TESTS
It took five years for me to get a a definitive Fibromyalgia diagnosis. It was complicated, because I also have Lupus.
From About.com:
http://arthritis.about.com/od/arthqa/f/fmsdiagnosis.htm
More Illustrations/Images Showing Locations Of The Tender Points Of Fibromyalgia:
- Muscles Affected By Fibromyalgia Tender Points, from AAFP.org
- General Locations Of The 18 Fibromyalgia Tender Points, from Caring Medical Center
There is no lab test to diagnose fibromyalgia. Doctors manually check tender points on the body during an examination.
Tender points are specific places on the body (18 specific points at 9 bilateral locations) that are exceptionally sensitive to the touch in people with fibromyalgia upon examination by a doctor.
The nine bilateral (both sides) muscle locations are:
- Low Cervical Region: (front neck area) at anterior aspect of the interspaces between the transverse processes of C5-C7.
- Second Rib: (front chest area) at second costochondral junctions.
- Occiput: (back of the neck) at suboccipital muscle insertions.
- Trapezius Muscle: (back shoulder area) at midpoint of the upper border.
- Supraspinatus Muscle: (shoulder blade area) above the medial border of the scapular spine.
- Lateral Epicondyle: (elbow area) 2 cm distal to the lateral epicondyle.
- Gluteal: (rear end) at upper outer quadrant of the buttocks.
- Greater Trochanter: (rear hip) posterior to the greater trochanteric prominence.
- Knee: (knee area) at the medial fat pad proximal to the joint line.
Also Known As: tenderpoints, tender spots, trigger points (note: this is an incorrect term since referred pain differentiates trigger points from tender points) See: Trigger Points vs. Tender Points, from AAFP.org
It is a very long process, but you have to be very assertive in making sure the doctors don't give you the brush off. Many Fibro patients get labeled as hypochondriacs, and sent to a mental health care provider for treatment.
Doctors are better about treating fibromyalgia patients now, but when I was trying to get answers (1993 -1998), doctors were quick to tell you that your symptoms were "all in your head". Now, they finally recognize Fibro as a real illness.