Fibromyalgia physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
A physical examination helps not only to confirm the diagnosis of fibromyalgia but to rule out other systemic diseases. A careful physical examination also helps | A physical examination helps to not only to confirm the diagnosis of fibromyalgia but also to rule out other systemic diseases. A careful physical examination also helps to identify associated conditions. The tender-point examination is the most important aspect of the physical examination because other aspects of the examination are typically normal in fibromyalgia patients.<ref name="pmid28536363">{{cite journal |vauthors=Kia S, Choy E |title=Update on Treatment Guideline in Fibromyalgia Syndrome with Focus on Pharmacology |journal=Biomedicines |volume=5 |issue=2 |pages= |year=2017 |pmid=28536363 |doi=10.3390/biomedicines5020020 |url=}}</ref> | ||
==Physical Examination== | ==Physical Examination== | ||
Physical examination helps not only to confirm the diagnosis of fibromyalgia but to rule out other systemic diseases. A careful physical examination also helps | Physical examination helps to not only to confirm the diagnosis of fibromyalgia but also to rule out other systemic diseases. A careful physical examination also helps to identify associated conditions. The tender-point examination is the most important aspect of the physical examination because other aspects of the examination are typically normal in fibromyalgia patients.<ref name="pmid28536363">{{cite journal |vauthors=Kia S, Choy E |title=Update on Treatment Guideline in Fibromyalgia Syndrome with Focus on Pharmacology |journal=Biomedicines |volume=5 |issue=2 |pages= |year=2017 |pmid=28536363 |doi=10.3390/biomedicines5020020 |url=}}</ref> | ||
===General appearance=== | ===General appearance=== | ||
*Patient looks tired | *Patient looks tired | ||
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===Neurological=== | ===Neurological=== | ||
*Sleep disturbance | *[[Sleep disturbance]] | ||
*Mood disturbance | *[[Mood disturbances|Mood disturbance]] | ||
*Cognitive dysfunction | *Cognitive dysfunction | ||
*[[Numbness]]/[[tingling]] sensations | *[[Numbness]]/[[tingling]] sensations | ||
*[[Stiffness]] | *[[Stiffness]] | ||
*Sensitivity to sensory stimuli such as bright lights, odors, noises | *Sensitivity to sensory stimuli such as bright lights, odors, or noises | ||
===Extremities=== | ===Extremities=== |
Revision as of 20:15, 28 July 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
A physical examination helps to not only to confirm the diagnosis of fibromyalgia but also to rule out other systemic diseases. A careful physical examination also helps to identify associated conditions. The tender-point examination is the most important aspect of the physical examination because other aspects of the examination are typically normal in fibromyalgia patients.[1]
Physical Examination
Physical examination helps to not only to confirm the diagnosis of fibromyalgia but also to rule out other systemic diseases. A careful physical examination also helps to identify associated conditions. The tender-point examination is the most important aspect of the physical examination because other aspects of the examination are typically normal in fibromyalgia patients.[1]
General appearance
- Patient looks tired
- Fatigue unrelieved by rest
Musculoskeletal
- Diffuse tenderness on multiple points

Neurological
- Sleep disturbance
- Mood disturbance
- Cognitive dysfunction
- Numbness/tingling sensations
- Stiffness
- Sensitivity to sensory stimuli such as bright lights, odors, or noises