New Criteria for FM

1
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

2
Pain other symptoms
12
Somatic symptoms
19
3
Widespread pain index (WPI).19
Pain
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.
4
All the other symptoms12
Other symptoms

• Fatigue
• Sleep
• Cognitive changes
• the mass of other symptoms

5
New concept of FM

• Pain (WPI) 2/3 19
• Symptoms (SS) 1/3 12
• 0-3
• fatigue, sleep, cognition,
• somatic symptoms
• 31

6
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

7
31 /13

• Maximum score 31
• Severity cut-off 13

8
FM diagnosis

• 13 is a guide for grade of severity
• Pain ?7 Symptom Severity ?5
• Pain 3-6 Symptom Severity ?9