What is the manual tender-point survey (MTPS) method in the physical exam of fibromyalgia?

Updated: Nov 14, 2018
  • Author: Chad S Boomershine, MD, PhD, CPI, CPT; Chief Editor: Herbert S Diamond, MD  more...
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Answer

Performance of the tender-point examination can be improved by using the manual tender-point survey (MTPS) method. [97] The MTPS has been shown to reduce variability in performance of the tender-point examination and identify fibromyalgia patients with high sensitivity and specificity.

The MTPS consists of standardized components including the following:

  1. Location of the tender-point sites
  2. Patient and examiner positioning
  3. Order of tender-point examination
  4. Pressure application technique
  5. Pain severity rating scores

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