Fibromyalgia physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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 in identifying associated conditions. The tender-point examination is the most important aspect of the physical examination and other aspects of the examination are typically normal in fibromyalgia patients.[1]
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.[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, noises
Extremites
- Fluid retention