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