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Related Experiment Videos

Post-traumatic fibromyalgia. A long-term follow-up

G W Waylonis1, R H Perkins

  • 1Department of PM&R, Riverside Methodist Hospitals, College of Medicine, Ohio State University, Columbus 43214.

American Journal of Physical Medicine & Rehabilitation
|November 1, 1994
PubMed
Summary

Post-traumatic fibromyalgia, often triggered by accidents, shares symptoms with spontaneous fibromyalgia. Most patients experience persistent symptoms and clinical evidence years later, with reduced use of physical therapies.

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Area of Science:

  • Rheumatology
  • Pain Medicine
  • Trauma Research

Background:

  • Post-traumatic fibromyalgia (PTF) is a chronic pain condition.
  • Understanding the long-term prognosis and symptom presentation of PTF is crucial for patient management.

Purpose of the Study:

  • To evaluate the long-term outcomes of individuals diagnosed with post-traumatic fibromyalgia.
  • To compare symptom presentation and treatment utilization in PTF over time.

Main Methods:

  • Follow-up study of 176 individuals diagnosed with PTF between 1980-1990.
  • 67 participants completed questionnaires and underwent physical examinations using American College of Rheumatology criteria.
  • Assessed symptom onset, tender point counts, and utilization of various treatments (biofeedback, medications, physical therapy, etc.).

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Main Results:

  • Most common onset: motor vehicle accidents (60.7%).
  • 85% of patients continued to have significant symptoms and clinical evidence of fibromyalgia at follow-up.
  • Dramatic reduction in physical treatment use, with 54% using OTC pain meds and 39% on antidepressants.

Conclusions:

  • Symptoms of PTF are similar to spontaneous fibromyalgia.
  • Long-term prognosis for PTF is often characterized by persistent symptoms and functional impairment.
  • Treatment strategies may need to adapt to long-term management of chronic pain in PTF patients.