Fibromyalgia natural history, complications and prognosis: Difference between revisions

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Latest revision as of 18:49, 14 August 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

Overview

Fibromyalgia is a long-term disorder. If left untreated, chronic pain can cause permanent changes in how the body perceives pain. Complications that can develop as a result of fibromyalgia are marked functional impairment, depression, anxiety, insomnia, obesity, and allodynia. Factors associated with poor outcomes are female gender, low socioeconomic status, and being unemployed. Even with appropriate treatment, though symptoms of fibromyalgia sometimes improve, the pain may get worse and continue for months or years.^[1]

Natural History

If left untreated, chronic pain could cause permanent changes in how the body perceives pain.

Complications

Complications that can develop as a result of fibromyalgia are

Marked functional impairment
Depression
Anxiety
Insomnia
Obesity
Allodynia

Prognosis

Fibromyalgia is a long-term disorder. Various factors play a key role in the outcomes. Several factors are associated with poor outcomes, including:
- Female gender
- Low socioeconomic status
- Being unemployed

Even with appropriate treatment, symptoms of fibromyalgia do not always improve. The pain may get worse and continue for months or years, though death by fibromyalgia is rare.

References

↑ Häuser W, Burgmer M, Köllner V, Schaefert R, Eich W, Hausteiner-Wiehle C, Henningsen P (2013). "[Fibromyalgia syndrome as a psychosomatic disorder - diagnosis and therapy according to current evidence-based guidelines]". Z Psychosom Med Psychother (in German). 59 (2): 132–52. doi:10.13109/zptm.2013.59.2.132. PMID 23775553.

Template:WH Template:WS

[pmid23775553-1] Häuser W, Burgmer M, Köllner V, Schaefert R, Eich W, Hausteiner-Wiehle C, Henningsen P (2013). "[Fibromyalgia syndrome as a psychosomatic disorder - diagnosis and therapy according to current evidence-based guidelines]". Z Psychosom Med Psychother (in German). 59 (2): 132–52. doi:10.13109/zptm.2013.59.2.132. PMID 23775553.

[1]

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Fibromyalgia}}
-{{CMG}}
+{{CMG}} ; {{AE}} {{ADG}}
 ==Overview==
+Fibromyalgia is a long-term disorder. If left untreated, [[chronic pain]] can cause permanent changes in how the body perceives [[pain]]. Complications that can develop as a result of fibromyalgia are marked functional impairment, [[depression]], [[anxiety]], [[insomnia]], [[obesity]], and [[allodynia]]. Factors associated with poor outcomes are female gender, low socioeconomic status, and being unemployed. Even with appropriate treatment, though symptoms of fibromyalgia sometimes improve, the [[pain]] may get worse and continue for months or years.<ref name="pmid23775553">{{cite journal |vauthors=Häuser W, Burgmer M, Köllner V, Schaefert R, Eich W, Hausteiner-Wiehle C, Henningsen P |title=[Fibromyalgia syndrome as a psychosomatic disorder - diagnosis and therapy according to current evidence-based guidelines] |language=German |journal=Z Psychosom Med Psychother |volume=59 |issue=2 |pages=132–52 |year=2013 |pmid=23775553 |doi=10.13109/zptm.2013.59.2.132 |url=}}</ref>
 ==Natural History==
-If left untreated, chronic pain could cause permanent changes in how the body perceives pain.
+If left untreated, [[chronic pain]] could cause permanent changes in how the body perceives pain.
 ==Complications==
-Complications that can develop as a result of Fibromyalgia are
+Complications that can develop as a result of fibromyalgia are
 *Marked functional impairment
-*Depression
+*[[Depression]]
-*Anxiety
+*[[Anxiety]]
-*Insomnia
+*[[Insomnia]]
-*Obesity
+*[[Obesity]]
-*Allodynia
+*[[Allodynia]]
 ==Prognosis==
-Fibromyalgia is a long-term disorder. Sometimes, the symptoms improve. Other times, the pain may get worse and continue for months or years.
+* Fibromyalgia is a long-term disorder. Various factors play a key role in the outcomes. Several factors are associated with poor outcomes, including:
-===Living with fibromyalgia===
+**Female gender
-Fibromyalgia can affect every aspect of a person's life. While neither degenerative nor fatal, the chronic pain associated with fibromyalgia is pervasive and persistent. FMS can severely curtail social activity and recreation, and as many as 30% of those diagnosed with fibromyalgia are unable to maintain full-time employment. Like others with disabilities, individuals with FMS often need accommodations to fully participate in their education or remain active in their careers.
+**Low socioeconomic status
+**Being unemployed
-In the United States, those who are unable to maintain a full-time job due to the condition may apply for Social Security Disability benefits. Although fibromyalgia has been recognized as a genuine, severe medical condition by the government, applicants are often denied benefits, since there are no formal diagnostic criteria or medically provable symptoms. Because of this, if an applicant does have a medically verifiable condition that would justify disability benefits in addition to fibromyalgia, it is recommended that they not list fibromyalgia in their claim. However, most are awarded benefits at the judicial level; the entire process often takes two to four years.
-In the United Kingdom, the [[Department for Work and Pensions]] recognizes fibromyalgia as a condition for the purpose of claiming benefits and assistance.
-Fibromyalgia is often referred to as an "invisible" illness or disability due to the fact that generally there are no outward indications of the illness or its resulting disabilities. The invisible nature of the illness, as well as its relative rarity and the lack of understanding about its pathology, often <!--subject is singular-->has psychosocial complications for those that have the disorder. Individuals suffering from invisible illnesses in general often face disbelief or accusations of malingering or laziness from others that<!--not "who," for a distinction between the two groups of people is being made--> are unfamiliar with the disorder.
-There are a variety of support groups on the Web that cater to fibromyalgia sufferers.
+* Even with appropriate treatment, symptoms of fibromyalgia do not always improve. The [[pain]] may get worse and continue for months or years, though death by fibromyalgia is rare.
 ==References==