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What Does " Tenderness In All 4 Quadrants In 18/18 Fibromyalgia Tender Points" Mean?

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Posted on Mon, 15 Dec 2014
Question: Can you please tell me does this paragraph below mean I am positive for Fibromyalgia

On examination, there was no joint swelling, tenderness or erythema affecting the hands, wrists, elbows or knees. There was tenderness in all 4 quadrants in 18/18 Fibromyalgia tender points.
doctor
Answered by Dr. Mukesh Chugh (42 hours later)
Brief Answer:
According to old system, you have fibromyalgia

Detailed Answer:
Hello
Thanks for posting
I have gone through your query and understand your concern. XXXXXXX College of Rheumatology (ACR) published the criteria for the classification of fibromyalgia. According to that if a person has pain in at least 11 tender points,then he/she is diagosed with fibromyalgia.
The old requirement of a tender point exam has been omitted in the new guideline and replaced with a symptom checklist.This list may be available with your doctor or you may find it online.
Hope this helps and please share your suffering in the follow up query.
Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mukesh Chugh (1 hour later)
My main symptoms are severe joint pain in all joints, bones feel like they burning, continual headache no painkillers work, dropping things can't lift a pan, kettle etc and feeling emotionally fed up
doctor
Answered by Dr. Mukesh Chugh (17 minutes later)
Brief Answer:
Multiple joint pain is suggestive of arthritis

Detailed Answer:
Hello
It's good to see you
I have gone through your reply carefully and pain at multiple joints is suggestive of arthritis most likely the common rheumatoid arthritis. Hence,my advice would be to get following blood test done -CBC,serum RA factor,Anti CCP antibody,serum uric acid followed by a visit to rheumatologist will help.
The arthritis is treatable and please be positive.I am sure you will get over this.
Looking forward to help you further.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mukesh Chugh (4 minutes later)
All tests show I don't have arthritis. I have raised ESR and crp though
doctor
Answered by Dr. Mukesh Chugh (47 minutes later)
Brief Answer:
May fill up fibomyalgia chart to confirm

Detailed Answer:
Hi
After going the whole discussion and to diagnose fibromyalgia as a cause of your suffering, my suggestion would be to fill up the fibromyalgia diagnosing chart as prepared by ACR (American college of rheumatology). This is available at www.fmnetnews.com/fibrobasics
Hope this help to reach a diagnosis.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mukesh Chugh (14 minutes later)
Thank you
doctor
Answered by Dr. Mukesh Chugh (20 minutes later)
Brief Answer:
wishing you good health

Detailed Answer:
Hello
You are welcome, it was pleasure talking to you.
Regards
Dr.chugh
http://bit.ly/drmchugh
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Mukesh Chugh

Orthopaedic Surgeon, Joint Replacement

Practicing since :1997

Answered : 1619 Questions

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What Does " Tenderness In All 4 Quadrants In 18/18 Fibromyalgia Tender Points" Mean?

Brief Answer: According to old system, you have fibromyalgia Detailed Answer: Hello Thanks for posting I have gone through your query and understand your concern. XXXXXXX College of Rheumatology (ACR) published the criteria for the classification of fibromyalgia. According to that if a person has pain in at least 11 tender points,then he/she is diagosed with fibromyalgia. The old requirement of a tender point exam has been omitted in the new guideline and replaced with a symptom checklist.This list may be available with your doctor or you may find it online. Hope this helps and please share your suffering in the follow up query. Take care