Whiplash: Same Elephant, Different Room

Littlejohn, Geoffrey; Guymer, Emma Kathryn

doi:10.3899/jrheum.131541

Cited by 6 publications

(3 citation statements)

References 22 publications

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“…Littlejohn and Guymer 7 have suggested that chronic whiplash is the same elephant as fibromyalgia but in a different room, and that these patients should be all given a diagnosis of fibromyalgia. However, labelling a patient with isolated, chronic neck pain or isolated low back pain, even if disabling, with a diagnosis of fibromyalgia does not seem helpful.…”

Section: Discussionmentioning

confidence: 99%

“… 6 This still leaves 20% who fail to recover, and who are at risk not only for chronic pain, but according to some, for fibromyalgia. 7 There are a number of studies or reports that have considered the incidence of fibromyalgia after whiplash or other physical injury, and the matter remains controversial. 8 For the most part, studies have suffered from severe selection bias 9 and failure to account for pretrauma fibromyalgia.…”

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confidence: 99%

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A prospective study of the 1-year incidence of fibromyalgia after acute whiplash injury

Ferrari

2015

RMD Open

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ObjectiveTo measure the 1-year incidence of fibromyalgia in a cohort of acute whiplash-injured participants.MethodsConsecutive acute patients with whiplash were assessed via the 2010 Modified American College of Rheumatology (ACR) criteria for fibromyalgia at 3 months, 6 months and 1 year postinjury. At each of these follow-up points, participants were also examined for recovery from whiplash injury.ResultsOf an initial 268 participants, data on recovery was available for 264 participants during the 1-year follow-up period. At the 3-month follow-up, 62% (167/268) of participants reported recovery from their whiplash injuries. At 6 months, 76% (203/268) reported recovery, and at 1 year 82% (216/264) reported recovery. At 3 and 6 months follow-up none of the participants met the 2010 Modified ACR Criteria for fibromyalgia, but fibromyalgia criteria were met for 2 (of 264) seen at the 1-year follow-up, yielding a 1-year incidence of 0.8% (95% CI 0.1% to 3.0%).ConclusionsIn the primary care setting, a significant proportion of patients with whiplash recover from whiplash injury at 1 year, and the incidence of fibromyalgia after acute whiplash injury is very low. The impression that fibromyalgia is common after whiplash injury may be due to the failure to exclude precollision fibromyalgia cases or due to referral bias of non-recovered patients.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

A prospective study of the 1-year incidence of fibromyalgia after acute whiplash injury

Ferrari

2015

RMD Open

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“…These include repetitive strain syndrome, whiplash, and low back pain syndrome. 39 Regional pain syndrome shares many clinical features with CRPS, as denoted in Table 5 , however these syndromes always have clinical features, such as pain, stiffness or tenderness that are present proximally. Both conditions are triggered by a previous, usually physical, event.…”

Section: Challenge 4: Relationship Of Crps To Other Common Pain Syndrmentioning

confidence: 99%

Terminology, criteria, and definitions in complex regional pain syndrome: challenges and solutions

Dutton¹,

Littlejohn²

2015

JPR

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Complex regional pain syndrome has long been recognized as a severe and high impact chronic pain disorder. However, the condition has historically been difficult to define and classify and little attention has been given to where complex regional pain syndrome sits within other apparently similar chronic pain disorders, such as fibromyalgia and regional pain syndrome. In this review challenges in regard to nomenclature, definitions, and classification of complex regional pain syndrome are reviewed and suggestions are provided about future directions.

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A systematic review of precipitating physical and psychological traumatic events in the development of fibromyalgia

Yavne

Amital

Watad

et al. 2018

Seminars in Arthritis and Rheumatism

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Whiplash: Same Elephant, Different Room

Cited by 6 publications

References 22 publications

A prospective study of the 1-year incidence of fibromyalgia after acute whiplash injury

A prospective study of the 1-year incidence of fibromyalgia after acute whiplash injury

Terminology, criteria, and definitions in complex regional pain syndrome: challenges and solutions

A systematic review of precipitating physical and psychological traumatic events in the development of fibromyalgia

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