What are the diagnostic criteria for fibromyalgia?

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  1. Honor Society of Nursing (STTI)
     
    According to established criteria, a doctor should consider a diagnosis of fibromyalgia in a patient who has the following symptoms that aren't explained by another illness:
    • widespread muscle pain that has lasted for longer than three months
    • pain that occurs on both sides of the body and above and below the waist
    A person with fibromyalgia will usually have a pattern of “tender points” on the body. These tender points occur at up to 18 specific sites, from the neck to the knees, in people with fibromyalgia.

    Other signs and symptoms a doctor will look for when diagnosing fibromyalgia include fatigue, insomnia, morning stiffness, headaches, tingling or numbness in hands and feet, memory loss or difficulty concentrating (sometimes called “fibro fog”), and anxiety or other mood problems.
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  2. Dr. Mehmet Oz
     
    Dr. Mehmet Oz answered:
    Getting a diagnosis of fibromyalgia can require an astute doctor and a patient who is patient. It can take an average of five years to get an accurate diagnosis of fibromyalgia, according to the National Fibromyalgia Association. Fibromyalgia is a condition that causes widespread pain and tenderness in the body, fatigue, sleep disturbances and sometimes memory lapses or trouble thinking clearly (sometimes referred to as "fibro fog").

    There are no tests such as x-rays or blood work that can give a definitive diagnosis of fibromyalgia (although sometimes those tests can rule out other possible causes of symptoms). Your doctor will make a diagnosis of fibromyalgia after taking a detailed and thorough medical history. He may do a physical exam or may ask you if you have pain in 19 different areas of your body.

    Based on those factors, your doctor may diagnose you with fibromyalgia if:
    • You have pain in many different areas of your body, and you are bothered by symptoms like fatigue, sleep disturbances, problems with memory and thinking clearly.
    • You have had these symptoms for at least three months at a steady level.
    • No other health problems could explain these symptoms. For example, arthritis may cause pain and tenderness, but it also causes inflammation of the joints, which is not a problem in people who have fibromyalgia.
    There is no cure for fibromyalgia, but there are medications that can help control the pain. Lifestyle habits including regular exercise, stress reduction techniques and getting ample sleep also can help you manage your symptoms and help you get the most out of life when you have fibromyalgia.
    More Related Answers from Dr. Mehmet Oz
    Getting a diagnosis of fibromyalgia can require an astute doctor and a patient who is patient. It can take an average of five years to get an accurate diagnosis of fibromyalgia, according to the National Fibromyalgia Association.... More