Fibromyalgia Diagnostic Criteria

HealthCare

Fibromyalgia Diagnostic Criteria Form.

2010 Fibromyalgia Diagnostic Criteria

CRITERIA
A patient satisfies diagnostic criteria for fibromyalgia if the following 3 conditions are met:
1. Widespread pain index (WPI) •≥ 7 and symptom severity (SS) scale score ≥  or WPI 3-6 and SS scale score ≥ 9.
2. Symptoms have been present at a similar level for at least 3 months.
3. The patient does not have a disorder that would otherwise explain the pain.

1. Widespread Pain Index (WPI)

Note the number areas in which the patient has had pain over the last week. In how many areas has the patient had pain? There are 19 areas (listed below). 1 point for each area. The score will be between 0 and 19.

  1. Shoulder girdle, left
  2. Shoulder girdle, right
  3. Upper arm, left
  4. Upper arm, right
  5. Lower arm, left
  6. Lower arm, right
  7. Hip (buttock, trochanter), left
  8. Hip (buttock, trochanter), right
  9. Upper leg, left
  10. Upper leg, right
  11. Lower leg, left
  12. Lower leg, right
  13. Jaw, left
  14. Jaw, right
  15. Chest
  16. Abdomen
  17. Upper back
  18. Lower back
  19. Neck

2. SS scale score:
Fatigue
Waking unrefreshed
Cognitive symptoms
For the each of the 3 symptoms above, indicate the level of severity over the past week using the following scale:
0 = no problem
1 = slight or mild problems, generally mild or intermittent
2 = moderate, considerable problems, often present and/or at a moderate level
3 = severe: pervasive, continuous, life-disturbing problems

Considering somatic symptoms in general, indicate whether the patient has:*
0 = no symptoms
1 = few symptoms
2 = a moderate number of symptoms
3 = a great deal of symptoms

The SS scale score is the sum of the severity of the 3 symptoms (fatigue, waking unrefreshed, cognitive symptoms) plus the extent (severity) of somatic symptoms
in general. The final score is between 0 and 12.

* Somatic symptoms that might be considered: muscle pain, irritable bowel syndrome, fatigue/tiredness, thinking or remembering problem, muscle weakness, headache, pain/cramps in the abdomen, numbness/tingling, dizziness, insomnia, depression, constipation, pain in the upper abdomen, nausea, nervousness, chest pain, blurred vision, fever, diarrhea, dry mouth, itching, wheezing, Raynaud’s phenomenon, hives/welts, ringing in ears, vomiting, heartburn, oral ulcers, loss of/change in taste, seizures, dry eyes, shortness of breath, loss of appetite, rash, sun sensitivity, hearing difficulties, easy bruising, hair loss, frequent urination, painful urination, and bladder spasms.

 

Reference

Click to access 2010%20Fibromyalgia%20Diagnostic%20Criteria_Excerpt.pdf

Wolfe F et al. Arthritis Care & Research 2010; 62(5):600-610

http://www.aafp.org/test/fpcomp/FP-E_432/pt1-s2-s2.html

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