II. Background
- Replaces Tender Points in the diagnosis of Fibromyalgia as of 2010
III. Criteria
- Instructions
- Part 1: Patient checks boxes on a diagram of a person from back)
- Parts 2 and 3: Questions answered without diagram
- Part 1: Over the last 7 days, indicate the areas where you have had pain or tenderness
- Part 2: Over the last 7 days, rate your symptoms based on the following scale
- Rating scale
- Points 0: No problem
- Points 1: Slight or mild
- Points 2: Moderate (considerable problems)
- Points 3: Severe (life-disturbing problems)
- Questions
- Fatigue
- Trouble thinking or remembering
- Waking up tired or unrefreshed
- Rating scale
- Part 3: Over the last 6 months, have you had any of the following symptoms
- Score 1 for 1-10 positive, 2 for 11-24 positive or 3 for 25 or more
- Fever
- Depressed Mood
- Insomnia
- Nervousness
- Hair Loss
- Headache
- Seizures
- Thinking or memory problem
- Numbness of tingling
- Dizziness
- Fatigue
- Hearing problems
- Ringing in the ears (Tinnitus)
- Blurred Vision
- Dry Eyes
- Dry Mouth
- Oral Ulcers
- Shortness of Breath
- Chest Pain
- Heartburn
- Pain in upper Abdomen
- Pain or cramps in the lower Abdomen
- Nausea
- Vomiting
- Diarrhea
- Constipation
- Loss of appetite
- Loss or change in taste
- Irritable Bowel Syndrome
- Bladder spasms
- Frequent Urination
- Painful urination
- Easy Bruising
- Hives
- Itching
- Rash
- Sun sensitivity
- Raynaud Phenomenon
- Muscle pain
- Muscle Weakness
IV. Scoring
- Widespread Pain Index (WPI)
- Part 1: Total the number of areas of tenderness or pain (out of 19 possible)
- Symptom Score (SS)
- Total the points from parts 2 and 3 (out of 12 possible)
- Part 2: Total the number of points from the 3 questions (assign 0-3 points for each of the 3 questions)
- Part 3: Assign 1 point for each of the 3 questions that are positive
V. Interpretation: Diagnosis of Fibromyalgia
- Criteria 1
- Widespread Pain Index (WPI): 7 of 19 and
- Symptom Score (SS): 5 of 12
- Criteria 2
- Widespread Pain Index (WPI): 3-6 of 19 and
- Symptom Score (SS): 9 of 12
VI. References
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| Definition (MEDLINEPLUS) |
Fibromyalgia is a disorder that causes muscle pain and fatigue. People with fibromyalgia have "tender points" on the body. Tender points are specific places on the neck, shoulders, back, hips, arms, and legs. These points hurt when pressure is put on them. People with fibromyalgia may also have other symptoms, such as
No one knows what causes fibromyalgia. Anyone can get it, but it is most common in middle-aged women. People with rheumatoid arthritis and other autoimmune diseases are particularly likely to develop fibromyalgia. There is no cure for fibromyalgia, but medicine can help you manage your symptoms. Getting enough sleep, exercising, and eating well may also help. NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases |
| Definition (NCI) | Inflammation and fibrous degeneration of a muscle. |
| Definition (NCI) | A chronic disorder of unknown etiology characterized by pain, stiffness, and tenderness in the muscles of neck, shoulders, back, hips, arms, and legs. Other signs and symptoms include headaches, fatigue, sleep disturbances, and painful menstruation. |
| Definition (NCI_FDA) | Inflammation and fibrous degeneration of a muscle. |
| Definition (MSH) | A common nonarticular rheumatic syndrome characterized by myalgia and multiple points of focal muscle tenderness to palpation (trigger points). Muscle pain is typically aggravated by inactivity or exposure to cold. This condition is often associated with general symptoms, such as sleep disturbances, fatigue, stiffness, HEADACHES, and occasionally DEPRESSION. There is significant overlap between fibromyalgia and the chronic fatigue syndrome (FATIGUE SYNDROME, CHRONIC). Fibromyalgia may arise as a primary or secondary disease process. It is most frequent in females aged 20 to 50 years. (From Adams et al., Principles of Neurology, 6th ed, p1494-95) |
| Definition (PSY) | A common nonarticular rheumatic condition that is characterized by muscle pain, tenderness, and stiffness. |
| Definition (CSP) | an acute, subacute, or chronic painful state of muscles, subcutaneous tissues, ligaments, tendons, or fasciae caused by a number of agents such as trauma, strain, occupation, exposure, posture, infection, or arthritis. |
