What are the standard fibromyalgia tender points?

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

The standard 18 fibromyalgia tender points exist as 9 pairs (in addition to 3 control sites; see below), 4 on the anterior of the body and 5 on the posterior of the body. [9] The sites are as follows:

  • 1 (control site) - Forehead

  • 2 and 3 (diagnostic sites) - Occiput at the nuchal ridge

  • 4 and 5 (diagnostic sites) - Trapezius

  • 6 and 7 (diagnostic sites) - Supraspinatus

  • 8 and 9 (diagnostic sites) - Gluteal

  • 10 and 11 (diagnostic sites) - Low cervical

  • 12 and 13 (diagnostic sites) - Second rib

  • 14 and 15 (diagnostic sites) - Lateral epicondyle

  • 16 (control site) - Distal middle third of the right forearm

  • 17 (control site) - Nail of the left thumb

  • 18 and 19 (diagnostic sites) - Greater trochanter

  • 20 and 21 (diagnostic sites) - Medial knee


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