What is the prognosis of nonarticular rheumatism/regional pain syndromes?

Updated: Apr 04, 2018
  • Author: T P Sudha Rao, MD; Chief Editor: Herbert S Diamond, MD  more...
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Answer

Prognosis in fibromyalgia and multiple bursitis-tendonitis syndrome is as follows:

  • In one study, 65% of patients improved with therapy. A similar percentage reported feeling poor or fair 3 years after diagnosis.

  • About 10-30% of patients are disabled because of fibromyalgia. Most patients function well but continue to report chronic pain.

  • Better response to treatment is observed in patients of younger age with continued employment, supportive families, an absence of affective disorders, and without involvement in litigation. [59]

  • One study showed that the level of disease activity did not change significantly over an average of 6.4 years that patients were studied. These findings suggest that current conventional medical treatment is unsatisfactory and does not alter the prognosis in fibromyalgia.

  • Complete remissions are uncommon.

Prognosis in regional and local bursitis, tendonitis, neurovascular entrapment, and structural syndromes is as follows:

  • Most patients do well with therapy.

  • Exacerbations are common but respond well to treatment.


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