Tender points in fibromyalgia

The 18 "tender points" important for the diagnosis of fibromyalgia. Note the bilateral symmetry of the labeled regions. Tenderness on palpation of at least 11 of these sites in a patient with at least a three-month history of diffuse musculoskeletal pain is recommended as a diagnostic standard for fibromyalgia.

Adapted from: Goldenberg, DL, Hosp Pract (Off Ed) 1989; 24:39.

Graphic 77950 Version 2.0