$Unique_ID{BRK00743} $Pretitle{} $Title{Can Exercise Help the Aches and Pains of Fibromyalgia?} $Subject{fibromyalgia pains tender points Musculoskeletal System Connective Tissue tissues spine middle lower back neck shoulder arms legs muscle tension headaches frequent urination skin stress headache} $Volume{M-18} $Log{ Tension Headaches*0003904.scf} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Can Exercise Help the Aches and Pains of Fibromyalgia? ------------------------------------------------------------------------------ QUESTION: Though my doctor has diagnosed the cause of my aches and pains to be a condition he calls "fibromyalgia," he claims that there is no real treatment that can cure it. My girl friend, who follows a regular aerobic program, thinks that exercise may help me. Do you think that this is a good idea, and just how much activity is safe? ------------------------------------------------------------------------------ ANSWER: Not only is fibromyalgia difficult to treat, it is also a most difficult condition to diagnose. There are no laboratory tests to give the physician an exact reading or definitive diagnosis, although tests and x-rays to exclude other possible causes of diffuse and generalized muscular pain are used to rule out conditions such as arthritis, connective tissue and muscle diseases. A physical examination that reveals from 11 to 18 "tender points" is still the most important element in establishing the diagnosis. These points are usually discovered in the spine, middle and lower back, neck and shoulder, arms and legs. Other symptoms that may be associated with fibromyalgia are muscle tension headaches, frequent urination, skin sensitivity, and in some cases sleep disorders. Women are most frequently affected between the ages of 20 and 50, and most are not as physically fit as individuals who exercise regularly. Since the relatively fit are less likely to develop this condition, there is some indication that exercise may be beneficial in reducing the effects of the condition. The goal of any exercise program should be one of gradual conditioning, rather than preparation for a competitive sport. It should be gradual and regular, and not excessive, and may include activities such as low impact aerobics, swimming, stationary bicycling with or without upper body movements, and rowing. As your cardiovascular situation improves, your fibromyalgia aches and pains may be reduced. If you can also reduce the levels of stress in your life, which may activate painful episodes, you should be able to gain control over the situation. You can thank your girl friend for putting you on the right track. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.