Concomitance of fibromyalgia syndrome and cervical disc herniation.
[Purpose] Fibromyalgia syndrome (FMS) and cervical disc herniation (CDH) are a common diseases commonly encountered in physical therapy clinics. There are also patients who have both of these diseases. In this study we aim to investigated whether FMS is a risk factor for cervical disc herniation and the frequency of their coincident occurrence. [Subjects and Methods] Thirty-five patients having a primary FMS diagnosis according to the American Rheumatism Association criteria are taken into consideration and a control group were the subjects of this study. The two groups were compared with respect to cervical disc hernia using cervical region MRI. [Results] The distribution of disc hernia of 6 fibromyalgia patients who had cervical discopathy was: 16.6% C2-3, 16.6% C5-6, 16.6% C6-7, 33.3% C4-5, C5-6 (two levels in two patients) and 16.6% C4-5, C5-6, C7-1 (three levels in one patient) . The herniation directions were given as: central in 5 levels, right paramedian in 1 level, and left paramedian disc hernia in 1 level. There were 4 cervical disk hernia in the control group. The herniation direction were central in two, right paramedian in one, and left paramedian in one patient. [Conclusion] In this study, the existence of cervical disc herniation in fibromyalgia patients was found to be not different from the normal population.
Department of PMR, Faculty of Medicine, Bezmialem Vakif University, Turkey.
Mustafa
M
Güler
Department of PMR, Faculty of Medicine, Bezmialem Vakif University, Turkey.
Teoman
T
Aydın
Trabzon State Hospital, Turkey.
Erdal
E
Akgöl
Department of PMR, Faculty of Medicine, Bezmialem Vakif University, Turkey.
Özgür
Ö
Taşpınar
Cervical disc herniation; Fibromyalgia; Primary fibromyalgia syndrome