Fibromyalgia physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical examination helps not only to confirm the diagnosis of fibromyalgia but to rule out other systemic diseases. A careful physical examination also helps in identifying associated conditions. The tender-point examination is the most important aspect in the physical examination and other aspects of the examination are typically normal in fibromyalgia patients
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 in identifying associated conditions. The tender-point examination is the most important aspect in the physical examination and other aspects of the examination are typically normal in fibromyalgia patients.
General appearance
- Patient looks tired
- Fatigue unrelieved by rest
Musculoskeletal
- Diffuse tenderness on multiple points
Neurological
- Sleep disturbance
- Mood disturbance
- Cognitive dysfunction
- Headaches
- Numbness/tingling sensations
- Stiffness
- Sensitivity to sensory stimuli such as bright lights, odors, noises
Extremites
- Fluid retention