Previously a diagnosis of FM was based on positive physical exam findings revealing 11 of 18 tender points
No correlation was detected between Beighton score and the number of tender points
The tender points
are evidence of the presence of the disease in the soft tissues and muscle tissues, and of the pain syndrome.
According to the American College of Rheumatology's 1990 classification criteria, patients must have widespread pain and tenderness in 11 of 18 tender points
in order to be diagnosed with fibromyalgia.
After diagnosis, tender point
count on physical examination, pain evaluation by visual analog scale (VAS), and Beck Depression Inventory were obtained for each patient, and all patients underwent brain SPECT imaging.
For a tender point
to be considered "positive," the subject must state that the palpation was painful.
Fibromyalgia is a chronic disorder characterized by widespread musculoskeletal pain, fatigue, and multiple tender points
One recent case, without examining exactly what a tender point
is, indicated that the points are "objective.
Throughout his series of nearly a dozen papers on `fibrositis' between 1941 and 1963, the Australian Michael Kelly was impressed by both the palpable hardness of the nodule associated with the tender point
in the muscle and by the distant referral of pain from the afflicted muscle".
Deposits and Guarantees required: Please refer to the tender point
For fibromyalgia tender point
measurements, the subjects were sitting in a chair.
An audience member objected to eliminating the tender point