Protective factors

An Australian prospective study with FMS patients from community rheumatologic practices found that regular physical exercise, rather than medication or specific physical therapies, correlated highly with low FMS activity scores. Analysis of mood and coping strategies at the 2-year review showed low correlations with current FMS activity [49]. Norwegian FMS patients were followed for 4.5 years. An adequate physical activity level and increasing age predicted a positive outcome [48]. Another Norwegian study reassessed women with FMS who had participated in exercise and patient education programs after 6 and 8 years. Adjusting to the new situation and distraction from symptoms, as well as frequent participation in physical activities, were associated with a benign long-term outcome [50].

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Natural Pain Management

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