Fibromyalgia Syndrome (FMS): The Role of Neural Therapy in Reducing Pain and Improving Quality of…
Hüseyin NAZLIKUL & Fatma Gülçin URAL NAZLIKUL
- President, IFMANT (International Federation of Medical Associations for Neural Therapy), Schaffhausen, Switzerland
- Nazlıkul Naturel, Healthy Living Spaces Development Foundation, Istanbul, Türkiye
- President, BNR Scientific Neural Therapy-Regulation Medicine Association, Istanbul, Türkiye
- Naturel Health Clinic, Istanbul, Türkiye
- President, Manual Medicine and Pain Treatment Association (MTAR), Istanbul, Türkiye
- Department of Physical Medicine and Rehabilitation, Istanbul Health and Technology University, Istanbul, Türkiye
- President, Scientific Complementary Medicine and Regulation Association (BTR), Istanbul, Türkiye
Abstract
Fibromyalgia syndrome (FMS) is a complex and chronic pain condition characterized by widespread musculoskeletal pain, fatigue, sleep disorders, and cognitive problems. Seen at a rate of 2-3% worldwide, this syndrome more frequently affects women between the ages of 30-60. The pathophysiology of fibromyalgia is multifaceted and includes increased central sensitization, impairment of pain inhibition mechanisms, chronic inflammation, and dysregulation of the neuroendocrine system.
Pathophysiological Mechanisms:
- Central sensitization: Increased sensitivity of pain processing in the central nervous system.
- Neuroendocrine dysfunction: Dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis, and changes in cortisol and serotonin levels.
- Lymphatic dysfunction: Edema, inflammation, and toxin accumulation.
- Silent inflammation: Chronic inflammatory processes associated with increased activity of cytokines such as TNF-α and IL-6.
Neural Therapy as a Treatment Approach
Neural therapy aims to restore the balance between the sympathetic and parasympathetic nervous systems by resolving autonomic nervous system dysregulation. The main techniques used within this therapy are as follows:
- Local injections: Procaine or lidocaine injections to regulate the autonomic nervous system.
- Segmental therapy: Regulation of the autonomic nervous system through treatment of specific reflex zones.
- Interference field treatment: Identification and treatment of chronic irritative areas.
In addition, supportive approaches such as lymphatic drainage, anti-inflammatory nutrition, and micronutrient support can increase treatment effectiveness. The combination of neural therapy and regulation medicine offers promising results in reducing pain, improving sleep quality, and improving overall quality of life.
Keywords: Central Sensitization, Neuroendocrine Dysfunction, Silent Inflammation, Autonomic Dysregulation