In the past, doctors would check 18 specific points on a person's body to see how many of them were painful when pressed firmly. Newer guidelines don't require a tender point exam. Instead, a fibromyalgia diagnosis can be made if a person has had widespread pain for more than three months — with no underlying medical condition that could cause the pain.
While there is no lab test to confirm a diagnosis of fibromyalgia, your doctor may want to rule out other conditions that may have similar symptoms. Blood tests may include:
Feb. 20, 2014
- Complete blood count
- Erythrocyte sedimentation rate
- Thyroid function tests
- Fibromyalgia. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Fibromyalgia/default.asp. Accessed Aug. 19, 2013.
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- AskMayoExpert. Fibromyalgia and myofascial pain. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2013.
- Vincent A, et al. Prevalence of fibromyalgia: A population-based study in Olmsted County, Minnesota, utilizing the Rochester Epidemiology Project. Arthritis Care & Research. 2013;65:786.
- Goldenberg DL. Pathogenesis of fibromyalgia. http://www.uptodate.com/home. Accessed Aug. 19, 2013.
- Goldenberg DL. Treatment of fibromyalgia in adults not responsive to initial therapies. http://www.uptodate.com/home. Accessed Aug. 19, 2013.
- Crofford LJ. Adverse effects of chronic opiod therapy for chronic musculoskeletal pain. Nature Reviews Rheumatology. 2010;6:191.
- Fibromyalgia and complementary health approaches. National Center for Complementary and Alternative Medicine. http://nccam.nih.gov/health/pain/fibromyalgia.htm. Accessed Aug. 19, 2013.
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