Is Fibromyalgia Syndrome a Neuropathic Pain Syndrome?
Fibromyalgia
Leeds Assessment of Neuropathic Symptoms and Signs
neuropathic pain
painDETECT scale
Journal
Archives of rheumatology
ISSN: 2618-6500
Titre abrégé: Arch Rheumatol
Pays: Turkey
ID NLM: 101639000
Informations de publication
Date de publication:
Jun 2019
Jun 2019
Historique:
received:
20
10
2018
accepted:
08
11
2018
entrez:
10
9
2019
pubmed:
10
9
2019
medline:
10
9
2019
Statut:
epublish
Résumé
This study aims to investigate whether fibromyalgia syndrome (FMS) represents a neuropathic pain syndrome through the use of neuropathic pain scales. The study included 99 female patients (mean age 44.21 years; range, 18 to 65 years) who referred to Physical Therapy and Rehabilitation Department Outpatient Clinics with complaints of widespread pain and who received a clinical diagnosis of fibromyalgia based on the 1990 American College of Rheumatology diagnostic criteria and a control group consisting of 86 female patients (mean age 49.21 years; range, 18 to 65 years) who were diagnosed with acute subacromial impingement as a nociceptive pain model. All patients completed the Turkish version of the Fibromyalgia Impact Questionnaire (FIQ), the Beck Depression Scale (BDS), the 10 cm Visual Analog Scale for pain assessment, the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) pain questionnaire for neuropathic pain assessment and the painDETECT scale. An evaluation of the patients' symptoms indicated that complaints of numbness, burning, tingling, morning stiffness, insomnia, fatigue and weakness were significantly more common in the fibromyalgia group compared to the controls. Moreover, the mean scores of the BDS, FIQ, painDETECT and LANSS pain scale were significantly higher in the fibromyalgia group compared to the controls. Statistically significant correlations were noted between FIQ values and LANSS, and the BDS and painDETECT results in the fibromyalgia group. The present study demonstrates that sensorial symptoms such as paraesthesia, hyperalgesia and allodynia were more common and the scores of neuropathic pain scales such as painDETECT and LANSS were significantly elevated in the fibromyalgia patients compared to the control group, and these findings suggest that FMS may have a neuropathic pain component.
Identifiants
pubmed: 31497766
doi: 10.5606/ArchRheumatol.2019.7244
pmc: PMC6719577
doi:
Types de publication
Journal Article
Langues
eng
Pagination
196-203Déclaration de conflit d'intérêts
Conflict of Interest: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
Références
Semin Arthritis Rheum. 2003 Jun;32(6):407-11
pubmed: 12833249
J Rheumatol Suppl. 2005 Aug;75:22-8
pubmed: 16078357
Semin Arthritis Rheum. 2006 Oct;36(2):130-4
pubmed: 16884973
Semin Arthritis Rheum. 2007 Jun;36(6):339-56
pubmed: 17350675
Pain Med. 2008 Mar;9(2):149-60
pubmed: 18298697
Eur J Pain. 2008 Nov;12(8):1078-89
pubmed: 18367419
J Clin Psychiatry. 2008;69 Suppl 2:6-13
pubmed: 18537457
Pain Med. 2009 Jul-Aug;10(5):910-7
pubmed: 19453955
BMC Neurol. 2011 May 25;11:55
pubmed: 21612589
Pain Res Treat. 2012;2012:981565
pubmed: 22110948
Arthritis Rheum. 1990 Feb;33(2):160-72
pubmed: 2306288
BMC Neurol. 2013 Feb 14;13:21
pubmed: 23409793
Brain. 2013 Jun;136(Pt 6):1857-67
pubmed: 23474848
Pain. 2013 Nov;154(11):2310-6
pubmed: 23748113
Ann Neurol. 2014 Feb;75(2):196-208
pubmed: 24243538
Muscle Nerve. 2014 May;49(5):757-9
pubmed: 24469976
Arthritis Rheumatol. 2014 Jul;66(7):1945-54
pubmed: 24719395
J Neurol Sci. 2014 Dec 15;347(1-2):143-7
pubmed: 25304055
J Clin Sleep Med. 2016 Feb;12(2):215-23
pubmed: 26414976