Fibromyalgia natural history, complications and prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Fibromyalgia is a long-term disorder. If left untreated, chronic pain could 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, allodynia. Factors associated with poor outcomes are female gender, low socioeconomic status, being unemployed. Even with appropriate treatment, symptoms of fibromyalgia improve other times, 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
Factors associated with poor outcomes

Female gender
Low socioeconomic status
Being unemployed

Even with appropriate treatment, symptoms of fibromyalgia improve other times, the pain may get worse and continue for months or years.

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.

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[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]