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Targeted care is essential for pain management and quality of life, as fibromyalgia patients continue to experience significant symptoms even in remission.
A new study questions the notion that fibromyalgia can ever be truly symptom-free—even when typed as mild or in remission. Despite being in a stable stage, patients with remission or mild fibromyalgia (RFM) still suffer from worse pain, fatigue, sleep disturbances, and depression compared to those with remission or low disease activity in rheumatoid arthritis (RRA).
The study at a glance
Yidan Wang et al. conducted a cross-sectional study including 266 RFM patients, 252 RRA patients, and 50 healthy controls. They assessed pain, fatigue, sleep, and mental health using validated tools like the Beck Depression Inventory (BDI), Multidimensional Fatigue Inventory (MFI-20), Numeric Rating Scale (NRS), Pain Visual Analogue Scale (VAS), Pittsburgh Sleep Quality Index (PSQI), Revised Fibromyalgia Impact Questionnaire (FIQR), Short Form-36 Health Status Questionnaire (SF-36), and Widespread Pain Index (WPI).
Critical discoveries
Even when fibromyalgia appears "controlled," patients still experience disabling symptoms that require ongoing attention. Unlike rheumatoid arthritis, where remission often brings symptom relief, fibromyalgia patients continue to struggle with pain, fatigue, and emotional distress, reinforcing the need for tailored, long-term management strategies, as concluded.
BMC Musculoskeletal Disorders
Quality of life, pain, depression, fatigue and sleep in patients with remission or mild fibromyalgia: a comparison with remission or low disease activity rheumatoid arthritis and healthy controls
Yidan Wang et al.
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