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Fzt. Aydın AliFizyoterapi & Rehabilitasyon

Fibromyalgia and Chronic Pain Management

Fibromyalgia involves ongoing pain across wide areas of the body, fatigue, disturbed sleep and problems with concentration. The intensity of the pain is not proportional to tissue damage; what has changed is the way the nervous system processes pain. That is why passive treatments alone fall short. Fzt. Aydın Ali follows what current guidelines place first: graded exercise, pain education and daily routine handled together.

Graded exercise on a mat with a physiotherapist guiding the movement

When is it needed?

  • Pain across wide areas of the body lasting months
  • Morning stiffness and unrefreshing sleep
  • Marked fatigue after even light effort
  • Difficulty concentrating ("fibro fog")
  • Tenderness at specific points
  • Pain that fluctuates with weather, stress and tiredness

What we do

  • Detailed history, pain mapping and functional capacity assessment
  • Pain neuroscience education — understanding how pain works
  • An aerobic programme starting at a very low dose and rising gradually
  • Light strengthening adjusted to tolerance
  • Sleep routine and activity pacing strategies
  • Relaxation and breathing techniques
  • Collaboration with your doctor where needed

Why graded exercise?

The most common mistake in fibromyalgia is doing a great deal on good days and nothing on bad ones. That boom-and-bust pattern feeds the pain. The core principle is to move by a pre-set, measured dose rather than by how you feel that day.

The starting dose is deliberately low. The aim is not to push hard quickly but to raise safely, over weeks, the load your body can carry. This is where the strongest evidence lies in international guidelines.

Understanding pain is part of the treatment

Learning that pain does not always mean tissue damage makes a measurable difference. Knowing that movement is not harmful reduces avoidance and makes returning to daily life easier.

Goals are set together and kept realistic: first regaining one function in daily life, then widening capacity.

Frequently asked questions

Does fibromyalgia go away?

Fibromyalgia is an ongoing condition, but pain intensity, fatigue and daily capacity can improve markedly with the right programme. The goal is for symptoms to stop dictating your life.

Won't exercise increase my pain?

Not when the dose is right. The programme deliberately starts at low intensity and progresses in measured weekly steps, with your response reviewed each session.

Does it replace medication?

No. Physiotherapy complements the treatment your doctor is running. Decisions about medication belong to your doctor.

Other treatments

  • Herniated Disc

    An exercise-based, one-to-one physiotherapy programme for back pain and pain radiating into the leg.

  • Neck Herniation

    A programme focused on posture and the deep neck muscles for pain spreading into the neck, shoulder and arm.

  • Scoliosis

    Curve-specific exercise and regular monitoring for spinal curvature and postural problems.

Fibromyalgia için randevu alın

The appointment form does not ask for health information; details are discussed by phone.

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