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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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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


M fitzcharles

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

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31 13
31 /13

  • Maximum score 31

  • Severity cut-off 13

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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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