Because no simple lab test is currently available, Fibromyalgia (FM) diagnosis requires a hands-on evaluation by a skilled medical professional. This evaluation usually consists of:

1. Ruling out medical conditions whose symptoms mimic FM (i.e., Thyroid Disease, MS, Lupus, etc.)


2. An extensive medical history which includes a discussion of the nature and duration of specific symptoms.


3. A physical examination which includes a tender point exam. The criteria used for diagnosis is widespread pain for a duration of more than 3 months. Also, pain in 11 of the 18 tender point locations when a pressure of 4 kgs is used at the tender point location. (the photo to the right indicates the 18 tender points on the body)

Click here for more information about Tender Points

While FM and CFS/ME are two different conditions, 50-70% of FM patients also meet the criteria for CFS/ME (Chronic Fatigue Syndrome/ Myalgic Encephalopathy).

People with CFS/ME are often tired, while those diagnosed with FM complain of pain. People with CFS/ME often have swollen glands, sore throat, and fever which many FM patients don't have. However, it's not unusual for FM patients to also have CFS/ME. Researchers are still unsure if FM is the result of a virus, while most agree that CFS/ME is viral in origin.