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Fibromyalgia Improves
Over Time;
Exercise Helps

NEW YORK (Reuters Health) - Patients with fibromyalgia find that exercise is more effective in easing their symptoms than medication or alternative treatments, according to a new report.

Researchers led by Dr. Reino Poyhia of Helsinki University Central Hospital in Finland also found that fibromyalgia patients' symptoms tended to get better with time.

Fibromyalgia is a chronic condition, often accompanied by depression and fatigue, in which a person feels pain in the muscles and tissues surrounding the joints. Nine in 10 fibromyalgia patients are female. While the cause of fibromyalgia is unknown, researchers have found pain-processing abnormalities in the spines and brain stems of those with fibromyalgia.

Poyhia and colleagues evaluated 59 women with fibromyalgia annually for 3 years, beginning in 1995. On average, the patients' symptoms had lasted for 11.2 years.

Overall, average pain according to a visual scale and count of the body's tender points declined significantly from the beginning of the study, the investigators report in Arthritis Care & Research for August. The biggest changes were observed at the 1-year evaluation.

At the different timepoints, 27% to 36% of patients reported a 30% or better improvement in pain. Only 17% of patients experienced a worsening of their symptoms that remained throughout the study.

Over time, patients tended to reduce their use of medications, which included acetaminophen, nonsteroidal anti-inflammatory agents, antidepressants and tranquilizers. Alternative treatments were used increasingly at the second and third years. Physical exercise was identified most often as the treatment perceived to be most helpful.

The investigators conclude that the overall decline in pain scores suggests that ``the course of this condition may be more favorable than has previously been reported.''

SOURCE: Arthritis Care & Research 2001;45:355-361.

Reference Source 89

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