Template:Fibromyalgia criteria 2016
From WikiMSK
Widespread Pain Index | ||
---|---|---|
Pain and tenderness during the past week | Left | Right |
Jaw | ||
Neck | ||
Shoulder | ||
Upper arm | ||
Lower arm | ||
Chest or breast | ||
Abdomen | ||
Upper back | ||
Lower back | ||
Hip or buttocks | ||
Upper leg | ||
Lower leg |
Generalised Pain Regions | ||
---|---|---|
Do not count jaws, chest, or abdomen | Left | Right |
Arms | ||
Legs | ||
Spine | (any side) |
Symptom Severity Score | ||||
---|---|---|---|---|
Over the past week: | No problem | Slight/mild | Moderate | Severe |
Fatigue | = 0 | = 1 | = 2 | = 3 |
Trouble thinking or remembering | = 0 | = 1 | = 2 | = 3 |
Waking up tired (unrefreshed) | = 0 | = 1 | = 2 | = 3 |
During the past 6 months: | No | Yes | ||
Pain or cramps in the abdomen | = 0 | = 1 | ||
Depression | = 0 | = 1 | ||
Headache | = 0 | = 1 |
Result | ||
---|---|---|
Widespread Pain Index: | Score: 0/10 | Negative |
Generalised Pain: | Score: 0/10 | Negative |
Symptom Severity Index: | Score: 0/10 | Negative |
Have the symptoms in section 3 and pain been present at a similar clinical
level for at least 3 months? |
Yes | No |
Fulfills all diagnostic criteria for Fibromyalgia | No | |
Seminars in Arthritis and Rheumatism 46 (2016) 319 - 329 |