A prospective trial (follow people before injury to after injury – a very good trial approach) found Widespread Pains developed only after Road traffic accidents – not after any other injury. This highlights howPost Traumatic Fibromyalgia coould be a neck disease – though they speculated multiple trauma could be a player.
Arthritis Care Res (Hoboken). 2011 Mar 21. doi: 10.1002/acr.20417. [Epub ahead of
Road traffic accidents, but not other physically traumatic events, predict the onset of chronic widespread pain: Results from the EpiFunD study.
Jones GT, Nicholl BI, McBeth J, Davies KA, Morriss RK, Dickens C, Macfarlane GJ. abstract here
In 1997, Buskila et al. found fibromyalgia occurred 13 times more often after a whiplash neck injury than after a hip fracture. This relation between FM and trauma was largely ignored.
Buskila D, Neumann L, Vaisberg G, Alkalay D, Wolfe F. Increased rates of fibromyalgia following
cervical spine injury. A controlled study of 161 cases of traumatic injury. Arthritis Rheum 1997;
40:446-452. abstract here
There was also a significant increase in fibromyalgia after train crashes:
Clin Exp Rheumatol. 2009 Sep-Oct;27(5 Suppl 56):S79-85.
A painful train of events: increased prevalence of fibromyalgia in survivors of a major train crash.
Buskila D, Ablin JN, Ben-Zion I, Muntanu D, Shalev A, Sarzi-Puttini P, Cohen H. abstract here
Comment – The view that Fibromyulagia could be post-traumatic is a view not wanted by insurers. It now appears it can occur. The association with either multiple trauma (train wrecks) or neck injuries (MVA’s) is particularly interesting. Damage to the neck most likely creates a subtle disc, and nerve damage that is not visible on MRI and hence has made it easy for insurers to say it is just some sort of systemic illness unrelated to injury. Now that is going to be more difficult to say. Any views?