Stephen J. Schueler, M.D.

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Fibromyalgia Evaluation

An evaluation of fibromyalgia begins with a medical history and physical examination.

Physical findings in someone with fibromyalgia include:

  • Tenderness in specific sites of the muscles; referred to as trigger points
    • Common sites of tenderness include the neck, outer elbow, shoulder blades and shoulder girdle, lower lumbar spine, second costochondral junction (where ribs meet the breast bone), inner aspect of the knee, and the buttocks.
  • Subcutaneous nodules may be present at the tender sites.

Tests are required to rule out other conditions that may cause symptoms similar to fibromyalgia.

Tests that may be used to evaluate fibromyalgia include:

Continue to Fibromyalgia Treatment

Last Updated: Dec 13, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Fibromyalgia References
  1. Bradley LA. Psychiatric comorbidity in fibromyalgia. Curr Pain Headache Rep. 2005 Apr;9(2):79-86. [15745615]
  2. Goldenberg DL, Burckhardt C, Crofford L. Management of fibromyalgia syndrome. JAMA. 2004 Nov 17;292(19):2388-95. [15547167]
  3. Mannerkorpi K. Exercise in fibromyalgia. Curr Opin Rheumatol. 2005 Mar;17(2):190-4. [15711234]
  4. Nampiaparampil DE, Shmerling RH. A review of fibromyalgia. Am J Manag Care. 2004 Nov;10(11 Pt 1):794-800. [15623268]
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