Objective. To study the relationship between cervical spine injury and the development of fibromyalgia syndrome (FMS).Methods. One hundred two patients with neck injury and 59 patients with leg fractures (control group) were assessed for nonarticular tenderness and the presence of FMS. A count of 18 tender points was conducted by thumb palpation, and tenderness thresholds were assessed by dolorimetry at 9 tender sites. All patients were interviewed about the presence and severity of neck and FMS-related symptoms. F M S was diagnosed using the American College of Rheumatology 1990 criteria. Additional questions assessed measures of physical functioning and quality of life (QOL).Results. Although no patient had a chronic pain syndrome prior to the trauma, F M S was diagnosed following injury in 21.6% of those with neck injury versus 1.7% of the control patients with lower extremity fractures (P = 0.001). Almost all symptoms were more common and severe in the group with neck injury. F M S was noted at a mean of 3.2 months (SD 1.1) after the trauma. Neck injury patients with F M S (n = 22) had more tenderness, had more severe and prevalent FMS- Conclusion. F M S was 13 times more frequent following neck injury than following lower extremity injury. All patients continued to be employed, and insurance claims were not increased in patients with FMS.

No abstract