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“My whole body hurts, even my pain sometimes goes around my shoulder, sometimes on my arm, but often on my back, neck and waist. All the doctors I go to say that my tests are normal, but what I’m going through is due to stress, they’re saying you’re fine. However, I have pains and I don’t get out of bed in the morning, I don’t have the energy left to do anything. If you say, “Why doesn’t anyone understand me,” you may also have fibromyalgia!

Turkey Medicals member and Physical Therapy and Rehabilitation Specialist Dr. she answered the questions about fibromyalgia, a soft tissue rheumatic pain syndrome, and gave information about its treatment:

Fibromyalgia, is one of the most common diseases of the age, which makes itself felt with bodily fatigue, continues with undefined pains in various parts of the body along with weakness and tension, negatively affects the quality of life and work force of a person if it is not treated correctly. Fibromyalgia, which can usually be treated by changing lifestyle, can recur the moment stress comes into play. The fact that the physicians in different branches are consulted and the rate of comparison of their symptoms with different diseases is high increases the time of correct diagnosis in fibromyalgia patients.

Fibromyalgia syndrome, muscles, ligament, and beams, affecting sleep disorder, widespread pain and tenderness in muscles, fatigue, fatigue, morning stiffness and chronic pain of soft tissue rheumatic syndrome. It is especially manifested by excessive sensitivity from many specific points of the body. Fibromyalgia, a chronic pain syndrome, that can be accompanied by mental disorders such as sleep disturbance, headaches, anxiety, and depression.

Most women are seen in

Fibromyalgia, which occurs in 3 percent of society, is the second most common disease among rheumatic diseases, fibromyalgia is three times more common in women than in men. The most common age of occurrence in women is between the ages of 25-50, but it can also occur under the age of 40 and over the age of 60. Studies show that there are about 1.3 million fibromyalgia patients in our country. But fibromyalgia syndrome in men is more resistant to treatment.

People with fibromyalgia syndrome have a special character. They have very high expectations of themselves, they are perfectionists, they are very meticulous, and their state of emotions changes very quickly. These people are very likely to have increased pain during stressful times. The symptoms that accompany widespread pain in fibromyalgia as follows: percent any more than usual pain, the pain of non-stimulants or pain, tingling and numbness in hands and feet,- palpitations, a low resistance to exercise, constipation, diarrhea and gas complaints, a state of depression and anxiety, memory problems, work in gathering attention to concentrate, difficulty in learning new things, feeling tired throughout the day, steady the unrest of the feeling of being awakened from sleep quality, decrease the sensitivity of subjective edema, flushing, which is limited to the upper part of the body tends.

If Fibromyalgia Syndrome is diagnosed, it can only be diagnosed by a Turkey expert doctor who specializes in it. The diagnosis is made by clinical examination and evaluation of the patient’s complaints. There are no special diagnostic tests for the diagnosis of this disease, and all laboratory tests are also normal. For this reason, the diagnosis is usually delayed for many years, many treatments are performed for many unnecessary diagnoses. When patients are diagnosed, they are no longer in the state of patients who are desperate that their pain will pass, who are not believed to have pain, and therefore often have problems with their families.

The most important principle in the treatment of fibromyalgia is patient-physician cooperation, both the patient and the patient’s relatives should be educated about the disease and its treatment. In addition to medication, October also needs to make some changes in their daily lives. A stress-free, regular life, a balanced diet and regular sleep are the most important keys to treatment. As long as the body can not rest, a person will overreact even to the slightest event that he encounters in everyday life.

The way of feeding also provokes pain

Recent studies suggest that eating can also contribute to pain.. Excessive intake of glutamate in the diet, which plays an important role in the transmission of pain to the brain, will cause more pain sensations to reach the brain. Two amino acids called glutamate and aspartate are found in our diet in two ways; one of them is the form found in red meat, it has a bound structure and gradually passes into the body during the digestion of meat.

The other is a free form and is contained in foods such as yeast, soy sauce, parmesan cheese, and old cheddar in preservatives added to foods (in the form of monosodium glutamate), and these substances cause pain to be transmitted more to the brain and cause pain of higher severity. In some minerals, it is effective in the work of substances that transmit pain to the brain. In studies, it has been shown that pain is more common in people with low magnesium and zinc levels. Vitamin B6 is also the basis of the enzyme that allows the substances that transmit pain to the brain to be converted into substances that stop the transmission of pain.

For this reason, pain is felt more when there is a lack of B6. Omega 3 fatty acids are also important in pain transmission and should be taken regularly. Eating lots of vegetables and fruits, grapes and green tea increase our levels of vitamins C and E, which have an antioxidant effect on the substances accumulated in our body and reduce the amount of pain. For this reason, especially avoiding aspartame-containing foods, carbonated drinks, red meat (especially processed meat such as sausage, salami, sausage), eating vegetables and fruits regularly, eating fish will help reduce pain in fibromyalgia patients.

It should be known that FMS is not a life-threatening, progressive disease that causes deformities and disability in the joints. It does not shorten the life span. If regular exercises are performed and medications are used when necessary, it doesn’t have to be painful all the time. The disease is a controllable disease, but it can not be completely eliminated.


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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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