improve the physical capabilities of patients.
- Improve the psychological state of patients by promoting adequate physical activity and performing exercises.
- Improve postural hygiene of those affected.
- Inform patients about the pathology they suffer.
Treatment Methods and Techniques: The Patient-Physiotherapist Work
Spine and stretching table –
They are a series of gentle and progressive exercises and stretches that seek to improve the physical condition, mobility, and muscle tone of patients.
Given that not all members have the same physical condition or the same associated problems, performing the exercises in the table is valued in each case.
They are performed both in groups twice a week in the Association, as well as individually, in which case the physiotherapist in Dwarka prescribes the exercises individually to be carried out on their own, according to the needs of each patient. Part of these individual exercises, especially those aimed at improving the patient’s aerobic capacity, are offered to be carried out in the Gymnasium that the Physiotherapy centre in Dwarka has.
Twice a week, a series of exercises for muscle toning, stretching and relaxation are performed in a hot pool (approx 25ºC).
Two enormous advantages of working in the water are the muscle relaxation that occurs in this environment and the fact of being able to perform exercises that would not be possible out of the water.
Individual sessions of an approximate duration of 1 hour are also held. During these sessions, the individualized assessment of each patient is made possible, and the adaptation of the appropriate treatment to each case to get the maximum benefits from it.
The techniques used are:
- Mechanotherapy: it will take place during the hours in which patients come to the physiotherapy service to use the different treatment devices available to the Association. Each indication is evaluated by the professional, and subjected to regular monitoring.
- Thermotherapy: thermotherapy is the use of heat as a therapeutic means. This technique can be used to reduce muscle contracture, activate circulation, improve muscle tone and prepare the muscles for the application of other techniques.
- Ultrasound: it is a very suitable technique for the treatment of FM, since the high frequency waves penetrate to the muscle, achieving a double effect: the thermal, and the micromassage that produce the waves in the part where it is applied.
- Electrotherapy (TENS): the use of electrical currents in FM can achieve both an increase in strength and muscle tone, and a decrease in pain.
- Massotherapy: consists of the use of massage with a healing purpose. Among other techniques, rubbing, rubbing, kneading, lymphatic drainage, myofascial technique and manual tractions are used to improve the patient’s condition.
- Kinesitherapy: is the use of movement as a therapeutic means. The mobilizations can be active, passive or resisted, depending on the case.
- Cryotherapy: it is the treatment of choice in some associated pathologies that present with inflammation.
- Postural hygiene seminars: these seminars try to correct the bad habits adopted during the activities of daily life, which are causing or aggravating many of the musculoskeletal problems that patients suffer.
- They try to teach good postural hygiene habits, showing the best postures to carry out daily activities (scrubbing, ironing, washing, carrying loads, …) These seminars are made available to anyone who requests it.
- Home treatment: Physiotherapy Service also performs home care work in order to offer treatment and try to reduce the symptoms of patients when they cannot go to the Association due to an acute phase of the disease.
In these sessions manual therapies are used fundamentally.
Monitoring of the Patient in Coordination with other Professionals
When a patient attends the physiotherapy service in Dwarka, a diagnostic-therapeutic unification is carried out between the different professionals who deal with his problem: in order to obtain an idea of the degree of disability to which the person affected by the pathology he suffers may be subjected, The professional collects all those data that may influence the general state of the person (plates and reports from other professionals that provide information on possible associated pathologies, symptoms, physical capacity, how they carry out activities of daily living,…).
After conducting a physical examination and evaluating the data collected, Physiotherapist in Janakpuri develops an appropriate treatment plan for each patient, setting goals to achieve.
The main objective of treatment is always to improve the quality of life of the patient, choosing the appropriate intervention methods and techniques in each case.
To make possible an adequate follow-up of the evolution of the disease in each patient and that he can get the maximum benefit from the treatment, the physiotherapist in Uttam Nagar regularly re-evaluates all the data described above and reflects the impressions of other specialists that may be of interest for the treatment of the patient (multidisciplinary treatment).