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Related Experiment Videos

Reactive fibromyalgia syndrome.

S Greenfield1, M A Fitzcharles, J M Esdaile

  • 1Rheumatic Disease Unit, McGill University, Montreal, Quebec, Canada.

Arthritis and Rheumatism
|June 1, 1992
PubMed
Summary

Fibromyalgia syndrome can develop after trauma, surgery, or illness. This reactive fibromyalgia leads to greater disability, including job loss and reduced activity, compared to primary fibromyalgia.

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Area of Science:

  • Rheumatology
  • Pain Medicine
  • Epidemiology

Background:

  • Fibromyalgia syndrome (FMS) is a chronic pain condition.
  • Identifying triggers for FMS is crucial for understanding its pathogenesis.
  • The impact of precipitating events on FMS outcomes requires further investigation.

Purpose of the Study:

  • To determine the frequency of precipitating events before fibromyalgia onset.
  • To compare the outcomes of patients with reactive fibromyalgia versus primary fibromyalgia.

Main Methods:

  • A consecutive series of patients diagnosed with fibromyalgia were reviewed over a 4-year period.
  • Patients were categorized as having reactive fibromyalgia if a specific precipitating event was identified.
  • Outcomes, including employment status and disability compensation, were compared between groups.

Main Results:

  • 23% of fibromyalgia patients (29 of 127) reported a precipitating event (trauma, surgery, illness), classifying them with reactive fibromyalgia.
  • Patients with reactive fibromyalgia experienced greater disability: 70% lost employment, 34% received disability compensation, and 45% had reduced physical activity.
  • These findings highlight the significant functional impairment associated with reactive fibromyalgia.

Conclusions:

  • The onset of fibromyalgia following a precipitating event can initiate a long-term, disabling pain syndrome.
  • Reactive fibromyalgia has substantial socioeconomic implications due to increased disability.
  • Recognizing precipitating factors is important for managing fibromyalgia and its consequences.

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