A doctor will, however, perform lab tests and/or x-rays to rule our similar causes for pain, such as a herniated disc, cardiac problems, myopathy, and other conditions which have some symptoms that are similar to FMS.

To be considered "widespread", this pain must be in at least three different locations of the body, such as a hip, knee and shoulder. Sometimes this pain is generalized and is accompanied by stiffness, swelling of tissues and joints, tingling, muscle pain and pelvic pain. Sometimes this pain is sharp, stinging pain as well.

The doctor will apply pressure with an approximate force of 4kg. If the patient has pain in 11 of these 18 tender points in combination with meeting other diagnosis criteria, and then the doctor may diagnose Fibromyalgia.

1. Lower neck in front (2)
2. Edge of upper breast bone (2)
3. 2 cms below side bone at elbow (2)
4. Just above knee on inside (2)
5. Attachment of neck muscles at the base of the skull (2)
6. Midway between neck and shoulder (2)
7. Muscle over upper inner shoulder (2)
8. Upper outer buttock (2)
9. Hip bone (2)

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