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 m fitzcharles

2. Pain + other symptoms 12 Somatic symptoms 19 m fitzcharles

3. □ 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

4. All the other symptoms……12 Fatigue Sleep Cognitive changes “the mass of other symptoms” Other symptoms m fitzcharles

5. New concept of FM • Pain (WPI) 2/3 19 • Symptoms (SS) 1/3 12 • 0-3 • fatigue, sleep, cognition, somatic symptoms 31 m fitzcharles

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 m fitzcharles

7. 31 /13 • Maximum score 31 • Severity cut-off 13 m fitzcharles

8. FM diagnosis 13 is a guide for grade of severity Pain 7 + Symptom Severity 5 Pain 3-6 + Symptom Severity 9 m fitzcharles