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Category: Neurology
Satisfied Customers: 2207
Experience:  MBBS, FCPS
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Is it possible to have fibromyalgia without generalized pain

Customer Question

Is it possible to have fibromyalgia without generalized pain being the first presenting symptom?
Submitted: 1 year ago.
Category: Neurology
Expert:  DR.EHTISHAM replied 1 year ago.


Welcome to JA and thanks for asking

To diagnose someone with fibromyalgia the patient should have pain which is assessed at 19 different sites of the body

Other than that three other symptoms including fatigue, wakening un refreshed and cognitive dysfunction are assessed

Patient satisfies diagnostic criteria for fibromyalgia if the following 3 conditions are met:

1) Widespread pain index (WPI) 7 and symptom severity (SS) scale score 5 or WPI 3–6 and SS scale score 9.

2) Symptoms have been present at a similar level for at least 3 months.

3)The patient does not have a disorder that would otherwise explain the pain.

So coming back to your question its unlikely to diagnose fibromyalgia without having pain in any part of the body so for making a diagnosis of fibromyalgia pain should be present

Good luck

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