II. Diagnosis of exclusion
- See Chronic Pain Causes
- Diffuse Arthralgia and myalgia
- No organic signs
- No Joint Swelling
- No Muscle Weakness
- No weight loss
- No fever
III. Precautions
- Avoid ordering too many labs
- Patient may obsess over a mild abnormality
- Diagnostic tests with common mild abnormalities
- Serologies
- Electromyogram (EMG)
- CT or MRI Imaging
IV. Differential Diagnosis
- Fibromyalgia
- Myofascial Pain Syndrome
- Chronic Fatigue Syndrome
- Eosinophilia-Myalgia Syndrome
- Temporomandibular Joint Dysfunction syndrome
- Multiple chemical sensitivity
- Post Traumatic back pain or Neck Pain
- Reflex Sympathetic Dystrophy (RSD)
- Chronic Pelvic Pain
V. Evaluation
VI. Management
- See Chronic Pain
- See Chronic Pain Resources
- Medications
- Amitriptyline (Elavil) at bedtime
- Selective Serotonin Reuptake Inhibitor (SSRI)
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Related Studies
| Concepts | Disease or Syndrome (T047) |
| ICD9 | 338.4 |
| ICD10 | G89.4 |
| SnomedCT | 373621006 |
| English | chronic pain syndrome (diagnosis), chronic pain syndrome, chronic pain syndromes, Chronic pain syndrome, Chronic pain syndrome (disorder) |
| Spanish | síndrome de dolor crónico (trastorno), síndrome de dolor crónico |
