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This document explores the historical development and current understanding of fibromyalgia syndrome (FMS), detailing the challenges in its diagnosis, the role of rheumatology in its recognition,
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How to fill out The Diagnostic Making of Fibromyalgia Syndrome

01
Gather patient history, including symptoms and duration.
02
Record the patient's pain locations using a body map.
03
Assess for tender points as part of the physical examination.
04
Evaluate for overlapping conditions like sleep disorders, mood disorders, or fatigue.
05
Use screening questionnaires for fibromyalgia to identify symptom severity.
06
Ensure that the symptoms have been present for at least three months.
07
Rule out other medical conditions that might explain the symptoms.
08
Discuss the findings with the patient and explain the diagnosis.

Who needs The Diagnostic Making of Fibromyalgia Syndrome?

01
Individuals experiencing widespread pain lasting more than three months.
02
Patients with multiple tender points and associated symptoms like fatigue and sleep disturbances.
03
People who have not found relief from other diagnoses for their chronic pain.
04
Those seeking a comprehensive evaluation of persistent musculoskeletal pain.
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One of the main theories is that people with fibromyalgia have developed changes in the way the central nervous system processes the pain messages carried around the body. This could be the result of changes to chemicals in the nervous system.
Fibromyalgia is a chronic (long-lasting) disorder that causes pain and tenderness throughout the body, as well as fatigue and trouble sleeping. Scientists do not fully understand what causes it, but people with the disorder have an increased sensitivity to pain.
Fibromyalgia is diagnosed based primarily on having pain all over the body, along with other symptoms. Currently, there are no specific laboratory or imaging tests for fibromyalgia.
People with fibromyalgia are usually more sensitive to pain than most people. Experts haven't found the direct link yet, but they think genetic mutations in the genes responsible for forming the neurotransmitters in your brain that broadcast and receive pain signals to your body might cause fibromyalgia.
A diagnosis requires widespread pain >3 months duration with currently either i) widespread pain index (WPI) ≥7 and symptom severity scale (SSS) score ≥5, or ii) WPI 4–6 and SSS score ≥9, with pain in 4/5 body regions (see text).
One of the main theories is that people with fibromyalgia have developed changes in the way the central nervous system processes the pain messages carried around the body. This could be the result of changes to chemicals in the nervous system.
Tender points are specific sites on the body that cause pain when pressed. The pain may spread when a tender point is pressed and causes pain in a larger area (for example, down the leg, arm, or back). There are 9 pairs of tender points. Each pair has one point on each side of the body, for a total of 18 points.
Fibromyalgia is a chronic condition that causes pain in muscles and soft tissues all over the body. Researchers think it may be linked to sleep problems, stress, or immune, endocrine, or biochemical problems. Symptoms may also include lack of energy (fatigue), sleep problems, depression, headaches, and other problems.

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The Diagnostic Making of Fibromyalgia Syndrome refers to the process and criteria used by healthcare professionals to diagnose fibromyalgia, which is characterized by widespread musculoskeletal pain, fatigue, and other symptoms.
Typically, healthcare providers such as physicians, rheumatologists, or pain specialists are required to file The Diagnostic Making of Fibromyalgia Syndrome as part of the diagnostic process.
The Diagnostic Making of Fibromyalgia Syndrome should be filled out by collecting the patient's medical history, conducting a physical examination, and utilizing validated criteria such as the American College of Rheumatology guidelines for fibromyalgia.
The purpose of The Diagnostic Making of Fibromyalgia Syndrome is to provide a standardized method for diagnosing fibromyalgia, ensuring patients receive appropriate treatment and management for their symptoms.
Information that must be reported includes patient symptoms, duration of pain, areas of tenderness, and any associated symptoms such as fatigue, sleep disturbances, and cognitive issues.
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