WikiMSK:Calculators/Fibromyalgia 2016

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2016 Revised Fibromyalgia Diagnostic Criteria
1. Widespread Pain Index
Pain and tenderness during the past week Left Right
Jaw
Shoulder
Upper arm
Lower arm
Chest or breast (any side)
Abdomen (any side)
Neck (any side)
Upper back (any side)
Lower back (any side)
Hip or buttocks
Upper leg
Lower leg
2. Generalised Pain Regions
Do not count jaws, chest, or abdomen Left Right
Arms
Legs
Spine (any side)
3. 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: 0/19
Generalised Pain: Score: 0/5
Symptom Severity Index: Score: 0/12
Symptoms in section 3 and pain must have been present at a similar clinical level for at least 3 months
Fulfills all diagnostic criteria for Fibromyalgia No
Seminars in Arthritis and Rheumatism 46 (2016) 319 - 329