| Concepts | Disease or Syndrome (T047) |
| MSH | D005356 |
| ICD10 | M79.7 , M79.1 |
| SnomedCT | 1304004, 203101004, 203082005, 203111006, 247365004, 13612005, 156727006, 268107007, 203138004, 24693007, 56557000, 203102006 |
| English | Fibromyalgias, Fibrositides, Fibrositis, Muscular Rheumatism, Rheumatism, Muscular, Diffuse myofascial pain synd, Fibrositis unspecified, MPDS-Myofac pain dysfunct syn, Myofac pain dysfunct syndrome, Myofascial pain dysfunct syn, Myofascial pain dysfunction syndrome, myofascial pain dysfunction syndrome, MPD syndrome, muscular rheumatism, fibrositis, fibromyalgia (diagnosis), fibromyalgia, fibrositis (diagnosis), Fibromyalgia syndrome, Diffuse Myofascial Pain Syndrome, Myofascial Pain Syndrome, Diffuse, Fibromyalgia Fibromyositis Syndrome, Fibromyalgia-Fibromyositis Syndrome, Fibromyalgia-Fibromyositis Syndromes, Fibromyositis Fibromyalgia Syndrome, Fibromyositis-Fibromyalgia Syndrome, Fibromyositis-Fibromyalgia Syndromes, Syndrome, Fibromyalgia-Fibromyositis, Syndrome, Fibromyositis-Fibromyalgia, Syndromes, Fibromyalgia-Fibromyositis, Syndromes, Fibromyositis-Fibromyalgia, Fibromyalgia [Disease/Finding], fibromyalgia (FM), fibromyalgia syndrome, pain syndrome myofascial, syndrome fibromyalgia, fibromyalgias, fms, mpd syndrome, fibromyalgia (FMS), Fibromyalgia Syndrome, fibromyositis fibromyalgia syndrome, FMS, Fibrositis unspecified (disorder), Fibromyalgia (finding), Fibromyalgia (disorder), Fibromyositis NOS (disorder), Fibrositis NOS, FIBROMYOSITIS, Fibromyositis, Diffuse myofascial pain syndrome, MPDS - Myofacial pain dysfunction syndrome, Myofacial pain dysfunction syndrome, Myofascial pain syndrome, Muscular rheumatism, Fibromyositis (disorder), Fibrositis (disorder), Muscular rheumatism (disorder), fibromyositis, Fibromyositis, NOS, Fibrositis, NOS, Fibromyalgia, NOS, Fibromyalgia -RETIRED-, Fibromyalgia [Ambiguous], Fibromyalgia, Fibromyositis NOS |
| Dutch | fibrositis, fibromyalgiesyndroom, fibromyositis, spier reumatisme, fibromyalgie, Fibromyalgie, Fibrositis, Myofasciaal pijnsyndroom, Spierreuma, Wekedelenreuma |
| French | Syndrome fibromyalgique, Fibrosite, Rhumatisme musculaire, Fibromyalgie, Fibro-myosite, Fibromyosite, Polyenthésopathie, Syndrome de la douleur chronique myofasciale, Syndrome polyalgique diffus |
| German | Fibromyalgiesyndrom, Fibromyositis, Fibromyalgie, Fibrositis, Diffuses myofasziales Schmerzsyndrom, Muskelrheumatismus, Rheumatismus, muskulärer |
| Italian | Fibromiosite, Sindrome fibromialgica, Fibrosite, Reumatismo muscolare, Sindrome dolorosa miofasciale diffusa, Fibromialgia |
| Portuguese | Síndrome de fibromialgia, Reumatismo muscular, Fibromiosite, Síndrome da Dor Miofascial Difusa, Fibromialgia, Fibrosite, Reumatismo Muscular |
| Spanish | Fibromiositis, Reumatismo muscular, Síndrome de fibromialgia, Síndrome de Dolor Miofascial Difuso, fibromiositis, SAI, fibromiositis, SAI (trastorno), fibrositis, no especificada (trastorno), fibromialgia - RETIRADO - (concepto no activo), fibrositis, no especificada, fibromialgia - RETIRADO -, fibromialgia, no especificada (trastorno), fibromialgia, no especificada, fibromialgia, fibromiositis (trastorno), fibromiositis, fibrositis (trastorno), fibrositis, reumatismo muscular (trastorno), reumatismo muscular, síndrome de dolor miofascial, Fibromialgia, Fibrositis, Reumatismo Muscular |
| Japanese | 線維筋炎, 線維筋痛, 線維筋痛症候群, 結合織炎, ｾﾝｲｷﾝﾂｳｼｮｳｺｳｸﾞﾝ, ｾﾝｲｷﾝﾂｳ, ｹﾂｺﾞｳｼｷｴﾝ, ｾﾝｲｷﾝｴﾝ, ｷﾝﾆｸﾘｳﾏﾁ, 筋肉リウマチ, 線維筋痛症, 筋リウマチ, 結合組織炎, リウマチ-筋肉 |
| Swedish | Fibromyalgi |
| Czech | fibromyalgie, Fibrozitida, Fibromyalgie, Svalový revmatismus, Syndrom fibromyalgie, Fibromyozitida, fibrositis, fibromyalgický syndrom, svalový revmatismus, fibrozitida, myofasciální bolestivý dysfunkční syndrom |
| Finnish | Fibromyalgia |
| Russian | FIBROMIALGIIA, FIBROZIT, REVMATIZM MYSHECHNYI, РЕВМАТИЗМ МЫШЕЧНЫЙ, ФИБРОЗИТ, ФИБРОМИАЛГИЯ |
| Korean | 섬유근육통 |
| Croatian | FIBROMIALGIJA |
| Polish | Zapalenie tkanki łącznej włóknistej, Fibromialgia, Reumatyzm mięśniowy |
| Hungarian | Fibromyalgia syndroma, Fibromyositis, Fibrositis, Muscularis rheumatismus, Fibromyalgia |
| Norwegian | Fibromyalgi, Kronisk muskelsmerte syndrom, Fibrositt, Myofascielle smerter, Myofibrositt, Fibromyositt |
