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  Oct 16, 2018

Fibromyalgia Pain

The symptoms that commonly affect patients with fibromyalgia syndrome include pain, sleep problems, stiffness (especially after rest in the morning), fatigue, bowel upset (irritable bowel syndrome), depression, headaches etc. The pain and the symptoms of the condition tend to last a life time in most patients.

American College of Rheumatology (ACR) pain criteria

Fibromyalgia syndrome is defined by the American College of Rheumatology (ACR) as pain that is widespread and lasts for over 3 months. The pain needs to be present:-

  • on the left side of the body
  • on the right side of the body
  • above the waist
  • below the waist
  • axial skeletal pain or central body pain (this includes the cervical spine in the neck or anterior chest or thoracic spine in the chest or low back pain).

Left or right shoulder and buttock pain is considered to be pain on either side. Low back pain is considered lower segment pain.

Of the 18 defined tender points, the pain should be present in at least 11 points according to this definition on application of manual pressure of approximately 4 kg over the points.  These criteria for fibromyalgia was and is still widely used as prescribed by ACR in 1990.