WikiMSK:Calculators/Fibromyalgia 2016
From WikiMSK
| 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 | ||
