Fibromyalgia is a syndrome characterized by chronic widespread pain at multiple tender points, joint stiffness and systemic symptoms (e.g., mood disorders, fatigue, cognitive dysfunction, and insomnia) The etiology of fibromyalgia is still unclear: if central sensitization is considered to be the main mechanism involved,there are many other factors as genetic, immunological, and hormonal. Among these stands out the Autonomic Nervous System dysregulation which may play an important role. In fact there is definitive evidence to support a role of autonomic dysfunction.

Central sensatization is considered as the main mechanism involved where there is an altered response of the CNS(central nervous system) during the management of the pain stimuli. It is called the “windup” the main phenomena involved, which reflects the increased excitability of spinal cord neurons. After a painful stimulus, subsequent stimuli of the same intensity are perceived as stronger; this occurs normally in everyone , but it is excessive in fibromyalgic patients.

Fibromyalgia needs a multidisciplinary approach, but within it,  physiotherapy can help through the stimulation of particular acupoints. In fact they can have an effect on the central sensitization and in balancing the autonomic nervous system, improving the symptomatology. Aside to this other form of manual therapy and therapeutic exercises can be added to give further help.

How many sessions do I need?

The protocol that we use follows the guidelines of the Roland Solère method treating manifestations such as those encountered in Fibromyalgia. 

The protocol provides 3-10 sessions. The session range is variable due the factors in play,such as patient’s age, duration of the condition, intensity and numbers of symptoms present.

Do you have a needle phobia?

The stimulation of the points can be done with other methods such as: cupping, manual pressure or magnetic acupressure patches.

For the assessment of the  symptoms we use use a questionnaire based mainly on the  COMPASS 31, in order to evaluate the progress along the treatment.

If you are still unsure, fill the form and ask for free advice.

References:

Martin DP. Et al.(2006), Improvement in fibromyalgia symptoms with acupuncture: results of a randomized controlled trial.

https://www.ncbi.nlm.nih.gov/pubmed/16770975

DOI: https://doi.org/10.4065/81.6.749

A Report of the Autonomic Symptom Profile in Patients with Fibromyalgia

Ann Vincent et al., (2014)

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3933822/

doi: 10.1097/RHU.0b013e3182a225dd

Singh BB. Et al., (2006), Effectiveness of acupuncture in the treatment of fibromyalgia.

https://www.ncbi.nlm.nih.gov/pubmed/16541995

Itoh K., Kitakoji H., (2010), Effects of acupuncture to treat fibromyalgia: A preliminary randomised controlled trial

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2852376/

doi: 10.1186/1749-8546-5-11