7 doctors weighed in:

How is fibromyalgia typically diagnosed?

7 doctors weighed in
Dr. Michele Arnold
Physical & Rehabilitation Medicine
3 doctors agree

In brief: Hands-on exam

There is no blood test, image (x-ray, mri) test, or procedure (biopsy, EMG test).
The test for fibromyalgia is the history and physical exam of a skilled physician who knows the diagnostic criteria for fibromyalgia. That exam includes palpation of the defined 'tender points' of fibromyalgia--you must have at least 11 of 18. You must also meet the other diagnostic criteria to have fibromyalgia.

In brief: Hands-on exam

There is no blood test, image (x-ray, mri) test, or procedure (biopsy, EMG test).
The test for fibromyalgia is the history and physical exam of a skilled physician who knows the diagnostic criteria for fibromyalgia. That exam includes palpation of the defined 'tender points' of fibromyalgia--you must have at least 11 of 18. You must also meet the other diagnostic criteria to have fibromyalgia.
Dr. Michele Arnold
Dr. Michele Arnold
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Dr. Andrew Berry
Clinical Psychology

In brief: Fibromyalgia

Have a full workup from your general care practitioner to determine if fibromyalgia is the correct diagnosis.
If so, pain management, preferably with as few pills as possible is of utmost importance. Here is the website of the American Academy of Pain Management: http://www.aapainmanage.org/

In brief: Fibromyalgia

Have a full workup from your general care practitioner to determine if fibromyalgia is the correct diagnosis.
If so, pain management, preferably with as few pills as possible is of utmost importance. Here is the website of the American Academy of Pain Management: http://www.aapainmanage.org/
Dr. Andrew Berry
Dr. Andrew Berry
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Dr. Laurence Badgley
General Practice

In brief: By entire picture

#fibromyalgia formerly based on tender points; now written questionaire; new blood test mostly unproven.
Caring doctor who listens to history ; examines musculoskeletal system will discover femaleness, pelvic pain, functional scoliosis, obesity, multiple pregnancies, joint hypermobility syndrome, deconditioning ; amongst males a severe lifting, motor vehicle accident, or other mechanical trauma.

In brief: By entire picture

#fibromyalgia formerly based on tender points; now written questionaire; new blood test mostly unproven.
Caring doctor who listens to history ; examines musculoskeletal system will discover femaleness, pelvic pain, functional scoliosis, obesity, multiple pregnancies, joint hypermobility syndrome, deconditioning ; amongst males a severe lifting, motor vehicle accident, or other mechanical trauma.
Dr. Laurence Badgley
Dr. Laurence Badgley
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13 comments
Dr. Laurence Badgley
While performing diagnosis, physicians much regard mechanisms of injury. Fibromyalgia is multifactorial disorder: Multiple childbirths, delicate female pelvises, mechanical back/pelvis injuries, prolonged sedentariness, obesity & Hypermobility Syndrome are all variously etiologic.
Dr. Laurence Badgley
Fibromyalgia is a diagnosis of exclusion; a quasi-diagnosis and an hypothetical disorder that is absent any firm diagnostic criteria. Organizing a controlled study of medications for an undefinable disease is a non-sequitur. In the case of fibromyalgia, anyone's unsupported opinion is as good as that of any other's.
Dr. Leonard Spishakoff
Addiction Medicine

In brief: Exclusion

It requires to rule out collagen vascular diseases , endocrine disoders and some infectios diseases to start but one important point one can have for example rheumatoid arthrits and fibromylgia as thes can co-exist together.

In brief: Exclusion

It requires to rule out collagen vascular diseases , endocrine disoders and some infectios diseases to start but one important point one can have for example rheumatoid arthrits and fibromylgia as thes can co-exist together.
Dr. Leonard Spishakoff
Dr. Leonard Spishakoff
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