Arthritis Forum

Fibromyalgia can be difficult to diagnose because its symptoms can be similar to those of other conditions and there is no definitive test to confirm the diagnosis. Here is the typical process for diagnosing fibromyalgia:

1. Medical history and physical examination: Your doctor will review your medical history, including symptoms and any previous medical conditions or treatments. They will also conduct a physical examination to check for tender points and to rule out other potential causes of your symptoms.
   
2. Elimination of other conditions: To diagnose fibromyalgia, your doctor will first rule out other potential causes of your symptoms, such as arthritis, lupus, or spinal stenosis. They may also perform tests, such as blood tests or imaging studies, to help eliminate other conditions.
   
3. The American College of Rheumatology (ACR) diagnostic criteria: The ACR has established diagnostic criteria for fibromyalgia, which involves the presence of widespread pain for at least three months, and the presence of 11 or more tender points on physical examination.
   
4. Clinical judgment: In some cases, a diagnosis of fibromyalgia may be based on your doctor's clinical judgment, taking into account your symptoms, medical history, and physical examination results.
   

It is important to note that the process for diagnosing fibromyalgia can be lengthy and may require multiple doctor visits and tests.

However, receiving an accurate diagnosis can be important for receiving appropriate treatment and managing your symptoms. If you suspect that you may have fibromyalgia, it is important to work closely with your doctor to determine the best course of action for your individual needs.