A member asked:

What are the normal tests for fibromyalgia they do?

8 doctors weighed in across 3 answers

Rule out other stuff: Fibromyalgia is a 'diagnosis of exclusion' which means that the blood tests done during the work up of fibromyalgia are to rule out other possible diagnoses, such as lupus, rheumatoid arthritis, vitamin deficiency, & others. I often check a sed rate (esr), rheumatoid factor (rf), vitamin d and b levels, and thyroid function. In special cases i might check an ANA or other rheumatologic tests.

Answered 2/1/2015

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Clinical exam: Clinical examination by a knowledgeable physician. Tests rule out other entities, but do not diagnose fibromyalgia. Tsh is valuable, as hypothyroidism can mimic fibromyalgia.

Answered 9/28/2016

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Dr. Laurence Badgley answered

Specializes in General Practice

Palpation: ? re tests to prove fibromyalgia (FM). The only test used to "rule in" FM is a standardized palpation of several anatomical loci to observe for pain in at least 11 of 16 points. All other tests, including imaging studies & chemical & other analyses of body fluids, are to "rule out" other possible disorders explanatory for the patient's symptoms, which should include both upper & lower back pain.

Answered 2/1/2015

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