Hints for early and cost-effective diagnosis of fibromyalgia

Chronic widespread musculoskeletal pain for ≥3 months

Absence of other systemic condition accounting for pain

Excess tenderness in soft tissues

Characteristic symptoms:

• "I hurt all over"

• "It feels like I always have the flu"

• Fatigue, sleep and mood disturbances

• IBS, irritable bladder, multiple other somatic complaints

Exclusion of structural or systemic disease

• Not a "fishing" expedition

• Avoid "screening" rheumatology tests

• Most efficient with early subspecialty referral

IBS: irritable bowel syndrome.

Courtesy of Don L Goldenberg, MD.

Graphic 63893 Version 4.0

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