In 1992 at the age of 26, I was in a bad car wreck. My pain initially was in my neck and shoulder area. (I had also broken my back in 2 different places.) The pain then announced itself on the surface of my skin, everywhere. My doctor found that every trigger spot was painful. He couldn't be certain, but when chronic fatigue surfaced along with my chronic pain, he figured that's what I had. Full-fledged trauma induced fibromyalgia and myofascial pain syndrome. Every trigger point was tender to excruciating.