The association between fibromyalgia and carpal tunnel syndrome in the general population.

Cimmino, Marco A.; Parisi, Maria Cândida Ribeiro; Moggiana, G; Accardo, S

doi:10.1136/ard.55.10.780-a

Cited by 12 publications

(5 citation statements)

References 4 publications

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“…Tarsal tunnel syndrome of the foot is analogous to CTS of the wrist. Although some studies have reported high frequencies of CTS in FM patients,[ 9 - 11 ] no previous report has addressed the frequency of TTS in FM patients. In our study, TTS was detected electrophysiologically in 14 (9.2%) extremities of 79 FM patients and two extremities of 60 control subjects.…”

Section: Discussionmentioning

confidence: 99%

Tarsal Tunnel Syndrome in Patients With Fibromyalgia

Yoon

Hong

et al. 2021

Arch Rheumatol

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Objectives This study aims to evaluate the frequency of tarsal tunnel syndrome (TTS) in fibromyalgia (FM) patients. Patients and methods In this prospective study, we investigated paresthesia of the foot, sensory and motor deficits, atrophy of the abductor hallucis muscle, and the presence of Tinel’s sign in 76 female FM patients (mean age 39.3±7.4 years; range, 24 to 52 years) and 60 sex-matched healthy control subjects (mean age 38.6±8.2 years; range, 28 to 49 years) without FM between July 2016 and June 2018. Bilateral electrophysiological studies of the tibial, peroneal, sural, and medial as well as lateral plantar nerves were performed. Results Paresthesia was observed in 22 FM patient extremities and four control subject extremities (p=0.002). Local tenderness at the tarsal tunnel was observed in 12 FM patient extremities and two control subject extremities (p=0.021). TTS was detected electrophysiologically in 14 FM patient extremities and two control subject extremities (p=0.009). Conclusion Paresthesia of the foot and local tenderness at the tarsal tunnel were significantly more prevalent in FM patients than in healthy control subjects. TTS is statistically more frequent in patients with FM than the normal population. The potential comorbidities of TTS and paresthesia of the foot should be carefully examined in FM patients.

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Section: Discussionmentioning

confidence: 99%

Tarsal Tunnel Syndrome in Patients With Fibromyalgia

Yoon

Hong

et al. 2021

Arch Rheumatol

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“…This means that sensory symptoms reported by fibromyalgia subjects were, at least in part, related to a specific peripheral pain generator. In reality, many papers report that the prevalence of CTS in fibromyalgia is higher than in the general population (10)(11)(12)(13)(14)…”

Section: Original Papermentioning

confidence: 99%

Spasmophilia and entrapment nerve syndrome comorbidities in fibromyalgic patients: a possible neuromuscular pain generator

Ginanneschi

Filippou²,

Adinolfi³

et al. 2018

Reumatismo

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This paper is aimed at investigating whether peripheral dysfunction at the neuromuscular level may represent a pain generator in fibromyalgia. We studied the prevalence of spasmophilia (SP), carpal tunnel syndrome (CTS) and ulnar neuropathy at the elbow (UNE) in a group of 40 subjects suffering from fibromyalgia. Clinical and electrophysiological data were obtained to ascertain whether comorbid conditions were present. For subjective evaluation of symptoms severity, validated questionnaires for CTS and UNE were completed by patients. Twenty subjects were positive for SP (50%); CTS was diagnosed in 12 subjects (30%); no patient suffered from UNE; 6 subjects were affected at the same time by SP and CTS (15%); 14 subjects (35%) were affected by SP alone. The prevalence of CTS and SP was higher in fibromyalgia subjects than in the general population. The scores of the questionnaires related to CTS were significantly higher in fibromyalgia subjects positive for CTS, with respect to the other subjects. In fibromyalgia, CTS and SP may be considered clinical entities in themselves, the importance of which lies in their acting as peripheral pain generators that enhance or initiate central sensitization, thereby contributing to chronic widespread pain. The amplification of pain is indeed a correctable/misguided message that occurs inside the brain of fibromyalgia subjects and identification and local treatment of pain generators would lessen the total pain burden. The magnitude of the overlap in symptoms between fibromyalgia and CTS/SP necessitates careful investigation of these conditions.

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“…Coloro che hanno risposto in maniera positiva ad una serie di domande sono poi stati invitati ad una visita clinica in ambulatorio. Questa metodica ha permesso di valutare la prevalenza del dolore e della tumefazione delle articolazioni periferiche (4), la prevalenza dell'artrite reumatoide ( 5), e le patologie evidenziate nella fase della visita clinica (6,7). È stato utilizzato un questionario precedentemente sviluppato dall'Epidemiology Unit dell'Arthritis Research Council di Manchester, UK, per valutare la prevalenza dell'artrite reumatoide (8).…”

Section: Metodiunclassified

“…Analogamente, i pazienti con sindrome del tunnel carpale hanno dolore spesso simmetrico delle mani, rigidità mattutina e sensazione di tumefazione. In base alla frequente associazione di questi sintomi, abbiamo poi rilevato che fibromialgia e sindrome del tunnel carpale, pur non essendo lo studio disegnato per accertare la prevalenza delle due condizioni, si associano nella popolazione generale con una frequenza maggiore di quella dovuta al caso (6,7). Questo è un esempio di come uno studio puramente epidemiologico possa evidenziare aspetti che, se opportunamente studiati, potrebbero contribuire alla conoscenza più approfondita della eziopatogenesi di alcune malattie.…”

Section: Questionariounclassified

Prevalence studies in rheumatology: the methodology of the Chiavari study

Cimmino¹,

Zampogna²,

Murroni³

et al. 2011

Reumatismo

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Objectives: Goals of epidemiological studies are the description of the measures of frequency of diseases, the attempt to clarify possible etiopathogenic mechanisms, and the provision of data to support health policy decisions. To increase the familiarity of rheumatologists toward epidemiology, we describe the methodology used in a prevalence study of musculoskeletal complaints performed in Chiavari, Italy. Methods: A questionnaire, originally developed by the Epidemiology Unit of the Arthitis Research Council in Manchester, UK, to investigate the prevalence of rheumatoid arthritis, was used after translation and validation. 4456 subjects aged 16 years or more listed in four general practices were invited to participate in the study and to fill the ARC questionnaire. The 3294 responders reported a) any past occurrence of joint swelling lasting more than four weeks and the distribution of the swollen joints on a mannequin; b) any joint pain lasting more than four weeks; c) current joint pain or swelling; d) morning stiffness; e) whether they had been previously told by a doctor they had arthritis. Results: Four steps were necessary to obtain a 74% response, i.e. direct contact, two mailings and a phone interview. The performance of the different questions was good. The prevalence of the most common conditions among patients answering positively to the questions regarding morning stiffness and symmetrical swelling of joints was as follows: osteoarthritis 2.60%, fibromyalgia 1.30%, carpal tunnel syndrome 1.14%, rheumatoid arthritis 0.31%, and psoriatic arthritis 0.10%. Conclusions: Methodological issues regarding the selection of the population and sample to study, the development of a questionnaire, and the problems in obtaining valid informations are discussed

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The association between fibromyalgia and carpal tunnel syndrome in the general population.

Cited by 12 publications

References 4 publications

Tarsal Tunnel Syndrome in Patients With Fibromyalgia

Tarsal Tunnel Syndrome in Patients With Fibromyalgia

Spasmophilia and entrapment nerve syndrome comorbidities in fibromyalgic patients: a possible neuromuscular pain generator

Prevalence studies in rheumatology: the methodology of the Chiavari study

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