What evaluations other than tender point assessment are indicated in the physical exam for 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

After completing the tender-point examination, the physician should include neurologic, joint, and musculoskeletal evaluations, as follows:

  • Check the joints for swelling, deformities, and erythema
  • Examine the patient's gait, joint range of motion (ROM), and posture for structural asymmetry and skeletal deficiencies
  • Palpate the soft issues for tone or spasm

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