Three. The basic symptoms are non-restorative sleep, severe daytime fatigue, and heightened sensitivity to pain. The sensitivity means that light touch such as fingertip pressure, wearing a bra, wearing a belt are perceived as painful. The tender point exam was meant to be used as a research tool and does not definitively diagnose the condition.
Specific Pains. Fm is chronic pain low & upper back regions, chronic fatigue, interrupted sleep, & depression; found mostly in females. Joint hypermobility syndrome highly associated. My clinical findings are pelvic joint (sij) instability, functional spinal scoliosis, asymmetric shoulders, & tilted head. Other symptoms explained by chronic muscle spasm keeping body tower vertical. (chronic pain at quora. Com).