Progressive

 

Musculoskeletal pain and fatigue experienced by Fibromyalgia syndrome patients is a chronic problem which tends to have a waxing and waning intensity.  There is currently no generally accepted cure for this condition.  According to recent research, most patients can expect to have this problem lifelong.

 

      However, worthwhile improvement may be obtained with appropriate treatment.  There is often concern on the part of patients, and sometimes physicians, that FMS is the early phase of some more severe disease, such as multiple sclerosis, systemic lupus erythematosus, etc.  Long term follow up of Fibromyalgia patients has shown that it is very unusual for them to develop another rheumatic disease or neurological condition.  However, it is quite common for patients with "well established" rheumatic diseases, such as rheumatoid arthritis, systemic lupus and Sjogren's syndrome to also have Fibromyalgia.  It is important for their doctor to realize they have such a combination of problems, as specific therapy for rheumatoid arthritis and lupus, etc., does not have any effect on FMS symptoms.

 

      Patients with Fibromyalgia syndrome do not become crippled with the condition, nor is there any evidence it effects the duration of their expected life span.

 

      Nevertheless, due to varying levels of pain and fatigue, there is an inevitable contraction of social, vocational and avocational activities which leads to a reduced quality of life.  As with many chronic diseases, the extent to which patients succumb to the various effects of pain and fatigue are dependent upon numerous factors, in particular their psycho-social support, financial status, childhood experiences, sense of humor and determination to push on.

 

 

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