Fibromyalgia Diagnosis Tender Points

The 1990 Criteria for the Classification of Fibromyalgia – American College of Rheumatology.

1. History of widespread pain.

Pain is considered widespread when all of the following are present: pain in the left side of the body, pain in the right side of the body, pain above the waist, and pain below the waist. (Pain in four quadrants of the body).
In addition, axial skeletal pain (cervical spine or anterior chest or thoracic spine or low back) must be present.
In this definition, shoulder and buttock pain is considered as pain for each involved side. “Low back” pain is considered lower segment pain.

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