Recognized triggers for Fibromyalgia

What are the recognized triggers for Fibromyalgia?

  • Early life trauma: sexual or physical abuse.
  • Acute trauma especially involving the trunk (cervical whiplash).
  • Infections: Epstein–Barr virus, parvovirus, Lyme, hepatitis C.
  • Sleep apnea.
  • Chronic ongoing joint inflammation (secondary FM; prevalence in RA, SLE, and psoriatic arthritis ∼20%, in ankylosing spondylitis (AS) ∼10%–12%).
  • Catastrophic events: posttraumatic stress disorder following war and other major events.
  • Chronic psychologic distress.

Only a minority of patients experiencing one of these triggers develop a widespread pain syndrome, suggesting a biochemical predisposition.

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