OBJECTIVES: To describe Russian rheumatologists’ disease managment of fibromyalgic patients. In fact, the Fibromyalgia Syndrom (FMS) is a disorder characterized by widespread pain and fatigue, and causes significant morbidity to patients and their relatives METHODS: The questionnaire was sent to a random sample of Russian practitioners, who were answering the same questionnaire as that used by French practitioners in 2003.  RESULTS: Seventy-seven percent of the practitioners claimed that they prescribed a medical treatment to their patients suffering from fibromyalgia. Forty percent prescribed antalgics, 40% prescribed tricyclic antidepressants, 29% serotoninergic antidepressants, 30% hypnotics/sedatives, 8 % homeopathic treatments and a little over 1% morphine derivatives. Sixty-seven percent claimed that they prescribed extra treatments for their patients suffering from fibromyalgia: 23% prescribed antalgics, 20% prescribed tricyclic antidepressants, 17% serotoninergic antidepressants, 24% hypnotics/sedatives, 9% homeopathic treatments and less than 1% morphine derivatives. A total of 82.6 % recommended or prescribed other treatments to their fibromyalgic patients, namely:  36% acupuncture, 56% physiotherapy, 14% hypnotherapy, 36% spa treatment, 3% osteopathy and 38% relaxation techniques. 91.8% of the doctors advised regular physical exercise such as swimming and walking (71.9% and 65.6% respectively), with cycling being the activity least often advised, by 12.9% of the doctors. CONCLUSIONS: Treatment for fibromyalgia must be multidisciplinary and multifactorial, its main objective being relieving the patient of their symptoms and allowing them to return to their professional and leisure activities – to which treatment of the condition by Russian practitioners is a testimony.