Do you find that some fibromyalgia patients do not have all of the "official" number of tender points that are considered necessary for diagnosis?

Yes: This is not at all uncommon, as this condition comes in a variety of forms. It is best to see a rheumatologist who specializes in this condition.

Yes: ? do some fibromyalgia (FM) sufferers lack requisite number of painful trigger points.Trigger point exam & point numbers was an arbitrary decision made by committee of Rheumatologists charged with diagnosing a disorder for which there were no defining studies. Later, same crew developed a written questionnaire which makes the trigger point exam obsolete. Diagnosis of FM is part art & part science.