FIBROMYALGIA-ACR CRITERIA

SUMMARY

American College of Rheumatology (ACR) Criteria:
1. Widespread pain: found in all four quadrants of the body; the left and right sides of the body as well as above and below the waist.

2. Axial involvement: cervical, anterior chest, thoracic, and low back.

3. No other medical disorders to explain the pain.

4. Bilateral involvement: occipital, lower cervical, trapezius, supraspinatus, second rib, lateral epicondyle, gluteal, greater trochanter, knee.

5. Pain in 11 to 18 tender points (no longer part of criteria, but helpful).

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].