Musculoskeletal injury as a trigger for fibromyalgia/posttraumatic fibromyalgia.

D. Buskila, L. Neumann

Research output: Contribution to journalReview articlepeer-review

41 Scopus citations

Abstract

The issue of musculoskeletal injury as a trigger for fibromyalgia (FM) is controversial. The present review critically evaluates the evidence that trauma can initiate FM, specifically addressing the scope of the problem, the issue of causality, possible pathophysiologic mechanisms, and medicolegal aspects. One major problem is the fact that most of the data come from anecdotal reports and small case series and not from controlled prospective studies. Overall data from the current literature are insufficient to indicate whether causal relationships exist between trauma and FM. However, recent reports suggest that soft tissue trauma to the neck can result in an increased incidence of FM compared with other injuries. Future studies should prospectively document the chronology of symptoms from the onset of trauma and repeatedly evaluate the patients for disability, quality of life, change in occupation, and litigation status.

Original languageEnglish
Pages (from-to)104-108
Number of pages5
JournalCurrent Rheumatology Reports
Volume2
Issue number2
DOIs
StatePublished - 1 Jan 2000

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