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New Criteria for FM. Old ….pain only, for research New Pain + other symptoms Clinically applicable Take into account symptoms other than pain Addressing real concepts of FM A severity scale. Pain + other symptoms. 12. Somatic symptoms. 19. □ Neck. □ Chest. □ Abdomen.

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Presentation Transcript
new criteria for fm
New Criteria for FM

Old ….pain only, for research

New Pain + other symptoms

Clinically applicable

Take into account symptoms other than pain

Addressing real concepts of FM

A severity scale

m fitzcharles

slide2

Pain + other symptoms

12

Somatic symptoms

19

m fitzcharles

widespread pain index wpi 19

□ Neck

□ Chest

□ Abdomen

□ Upper Back

□ Lower Back

19

Pain

Widespread pain index (WPI)….19

Jaw

□ Rt. □ Lt.

Shoulders

□ Rt. □ Lt.

Arm upper

□ Rt. □ Lt.

Arm lower

□ Rt. □ Lt.

Hips

□ Rt. □ Lt.

Leg upper □ Rt. □ Lt.

Leg lower

□ Rt. □ Lt.

m fitzcharles

all the other symptoms 12
All the other symptoms……12

Fatigue

Sleep

Cognitive changes

“the mass of other symptoms”

Other symptoms

m fitzcharles

new concept of fm
New concept of FM
  • Pain (WPI) 2/3 19
  • Symptoms (SS) 1/3 12
    • 0-3
    • fatigue, sleep, cognition,

somatic symptoms

31

m fitzcharles

the mass of other symptoms
“the mass of other symptoms”

Muscle pain, irritable bowl syndrome, dizziness, insomnia, chest pain, nausea, diarrhea, wheezing, itching, ringing in ears, oral ulcers, seizures, dry eyes, shortness of breath, easy bruising, loss of appetite, bladder symptoms, etc…

All collapsed into an MD question…….

…………………..or a patient response

m fitzcharles

31 13
31 /13
  • Maximum score 31
  • Severity cut-off 13

m fitzcharles

fm diagnosis
FM diagnosis

13 is a guide for grade of severity

Pain 7 + Symptom Severity 5

Pain 3-6 + Symptom Severity 9

m fitzcharles

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