Abstract

Fibromyalgia, a chronic disease, affects skeletal muscles and soft tissues, causing disabling pain. The most used physiotherapeutic treatments are the resources of therapeutic ultrasound and therapeutic LASER, responsible for the anti-inflammatory and analgesic action. Currently, the synergistic action of these resources has emerged as an alternative for treatment with application on the palms. The conceptual basis of treatment occurs through the stimulation of neuroreceptors close to the blood vessels located in the palms of the hands, an area that is extremely rich in nerve endings. The aim of this study was to evaluate variations in technological parameters, forms of application in the hypotenar and tenar areas of the palms and the influence on the variability in the number of weekly sessions. The evaluation was based on the Fibromyalgia Impact Questionnaire and Visual Analgue Scale, allowing evaluating the application on Trigger Points versus Palms, different ultrasound frequencies, different LASER wavelengths, and different application regions on the palms of the hands, number of weekly sessions and percentage of improvement through the proposed treatment. The results show that the treatment used on the palms is more effective, confirming 1 MHZ of ultrasound intensity, 660 nm of wavelength, Hypotenar plus Tenar regions of the palms and 3 times a week as a protocol. It points out that 70% of the patients obtained 50% improvement in the pain of fibromyalgia, laying the foundations for a new methodology, the Photosonic treatment, reducing pain and increasing the quality of life of patients affected by fibromyalgia.

Keywords: Fibromyalgia; Ultralaser; Palms of the hands; Quality of life; Decreased pain