tender point


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ten·der point

(ten'dĕr poynt)
Eighteen bilateral predefined areas in occiput, neck, shoulders, chest, elbows, gluteus, trochanter, and knees that produce painful response at 4 kg pressure; indicative of fibromyalgia if 11 of 18 test results are positive.
See also: fibromyalgia

tender point

One of the anatomic locations used to identify fibromyalgia. The deep diffuse muscular pain is localized to a number of reproducible (from patient to patient) areas that are tender when palpated. Tender points differ from trigger points in that pain does not radiate to referred areas.
See: fibromyalgia for table
See also: point
References in periodicals archive ?
Previously a diagnosis of FM was based on positive physical exam findings revealing 11 of 18 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 12.
An audience member objected to eliminating the tender point exam.