Abstract
Objective: To identify symptom keywords the public most strongly associates with fibromyalgia and myofascial pain syndrome (MPS) in Türkiye, and translate these patterns into practical, symptom-first prompts for clinicians.
Materials and
Methods: Monthly Google Trends CSVs (Türkiye, Health category) for July 2015–July 2025 were analyzed in two panels: (1) Fibromyalgia with numbness/tingling, fatigue, insomnia, and depression; (2) MPS with muscle pain, trigger point, joint pain, and kyphosis. Within-CSV terms were compared on levels; between panels, we used correlation/shape. We computed Pearson and Spearman correlations over the full horizon, ±6-month cross-correlations, and 12-month rolling correlations.
Results: In the fibromyalgia panel, numbness/tingling showed the strongest positive, synchronous association (Pearson r=0.78; Spearman=0.79; best lag=0 months). Fatigue provided a leading signal (best lag: −6 months; r≈0.33) despite modest same-month correlation (r≈0.13). Insomnia and depression had negligible synchronous associations (r≈0 to −0.05). In the MPS panel, muscle pain had the highest average level but showed moderate negative long-horizon correlation with the disease label (r≈−0.48), similar to trigger point/kulunç (r≈−0.46) and joint pain (r≈−0.45); kyphosis was weakly positive (r≈+0.17). Cross-disease shape correlation (fibromyalgia vs. MPS) was moderately negative (r≈−0.31).
Conclusion: A symptom-first communication strategy is suggested: for fibromyalgia, lead with paresthesia (numbness/tingling) and probe fatigue with a 6-month time-course; for MPS, open with muscle pain and trigger-point language before disease labels.