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Post-traumatic fibromyalgia (FM). A long-term follow-up

  [ 77 votes ]   [ Discuss This Article ]
www.ProHealth.com • November 3, 1994


This report describes a follow-up study of 176 individuals seen
between 1980 and 1990, in whom a diagnosis of post-traumatic
fibromyalgia was made. Sixty-seven people completed a lengthy
questionnaire and underwent a confirmatory physical
examination using the American College of Rheumatology
Criteria to confirm or deny the presence of fibromyalgia at
the time of follow-up. A total of 60.7% noted the onset of
symptoms after a motor vehicle accident, 12.5% after a work
injury, 7.1% after surgery, 5.4% after a sports-related injury
and 14.3% after other various traumatic events. Fifty-six of
67 individuals had 11 or more tenderpoints (average, 13.5), 3
had 10 tenderpoints, and 7 had fewer than 10 or no
tenderpoints [and thus did not have definite fibromyalgia-
MCM]. Study subjects were asked to compare the use of the
following for the first 2 yr after onset as well as the year
preceding the current evaluation: biofeedback, medications,
physical therapy, manipulation, massage therapy and
tenderpoint injections. In addition, we asked detailed
questions regarding symptoms commonly seen in association with
fibromyalgia (fatigue, sleep disturbance, etc.).
Symptoms of traumatically induced fibromyalgia are quite
similar to spontaneous fibromyalgia. There was a dramatic
reduction in the use of all forms of physical treatments.
Fifty-four percent continued to use over-the-counter pain
medications, and 39% were on antidepressants. Eighty-five
percent of the patients continued to have significant symptoms
and clinical evidence of fibromyalgia.

Waylonis GW, Perkins RH




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