Fibromyalgia Patients Often Show Positional Cervical Cord Compression

Fibromyalgia Patients Often Show Positional Cervical Cord Compression
A recent study reveals that more than 50 percent of fibromyalgia patients have positional cervical cord compression (PC3). The abstract of the study, titled “Fibromyalgia and Positional Cervical Cord Compression Differ Only By Autonomic Nervous System Consequences: A Double-Blinded, Prospective Study,” was presented at the 2015 ACR/ARHP annual meeting and is available online through the American College of Rheumatology Meeting Abstracts. Fibromyalgia is a debilitating and chronic condition associated with muscular or musculoskeletal pain, fatigue, and mobility issues, with symptoms varying from patient to patient. The condition’s variable presentations — and patients' differing responses to treatment — are thought to be related to other comorbidities, such as positional cervical cord compression (PC3), defined as cord abutment, compression or flattening with a spinal canal diameter of <10 mm by magnetic resonance. PC3 has been documented in 54% to 71% of all fibromyalgia patients, but it is very difficult to distinguish from FM due to symptom overlap. As such, its validity and impact in FM patients has been questioned. Pacific Rheumatology Research scientists led by Dr. Andrew J. Holman, MD, conducted a study enrolling 54 patients with fibromyalgia who were evaluated with non-contrast cervical spine magnetic resonance imaging (MRI). Patients were also assessed by history and physical examination, and through a series of surveys: the Multidimensional Health Assessment  Questionnaire (MDHAQ), Fibromyalgia Imp
Subscribe or to access all post and page content.