Chronic widespread pain and fibromyalgia: Should reports of increased mortality influence management?
ABSTRACT There have been few studies examining whether persons with chronic widespread pain or fibromyalgia are at increased risk for dying prematurely. Among the studies conducted there is little consistency in results. If there is an increased mortality risk, it is of the order of a 30% excess and it may be related to the lifestyle of patients with these symptoms, including lack of exercise. Skilled judgment is required in determining whether reports of new symptoms are likely to indicate underlying new pathology. Studies are currently underway which will determine whether initial observations of an increased mortality risk can be replicated.
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- "Diminished aerobic fitness in FM has been documented for almost three decades, and recent studies report that the average 40-year-old with FM has fitness findings expected for a healthy 70 to 80-year-old, and FM has now also been associated with increased mortality.2,3,11–14 Tailoring exercise to patients with FM requires an understanding of the relevant pathophysiology. "
ABSTRACT: Complementary and alternative medicine includes a number of exercise modalities, such as tai chi, qigong, yoga, and a variety of lesser-known movement therapies. A meta-analysis of the current literature was conducted estimating the effect size of the different modalities, study quality and bias, and adverse events. The level of research has been moderately weak to date, but most studies report a medium-to-high effect size in pain reduction. Given the lack of adverse events, there is little risk in recommending these modalities as a critical component in a multimodal treatment plan, which is often required for fibromyalgia management.Journal of Pain Research 03/2013; 6:247-60. DOI:10.2147/JPR.S32297