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DIAGNOSIS OF FIBROMYALGIA Dr. Alpert’s Diagnostic Quartet
1. Pain Widespread Regions of Pain and Tenderness Generally Axial- in the Neck, Back, Shoulders and Hips Currently The Accepted Diagnostic Criteria Include Finding at least 11 of 18 Include finding 11 of 18 specific tender points.
2. Sleep Disorder Non-Refreshing/Non-Restorative Sleep Insomnia, Multiple Awakenings Night Sweats, Drooling Morning Stiffness and Fogginess Fluctuating Fatigue, Cat Naps
3. Cognitive Dysfunction "Fibrofog" Trouble Concentrating Directional Disorientation Short-Term Memory Impairment Visual Perceptual Difficulties
4. History of Multiple Ailments Depression, Anxiety, Panic Attacks, Mood Swings, Dizziness, Tinnitus, Dry Eyes/Dry Mouth, Weight Loss/Gain, Thermoregulatory Dysfunction with Unexplained Fevers, Hypoglycemia, Seizures, Headaches, Migraines, Visual Disturbances, Rhinitis, Sinusitis, Pharyngitis, TMJ Dysfunction, Bruxism (grinding or clenching teeth while asleep), Toothaches, Mouth Ulcers, Dysphagia, Breathlessness, Chest Pain, Palpitations, Mitral Valve Prolapse/ Dysautonomia, Diaphoresis, Rashes/Itches, Allergies, Asthma, Multiple Chemical Sensitivities, Reflux, Gastritis/Ulcers, Irritable Bowel, Irritable Bladder, Urinary Urgency, Interstitial Cystitis, Pelvic Floor Dysfunction, Dysmenorrhea, Pre-Menstrual Syndrome, Endometriosis, Sexual Dysfunction, Raynaud’s like Symptoms, Nail Ridges, Imbalance, Restless Leg Syndrome, Spasms, Muscle Twitching, Buckling Knees, Tendonitis, Numbness, Tingling or Swelling in Hands or Feet, Carpal Tunnel Syndrome, Weakness, Loss of Grip This list is incomplete
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